[Question #5630] Is it HPV, moluscum or benign sebaceous cyst?

19 months ago

Male 54 yrs

On April 9th 2019 I went for massage and fooled around with the masseur. Probably I put a finger in her vagina and anus. Kissed her nipples. And she finished me off with a hand job.

Now about after 3 weeks:

I noticed, about an inch away from the pubes on the top of my penile shaft I found a growth which is raised and has a hair growing from its center. Another one is size of a pin head yellow/whitish neOn April 9th 2019 I went for massage and fooled around with the masseur. Probably I put a finger in her vagina and anus. Kissed her nipples. And she finished me off with a hand job.

Now about after 3 weeks:

I noticed, about an inch away from the pubes on the top of my penile shaft I found a growth which is raised and has a hair growing from its center. Another one is size of a pin head yellow/whitish near the head but on the shaft. The big one with the hair has been around for a 1.5 month.

On day 78th (11.1 week) I got full panel STD blood test in Quest clinic including 4th gen HIV antigen/antibody. All negative except HSV 1. There's no itching, burning fever, pain at all. I am diabetic with 6.0 A1C and on Metformin 750 mg 2x a day with controlled HBP and on valsartan.

What could the growth be? Could my negative HIV be conclusive?

What could it be?

Could my negative HIV be conclusive?

19 months ago

Pasted again as the original was not properly formatted:

Male 54 yrs

On April 9th 2019 I went for massage and fooled around with the masseur. Probably I put a finger in her vagina and anus. Kissed her nipples. And she finished me off with a hand job.

NowAbout after 3 weeks:

I noticed, about an inch away from the pubes on the top of my penile shaft I found a growth which is raised and has a hair growing from its center. Another one is size of a pin head yellow/whitish near the head but on the shaft. The big one with the hair has been around for a 1.5 month.

What could the growth be? Could my negative HIV be conclusive?

Edward W. Hook M.D.

19 months ago

Welcome to our forum and thanks for your question. The events you describe did not put you at risk for an STI and the lesions you describe are a classical description of folliculitis. They do not suggest other sexually transmitted infections. Folliculitis occurs when a hair follicle becomes plugged and normal skin bacteria begin to grow to form a small red spot or pimple. The best way to manage these infections is with soap water and a washcloth.

Your 11.5 week HIV test is conclusive, proving that you do not have HIV. There is no reason for further testing and no reason for concern.

I hope that this information is helpful to you. E DrPH

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19 months ago

Thanks, doc. HIV part is clear :-) But the growth is not red at all nor does it itch at all. It is flesh color, a little pinkish but has a huge hair growing from the center. Neither it has tiny cauliflower appearance suggesting HPV wart.

Edward W. Hook M.D.

19 months ago

The fact that it has a hair growing and it is a strong indication that this is folliculitis. Furthermore you indicate that there is not one but two lesions-this too strongly suggests folliculitis. The lesion the timing is a bit early for HPV and the lesion you describe would be a most unusual location for HPV to occur. EWH---

19 months ago

Doctor, I am almost at ease but one last question as it still nags me. Could it be moluscum contageosum?

Edward W. Hook M.D.

19 months ago

I have not had an opportunity to examine you and so I cannot make a diagnosis. My assessment is based on your description and the likelihood of various STI's. If you need further evaluation or remain concerned the best way forward is for you to be examined by a trained clinician.

We provide up to three responses to each clients questions. This is my third response. As a result this thread will now be closed. Take care. EWH

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