I wrote to you a few months back with regards to a diagnosis of genital warts,  having got a se and opinion from a GUM clinic. Specialist i was told it was not genital warts but possibly a dermatological issue, prescribed creams did not work, second examination by same Specialist and told to return in January for a check up and review 

In the meantime I saw a dermatologist who thought it might be lichen planus, again prescribed cream that did not work

Going back next week for review

My question is, could this be HPV Neoplasia that has been there since my last wart outbreak almost 13 years ago

As described before the lesions have a red rash like colour when the penis is flacid and skin colour tones when erect

Suffering some penile irritation as well, mainly on around the glans where there are no lesions and internally 

Thank you for time 

Regards 

Mike 

Looking back at your previous forum discussions, I am reminded that despite the initial diagnosis of genital warts, there was early doubt about the diagnosis. Now it seems quite certain your genital area skin problems are not warts. I really cannot comment on alternative diagnoses like lichen planus. We STI experts are not trained in recognizing or treating of genital neoplasias (even if related to HPV), and make no attempt to advise about such problems on the forum. To my knowledge, I see no reason at all to suspect that HPV explains any of these problems. I cannot imagine that HPV related neoplasia explains anything of your current symptoms.

And you describe nothing that suggests any STI, or that these issues are the result of anything you caught from any sex partner. (I have a book titled Genital Dermatology Atlas. As implied by the title, its 300 pages are filled with photos and brief descriptions of genital area skin problems. Of those 300 pages, all STIs are covered in 15 pages. As that suggests, the large majority of such problems are not sexually acquired.)

When we have patients our sexual health clinic with problems like yours, we refer them to dermatologists. So the best I can advise is that you continue to work with your doctor(s), including GUM specialists and/or dermatologists, to work this out. In the meantime, this doesn't sound like anything at all serious or dangerous -- despite the stress and uncertainty it obviously is causing you.

I hope these comments help a little bit. Best wishes and good luck.

Thank you for the reply

Its the anxiety around the whole situation thats the problem but thank you fimor the reassurance

I hope i get some answers soon

Regards 

 Mike 

I hope these comments help you move on with less anxiety about it. Best wishes and happy new year.

As always your support and advice is much appreciated 

I wish you all the best for 2026

Regards 

Mike