1) I don't understand the question.
2) I agree.
HHH, MD
Thanks so much for your re-assurance.
A few closing questions please.
You said.
Genital area warts typically do not recur once they clear up. I am unaware of any different data specifically for anal warts.
1. Is that true for genital/anal warts that go away on their own and have for quite some time and ones that needed treatment to be resolved.
2. so basically in a nutshell, i had them just like millions of others, don't need to worry about reoccurences and no need for future exams and should just totally put this out of my mind both physically and mentally. do yo agree with this?
Thanks again so much, You can have my promise that this will be my last post.
God Bless.
"Help me put this behind me": That's exactly where it is now--and I'm talking about the course of your infection, not your anatomy!
Anal warts indeed occur in heterosexual men. I disagree with your proctologist's assessment that anal warts aren't sexually acquired; almost certainly they are, through anal area contamination with a partner's genital secretions. But other than that, you have been given entirely accurate information. In other words, I cannot add to what you were told: "...the proctologist himself...said, anal warts are not my problem everyone is different stop checking for things and move on with life. Having not being told what these bumps were other than everyone is different I went to several other doctors and they all said its normal, part of me, just tags and folds etc."
1) Genital area warts typically do not recur once they clear up. I am unaware of any different data specifically for anal warts.
2) I am unaware of specific guidelines by any public health authorities or professional societies for follow-up of anorectal warts, especially in heterosexual men. In my STD clinic, we do not advise routine periodic exams for such patients. (We advise gay men to have periodic anorectal examinations, because of the risk of anal cancer. But we do that regardless of a history of anal warts. The low-risk HPV types that cause warts do not lead to anal cancer, so there is no reason to suspect you are at risk for that uncommon outcome.)
3 and 4) There is no guarantee that HPV is "totally out of your system". Some experts believe that all HPV infections persist, but at an undectable (and non-transmissible) level. Others believe most infections entirely go away. What is known for sure is that most people's infections resolve, as measured by the most sensitive tests available. But since the health consequences of HPV generally are trivial, most experts advise people like you--and your sex partner(s)--to just ignore the problem and not worry about it.
Your concerns are understandable but not really justifiable. With rare exceptions, both genital/anal warts, and even infection with the high-risk (cancer-causing) types of HPV, are trivial inconveniences, not serious health risks. If this continues to affect your relationship and personal life, despite your proctologist's strongly expressed reassurance as well as mine, then you need to seek counseling about it. But truly, you're making too much of this.
Good luck-- HHH, MD