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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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Hi Mysticdoc, we spoke a few weeks ago regarding HPV and I

Resolved Question:

Hi Mysticdoc, we spoke a few weeks ago regarding HPV and I have a follow up--if we could talk that would be great!
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

Mysticdoc :

Please go ahead.

Customer:

I am a 25 year old, previously had genital warts (once in 2009, possibly again in 2011) all other STD's not a possibility as I have been tested. Also suffer from OCD so I tend to worry. I do not want to pass HPV onto my girlfriend who is negative, also she had been vaccinated with Gardasil. Last night I found a red spot on my shaft, when I stretched the skin out I could see a small red dot. This morning I woke up and it is not as red, much lighter but it is still noticeable. I am concerned this could be the start of a wart--could you take a look at a few pictures and opine?

Mysticdoc :

sure you can post the pictures here.

Customer:

Full Size Image

Customer:

Full Size Image

Customer:

Full Size Image

Mysticdoc :

They do not look like wart right now.

Customer:

the spot im talking about is toward the bottom of the shaft, if you need any further pictures for clarity i could provide

Mysticdoc :

looks more like bumps --cyst like

Customer:

okay, I had something similar a few weeks ago....is it possible they could be the start of a wart?

Mysticdoc :

very unlikely.

Mysticdoc :

wart will not appear like that

Mysticdoc :

should be more skin like thin

Customer:

is it anything that could possibly be contagious? Again, my main concern is to protect my partner...

Mysticdoc :

I do not think so.

Customer:

and, as I said before, overnight the redness has begun to subside so I feel that is encouraging...can warts be a reddish type of color/lesion? I have tried to do some research but it yields mixed answers

Mysticdoc :

not really unless it is inflamed or bleeding.

Mysticdoc :

That is not the case here

Customer:

okay, so they wouldn't appear as painless/itch-less red lesions?

Mysticdoc :

no

Customer:

okay--also, I had only one instance where my symptoms matched a genital wart, in 2009--had another spot in 2011 that was red and didnt go away for sometime, I used aldara on the 2011 spot and it seemed to help, could that be a coincidence or would aldara possibly help a lesion that is not a wart?

Customer:

it was a red spot that stuck around for several months

Mysticdoc :

Aldara can help non wart lesions as well.

Mysticdoc :

hard to say without specific testing of the lesion.

Customer:

okay--thanks for all the help, just one more question--is it possible that (a) i could have cleared the virus completely after 2009 and no longer have HPV or (b) that I could have had a wart only one time and they won't ever come back?

Mysticdoc :

Yes it is possible to clear the virus completely.

Mysticdoc :

and wart may not come back in some cases.

Customer:

you can clear it completely even after having a wart?

Mysticdoc :

however, it is very unlikely for warts not to recur if diagnosedcorrectly.

Mysticdoc :

yes you can

Customer:

so, it is unlikely that the warts won't recur if I was in fact diagnosed correctly in 2009?

Customer:

double negative, meaning its probable that they would?

Mysticdoc :

correct

Customer:

even after 4 years with no symptoms?

Mysticdoc :

yes --it is unlikely for wart to be so small and then not recur

Mysticdoc :

now, it is also possible for wart not to recur even it was present.

Customer:

well the wart in 2009 was much more characteristic of an HPV wart, didn't look anything like the pictures I've just sent you, and I found out later my girlfriend at the time had HPV so I always just assumed it was that--botXXXXX XXXXXne, is it likely that I could have either cleared the virus or that I won't ever have another wart appear again?

Mysticdoc :

Ok

Mysticdoc :

it is quite possible to clear the virus from your body by this time.

Mysticdoc :

But it is hard to say definitively.

Mysticdoc :

Non standard tests like HPV testing of the penile and anal swab can be tried for some reassurance in case negative.

Customer:

alright--those were more long term questions I guess--short term, the pictures I sent today are not warts, correct?

Mysticdoc :

correct

Mysticdoc :

not warts

Customer:

okay--thanks so much for the help. I know my questions can probably be a pain, but your help is very much appreciated

Mysticdoc :

very welcome

Mysticdoc :

It was my pleasure to help you today.
Best wishes,
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Customer:

sorry--one last question---should I be on the lookout for this spot to somehow change into something of consequence? AKA could it be the START of a wart? Or is it nothing to worry about at all?

Mysticdoc :

I do not think this is wart.

Mysticdoc :

But you can observe for next few days.

Customer:

okay--and the likelihood of transmission to my girlfriend would be very low since she has been vaccinated, correct?

Mysticdoc :

correct

Customer:

great, thanks so much! excellent rating coming!

Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 22090
Experience: MD
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