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HPV vs. molluscum vs. skin tags
history: 5 years ago I noticed very small papules <1.0mm on my corpus cavernosum behind the glans about a half inch. There were a few of these linear clusters present on the corpus cavernosum and, if my memory serves me well, a few individual papules. Skin colored. Not rough looking. Dome shaped. Most, from my perspective, looked uniformly circular. No coliflower appearance or roughened appearance on any of them. The original differentials were healing abraded skin vs. nonspecific contact dermatitis. The doctor said "I doubt this is HPV". I was put on a topical steroid for 2 weeks that did nothing. The lesions remained as they first appeared. Follow-up 2 weeks later the MD states, "perhaps this is a funny presentation of molluscum contagiosum. Just doesn't look at all like HPV." Cryotherapy was implemented to remove all noticeable lesions. 5 days later I believed he missed a few. I wasn't able to see MD for next 3 months. During that time the lesions returned. 3 month visit MD initiated cryotherapy. At that time he stated, "Not exactly HPV, not exactly MC, not exactly skin tags. What the heck are these bumps"? Not very reassuring, huh? Anyway, some lesions returned after that visit and one month later, my final visit, cryotherapy froze the few lesions that returned.
Question: What does this sound like to you? Prior to the onset of these lesions I had had on/off unprotected sexual intercourse with a good girlfriend. I slept with her on/off for about 6months prior. One week before these occurred, I slept with her. Current gf i've been with for 4 years, no warts, no abnormal paps. Asked friend I slept with and she says no abnormal paps (may not totally believe her). No central umbilication noted on MD's history. What does this sound like to you? It sounds like HPV and he misdiagnosed it as MC. No recurrence in 5 years. Need help. Have anxiety about giving gf cervical/oral cancer and potential offspring RPP.
Question: What does this sound like to you? Prior to the onset of these lesions I had had on/off unprotected sexual intercourse with a good girlfriend. I slept with her on/off for about 6months prior. One week before these occurred, I slept with her. Current gf i've been with for 4 years, no warts, no abnormal paps. Asked friend I slept with and she says no abnormal paps (may not totally believe her). No central umbilication noted on MD's history. What does this sound like to you? It sounds like HPV and he misdiagnosed it as MC. No recurrence in 5 years. Need help. Have anxiety about giving gf cervical/oral cancer and potential offspring RPP.
MEDICAL PROFESSIONAL
It is silly to worry about mixed infections. As a sexually active person, there is a fair chance you have had a high risk HPV infection somewhere along the line. Most of us do, at least those with more than 4-5 lifetime sex partners. Get used to it and then forget about it.
As for the original diagnosis, if I had to guess, it was neiher HPV nor molluscum, but some sort of normal anatomic variation. But it's only a guess and it doesn't change the main conclusion: you are obsessed about something that doesn't matter.
I'm aware of the "low-risk" and "high-risk" types and that types 6 and 11 account for nearly all the visible genital warts. I worry about mixed infections. If I did have HPV, chance was the girl wasn't the most wholesome and I may have had a mixed infection with the worrisome 16 or 18 and transmitted that to my new girlfriend unknowningly. Mixed infections have me worried. Not the genital warts.
Hunter,
If you had to fall one way or another. HPV or MC? Which would you suggest. Piece of mind.
If you had to fall one way or another. HPV or MC? Which would you suggest. Piece of mind.
MEDICAL PROFESSIONAL
Sorry, I really cannot help. You have been repeatedly examined and treated and the diagnosis isn't clear, at least not to the most important person involved (you). I just can't say what you had. Anyway, if I understand correctly, all this occurred 5 years ago and the problem is long gone. If so, what does it matter? Whatever you had isn't there anymore.
It's only when I get to the last lines that I understand your concern, that you might have had HPV that you still have and that risks your partner's or a future baby's health. It does not, even if you had warts. The likelihood of the outcomes you describe probably are zero or close to it. This isn't worth the worry you are feeling. Please do some reading to educate yourself about HPV and warts. Start with this thread from just yesterday: http://www.medhelp.org/posts/show/758844. Disregard the business about oral cancer. Just read the last paragraph of my reply, about HPV being a normal consequence of human sexuality with rare serious outcomes. Also note that different HPV types cause warts than those that predispose to cervical cancer.
So nothing at all need be done. All is well. If your partner (future wife?) gets pregnant, if she doesn't have overt, visible warts when she goes into labor, there is no signficant risk of RRP for the baby.
Best wishes-- HHH, MD
It's only when I get to the last lines that I understand your concern, that you might have had HPV that you still have and that risks your partner's or a future baby's health. It does not, even if you had warts. The likelihood of the outcomes you describe probably are zero or close to it. This isn't worth the worry you are feeling. Please do some reading to educate yourself about HPV and warts. Start with this thread from just yesterday: http://www.medhelp.org/posts/show/758844. Disregard the business about oral cancer. Just read the last paragraph of my reply, about HPV being a normal consequence of human sexuality with rare serious outcomes. Also note that different HPV types cause warts than those that predispose to cervical cancer.
So nothing at all need be done. All is well. If your partner (future wife?) gets pregnant, if she doesn't have overt, visible warts when she goes into labor, there is no signficant risk of RRP for the baby.
Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
