[Question #6412] Anal warts

14 months ago
Hello doctors,
I very much hope you allow me another round of questions as i have a new concern.
Feeling more relaxed i noticed a slight bumpnin my anus. I have aince inspected and it is on my outer anus. I have never participated in receptive anal sex. I am not gay. I do not even like being touched down there to be honest. However, not trying to fuel anxiety but to dispel it from my mind i have researched. I noticed a post from dr hook on medhelp saying a wart would not occur at a site with no contact. I have never had genital warts to my knowledge. I probably have hemeroids due to itch anus at times nit thisnis not a swolen vain.
Anyway, on inspection with camera phone it looks like a small round mole. Tan colored. It would be at a site of friction where buttocks rub.  It does not hurt. On some sites anal warts are described as being in clusters, well imbedded, hardish to touch. Cauliflor like appearance, normally in clusters. Mine is light brown, soft, singlar. However, other sources basically say a genital wart can be these things. Pictures are inconclusive. The typical white clusters on the anus it is not. I would say mine is more a skin tag and ine i could have had for years but only noticed due to anxiety due to recent circumstance.
My questions are what are the common symptoms of an anal wart(s)? Does my mole sound like a wart? Any definitive description that could dispel my symptom?  Is it possible to get something there without contact? If, worse comes to the worse it is a wart, can it infect my pregnant wife considering it is between my butt cheeks and she never goes near there? I am not looking for diagnosis just clear guidance.
Finally, i know dr hh and hook agree on everything but there seems to be slight difference in opinion on this one, when looking at medhelp posts. I also read a post on this forun 45 months ago from a man claiming his only exposure was a hand job in a massage parlor although she may have been naked. Really will appreciate replies here d
14 months ago
Should add not quite my anus. Just before the skin starts to darken. Again, i understand both doctors polite warnings but this is a new concern and would like to be informed before i seek a physocal diagnosis. As aforementioned, i never even thought of inspecting here in the past as i felt i do not ever go therem
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
Welcome back, but sorry you found it necessary.

From your description, the bump you have found near your anus doesn't sound like a wart. Various bumps and irregularities of the anus are entirely normal. Also, genital or anal warts rarely appear alone; usually there are several. But beyond that, there is no "definitive description" that can resolve this. The only way to know is through examination in person by a professional. You'll never sort it out by self-inspection or on this or any other online forum.

There is no difference between me and Dr. Hook. Initial warts appear at the site(s) of sexual exposure. However, over months or years, they can appear at more distant sites. Although anal warts are much less common in heterosexual men who have not had receptive anal sex compared with women and gay men, they do occur from time to time through local spread of the virus to nearby sites.

The mistake here was in examining your anus. Clearly there was no need. From all you say, I very much doubt you have an anal wart. But professional exam in person is the only way to know with certainty.

I hope these comments are helpful. 

HHH, MD
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14 months ago
Thanks again doc. So to be sure there is no way this is from the hand job. Can i be sure this is unrelated? She never went near my butt. 
If it is a wart it must be from a previous exposure from my distant past? 
If it is infectuous, what is the risk to my partner? We never play anal games sonto speak.
Any ideas on what it could be? I will see a physician asap. 

14 months ago
Hello again doc. Just to clarify, i will get this checked out, but in the very rare thepretical instance i did contract hpv from this exposure. Over 6 weeks now, is it safe to say that it would have manifested only at pointnof contact, i.e. penis. As i have never participated in anal games - had an ex ten years back who tried a bit but after a couple of attempts as some say it is pleasant  i gave up - is itnsafe to assume there is no way this can be a wart. If as you say it spreads there, would i have not had visible penile warts beforehand? Even though i will get thisnchecked out, given my history, i can be confident this is highly unlikely to be an anal wart?
14 months ago
Sorry doc. Final points whilst i can. Second doctor - experienced guy - also said he felt that definitively low hsv 2 test at 23 daysbis a very goodnindicator. Agreeing with my first doctor. Not saying definitive, but a good indicator - any opinion on this? Again, thisbis one for curiosity now, not mad anxiety (sole focus for that one is the anal inspection) Also he made an interesting point that the hiv rna test is a good indicator that there are no new infections of any kind as it will often pick up abnormalities i.e. new infections. Again, not suggesting this can be used as a definitive test, but do you agree with what the dr said? Never heard rhis before, but he seemed like a knowledgeable guy.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
I agree with everything your doctors have told you. HPV is not transmitted by hand-genital contact; and even if that were possible, such an event could not result in an anal wart a few weeks later.

I understood you had no sort of anal sexual contact; there was no need to say it again. I have told you it is unlikely the anal bump you have noticed is a wart and I gave several reasons, including your sexual exposure history. However, this doesn't change what I said above:  I cannot guarantee it isn't a wart. If you remain concerned, see a doctor for direct examination. But please do not ask again about it on this forum, either in this thread or a future one. There is nothing you will think of or can tell me that would change the advice I have already given.

You came here for reassurance. The moderators have done our best to give it to you, but you keep ignoring our opinions or advice. It's as if you're hoping you really do have a wart in order to prove us wrong. I'm sorry, but we will not play that psychological game.
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14 months ago
Hi doc,
I do appreciate your reassurance and realize by anxiety is through the roof. I truly appreciate your help and advice and acknowledge your expertize and advice. Please. I am in no mental state to play psychological games amd believe me there is no way that i am trying to prove you wrong. I have booked an appointment for today with a skin specialist to hopefully put this to bed. 
From what you say,  if this is indeed a wart, is it simply fair to say that it can not be from the hand job but therefore must be from a previous exposure years ago? As it is 1. impossible if not virtually impossible to contract hpv this way and 2. if i somehow did, it would not manifest this way in 6 weeks. I have had an itchy anus for years but never thought much about it and not taen pictures. Furthermore, pretty certain i had this before incident but due to incident i am over anxious.
Finally, are more rapid blood tests at 6 weeks for hiv and syphillis medically conclusive now? I am a lot more relaxed about this, but a final word from you will put these fears completely to bed. Most concerned about anal brown bump though.
Do appreciate your advice doc. Plwase do not think otherwise. 
14 months ago
I meant are my 6 week rapid blood tests on Saturday conclusive. I had them done. Both negative. Hiv and syphillis i refer to. I know you cleqrly state no need but from a medical standpoint.
14 months ago
Just been to thw skin specialist. A harmless papule. Thanks doc. You have helped me no end eveb if it may appear not so at times. Anal wart fear chapter closed!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
Glad to learn you were examined and have a happy outcome -- which I would have predicted.

Please note the forum does not permit repeated anxiety driven questions by the same users. This being your fourth, it will have to be your last one; future new questions along these lines will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers; because experience shows that repeated discussion tends to prolong and not resolve such anxieties, when the real answer normally should be professional care and often counseling; and because such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding.

Best wishes. I hope the discussions have been helfpul.
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