[Question #2042] confused and afraid

48 months ago
Very weird situation. Im 35 only been with 4 women in my life.  I recently just met someone we both agreed to get tested i went to a std clinic and she thought i had hpv on my scrotum i of course freaked out went to my GP he said no i then went to my dermo who i have gone for years he said no  and biopsied those 2 spots both came back as epidermoyltic acanthoma rare skin infection related to sun damage and tanning beds which makes sense because ive been tanning for 16 years. I then went to a 2nd dermatologist just to be safe and i saw another spot i wanted looked at it was extremely small and looked like a skin tag. She biopsied it and said it was a wart.I of course freaked out I went back to my 1st dermatologist who ive going to for years he looked at the spot we biopsied another spot near there that looked exactly what i had taken off it came back as irritated benign keratosis. I requested the pathology report from the 2nd dermo be transferred to my dermatologist and the slide and we are awaiting results.My 1st dermatologist might think ive been misdiagnosed. Is that possible? Ive also heard that if u do have genital warts that most hpv CLEARS up withing 2 years. Does that mean its gone wont come back and i cant transmit to anyone?? Im really scared and have lost sleep and weight over this. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
48 months ago
Welcome to the forum. Thanks for your question.

Unfortunately, I don't think I can help very much. You're hoping that I can mediate between the opinions of four health care providers (the STD clinician, your GP, and two dermatologists) who have examined you directly, whereas I cannot. If I correctly understand, only a dermatologist's opinion supports the possibility of a wart, but the only available biopsy results didn't show wart tissue. In addition, although warts can occur on the scrotum, in men the large majority make their appearance on the penis. All things considered, I'm inclined to believe you don't have genital warts. I gather another biopsy result is pending, right? I'm betting it also won't show warts.

But if you do have warts, I would encourage you to not look at this as such a big deal, certainly nothing to be "really scared" about. Genital warts are an unpleasant inconvenience, not an important health problem. Also, try to gain a perspective on genital HPV in general. By the time someone has had 3 different sex partners, there is roughly an 80% chance of having been infected with HPV -- so with 4 partners, it is probable that you have been infected with HPV, regardless of whether or not your various scrotum skin bumps are warts. Having genital HPV is a normal, expected consequence of being a sexually active human being. And it is true that HPV usually clears up within a couple of years, and the large majority of infections never cause warts, cancer, or any other symptoms. It's really not something to be alarmed about.

I hope this information is somewhat helpful. Let me know if anything isn't clear -- but I would suggest you wait until the latest biopsy result is available, which should help clarify things.

HHH, MD

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48 months ago
Hey Dr handsfield sorry for the late response I'm actually very concerned about the herpes virus now and I'm still waiting for results from the biopsy I had. The doctors are doing molecular testing to it because the spot on my scrotum came back as verruca vulgaris which is a common wart both pathologists came to the same diagnosis my question I told my dermatologist was I've always heard that a common wart CANT be in the genital area he told me it is highly unusual but that's what they see that's why we are molecular testing it  but never had any warts on the penis at all just the one spot that looked like a small skin tag. I'm actually a lot more concerned about the herpes virus that I'm gonna ask a question in a new forum. Thank u for all of your help I'm scared to death of these diseases and my anxiety is very high
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
48 months ago
There's nothing in the information to suggest a reason to be concerned about herpes. But feel free to post a new question about it, which Terri Warren will answer. 

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48 months ago
I know the wart has nothing to do with herpes my last oral sex encounter was 6 weeks ago and underneath my penis I've been experiencing burning sendationsince Wednesday afternoon my thighs ache too the area is red but no blisters yet I don't know if it's anxiety or prodome I was just gonna ask a question about that and other things thank u for answering my questions Dr Handsfield I will post another question soon 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
48 months ago
Feel free to post your question, but for sure herpes is not the cause of symptoms like these; neither is any other STD. No chance, and I'm sure Terri would agree. Better to work with your doctor on this.

That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. 
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