Hello. I’d like your take on my test results. About 4 years ago I developed a raised, brown spot on my perineum. At the time I was 35, had been with my husband for 3 years, and was pregnant. A year later, I developed a similar spot between my anus and thigh. My GP and OB/GYN both saw them and didn’t mention anything/weren’t concerned. I saw a derm PA who said they looked normal and to check again in one year. I saw the same PA a couple months ago and she said offhandedly that they could be warts, but she didn’t think they were. She said I could get it biopsied or continue to monitor it yearly. I went to a derm who said they were condyloma vs SKs vs benign nevi. The results came back as ‘a gently lobulated protuberant skin lesion with acanthosis and vacuolization of upper spinous and granular layer cells with hyperchromatic, round nevi.’ The pathologist put the diagnosis as condyloma, but from what I’ve read that doesn’t match this description as there were no ‘halos’, ‘irregular nuclei’, etc. I question the diagnosis because 1) my age and the fact that I hadn’t had any new partners for years 2) I’ve never been diagnosed with an STI, have had all negative HPV tests and Paps, and had the HPV vaccine series ten years prior. 3) I was pregnant at the time and carrying and extra 50 lbs. I read that hormones and friction can cause SKs. 4) My father is covered in SKs and I know they are genetic. I just had one removed from my back. Please share your interpretation of my results. Should I have them sent to another lab for a second opinion?