[Question #5129] Molluscum & HPV Infection

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77 months ago
Hello- Hope all is well. I just returned from a follow up check up with my dermatologist. I had a a few areas of concern after I last saw him.  3-4 specific spots that I felt looked like my warts of the past. One of them was next to a small mole I've has basically my whole life. The doctor examined all spots and said that they didn't look like warts except for one that MIGHT be one. He felt that it probably wasn't, but wanted to remove it anyway just to be on the safe side. After that, he noticed 4 spots on my testicles that he said were Molluscum. He told me that people can get these through anything from sexual activity to dirty towels and that although they make wart like bumps, once they are gone, they go away. I noticed them while I was in a short relationship with a girl around 3-4 weeks ago. I have a feeling they may have come out while we were together. I had told this girl about my previous warts diagnosis and she was comfortable with us being intimate as she had the HPV shot. We are no longer together. My doctor said he didn't feel it was necessary to tell her about the small wart type bump he froze off because he wasn't confident that it was a wart and removed it just in case. I am going to contact her about the Molluscum as my Dr. said that was a good idea since.1. With this "possible" new wart that the doctor froze off, is now a time where I should contact past partners within the last year, including them one from less than a month ago? Ive only been with 3 people in that time span and 2 of them knew about my past warts. The one other partner, 6 months ago, did not know. I know we have spoke in the past about it not being necessary to tell past partners, but I am not sure how I feel with this new "potential" diagnosis.2. How should I go about this Molluscum infection? How long do they last and when will I know it's okay to be intimate again once the infection clears?3. 

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77 months ago
3. Moving forward with new relationships, am I back to telling partners about my HPV past because of this possible new wart? Im not sure what to do with this info. and then 4. My girl friend from last year one told me she had a Abnormal Pap before we started dating. I didn't think anything of it at the time. While we were dating/intimate she tested again and he pap was normal. Should I be telling partners my past partner had an abnormal pap so I could have a undiagnosed infection? My head is spinning a bit right now and Im just looking for some help. Thank. 
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Edward W. Hook M.D.
77 months ago
Welcome back to the Forum although I must say, ( note that this is your 7th visit to our site in the past 4 months and that a pattern is developing and I'm afraid I won't have much different to say that has not been said before.  While I congratulate you on your concern for your partners, I think that it is being mis-applied.  As you have heard from us before HPV is widespread and if a person has not had the vaccine, most people, particularly persons with multiple partners such as yourself, will have HPV.  In over 99% of those with HPV, nothing of consequence will happen.  It appears that you are excessively over-examining yourself and then letting observation of possible lesions lead to questions about exposure and transmission.  The spots on your scrotum may be molluscum or they may be normal cutaneous cysts.  In either instance, there is little to be gained from partner notification, no matter what they are.  In addition:

1.  If these were definitely molluscum, the dermatologist should have treated them. Where they?
2.  We already know from our past interaction that your dermatologist recommends partner notification and you already know that I disagree with this perspective for  the reasons above.  I see no reason to notify partners about what may  be molluscum, particularly if you are not sure.
3. There is absolutely no reason for you to notify current partners that a prior partner had an abnormal PAP smear.

In closing, I just want to be sure that you have had the HPV vaccine.  Is this correct?  If not, you should- between the cost of these 7 posts and the cost of your doctors visits, the vaccine would have been paid for some time ago.  EWH

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77 months ago
Hello- 

Yes I am trying my best not to ask more questions but I truly trust the judgement of you and the other experts on the board, especially when I have a new diagnosis like today. He removed the Molluscum bumps (freezing) and I am seeing him again in three weeks for a follow up. He also removed the tiny bump that he said might not a wart but felt just in case it would be a good idea to freeze it off anyways. I have not gotten the shot but I know I should moving forward. I know it is recommended that the next few months after a wart is removed that you inform partners so I probably will go by that judgement as I have seen that expressed before on this site, even if this wasn't an actual wart. I think getting a diagnosis of "that may or may not be a wart, let's treat it anyway" is a bit of an anxiety builder for me so thats why I wanted to ask if I should tell a 6-month ago past partner about a "potential" new wart. Thanks again for your help. 

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Edward W. Hook M.D.
77 months ago
As you know, in general, I do not feel that it is crucial to mention warts to past sexual partners and I feel even more strongly that this is not necessary when you are dealing with a "possible" wart.  As for molluscum, let me remind you that the majority of molluscum infections occur in children long before they become sexually active, being spread through casual contact as they play.  Despite this, I can assure you, no one recommends that a parent whose child has molluscum warn all their playmates.  Your situation is analogous.

Finally, give your heightened concerns about HPV, you owe it to yourself and your mental health to get the HPV vaccine, at which time your should stop your worrying.  EWH
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77 months ago
Hello-

Thank you for your reply. I am making plans to get the vaccine as soon as possible. One last question as I know it’s my last post, with this new girl I’m seeing, I explained the scenario to her as that my dermatologist removed two spots just in case they were warts. I wanted to be open with her. We haven’t been intimate yet, but as far as progressing with sex after the spots/possible warts are healed up, how should I vocalize the situation? Should I be waiting an amount of time/months before having sex? Should I say that that the spots are removed and everything is potentially clear? Or that I could still potentially be contagious? Just haven’t been in a situation like this before. She has had the hpv shot so I realize the chances or her getting this are extremely low anyways, I just want to be honest with her about my hpv situation and help her understand. Thanks again for everything. 
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Edward W. Hook M.D.
77 months ago
Sigh.  You are looking to me to tell you what you need to do (again).  the information you need to make your decision has already been provided, more than once.  You have done the honorable thing to inform your perspective partner that you had the lesions removed in case they were warts.  I do not see the need to do more.  Hopefully she has already had the vaccine.  If you have continuing concerns and opt to have sex, as you should also know, condoms do reduce the risk for transmission a d acquisition of HPV

With this reply, this concludes this post and there will be no further responses.  I must now also warn you that given the repetitive nature of your posts, it is possible that future posts may be deleted without a response and without refund of your posting fee.  No matter what you think, there is little benefit for you or others to derive from repeated questions on the same topic.  Get the vaccine, then do your best to move on without further, anxiety-driven questions.  

I hope my comments have been helpful.  I wish you the best EWH
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