I'm hesitant to agree your dermatologist isn't knowledgeable about HPV; anxious patients aren't the best judges of their doctors' expertise in the condition they are anxious about! However, since you lack confidence in him, if and when a future need arises for you to see a dermatologist, you should ask your GP for a different referral. In any case, thanks formthe thanks; I'm glad to have helped.
Thank you for your comments, Doctor. Although my dermatologist's comments threw me for a psychological/emotional loop, my understanding of the virus (gained from your comments throughout these forums) and my own doctors give me serious doubt about my dermatologist's experience with HPV. Some of his comments (i.e., you will always present warts; you will always be contagious) were in complete opposition to what you, my GP, and other dermatologist (I recently moved across the country) have said. That, coupled with his insistence on treating what my old dermatologist had identified as a mole, give me serious pause about his expertise with respect to HPV. In addition, I can understand the "better safe than sorry" approach-- I only wish he hadn't said "yeah, that's probably a wart" then backtracked to say "why take a chance?"
I'm still very shaky after visiting him yesterday, and I will continue to work with a psychologist to fully understand that my HPV, for all intents and purposes, is gone. Nevertheless, thank you for your comments. They're a huge help in what is turning out to be a much tougher experience than I had hoped it would be back in 2009.
Welcome back to the forum. But unfortunately, I can't help very much. You're asking me to mediate between the conflicting opinions of different health care providers about a skin bump that I have not and cannot examine myself.
On balance, I am inclined to believe your GP is correct. Genital warts certainly can recur more than 3-4 years after successful treatment, but usually they do not; and the scrotum is not the most common site for genital warts. Indeed, I have to wonder why you didn't just accept your GP's diagnosis and fel you needed the dermatologist's viewpoint. It would appear he or she is just being cautious; the advice to treat for warts if there is any doubt is not unreasonable. But I think you'd have been better off if you hadn't done it.
At this point, my advice is that you have another conversation with your GP, and ask him or her to directly discuss your case with the dermatologist and come to a consensus about your diagnosis.
As for your last question, HPV DNA often (usually?) persists indefinitely, but not the virus itself. But future recurrence of actual HPV lesions (warts etc) is uncommon and the virus generally is not transmissible to partners, so for practical purposes most infections can be considered transient.
I'm glad to hear you are more psychologically adjusted to HPV and genital warts than you seemed to be at the time of our discussion last year. I hope these comments have been helpful.
Regards-- HHH, MD
I agree this location is unusual for genital warts.
Last followup, as I neglected to mention that the spots my dermo treated on the other side of my scrotum were in the crease of my leg, essentially on the backside of the scrotum- which to me, seems like an unlikely place to have been exposed to HPV, even in the case that gave me HPV in the first place back in 2009. Correct?
As a followup- is it normal (in your experience) for dermatologists to take the "better safe than sorry" approach and treat everything that is suspect?