[Question #6820] 2 small bumps in pubic region

10 months ago
Hi Doctors,

In January 2020 I noticed 2 grey flat bumps while trimming pubic hair. They were about 1cm from base of penis and about 5mm apart. They did not itch or cause pain. Removed easily with cauterize pen, healed and went away with no scarring. Hair looks to be growing from where they were. Last unprotected sex over 2.5 years ago. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
10 months ago
Welcome back to the forum. Thanks for your continued confidence in our services.

This question is quite similar to your previous one. Almost certainly these bumps were not an STD; there are no STDs that behave in this fashion. The large majority of genital area skin conditions are not STDs. (I have a book titled Genital Dermatology Atlas. There are 300 pages of photos of genital skin problems. Of all those pages, only 15 pages deal with STDs.) Conceivably such bumps could be genital warts, but warts (and all STD skin problems) are uncommon in the pubic area -- mostly on the penis itself. In the event these or similar bumps reappear, I suggest you not treat them yourself but see a health professional. You would probably be reassured by confirmation of no STD.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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10 months ago
hi doctor,

Would it make sense to get the HPV vaccine as a 32 year old male? It sounds like this wasn’t HPV but I’m wondering if it would be prudent to get it regardless. I’m not sure I’ve ever had it.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
10 months ago
You would know if you'd been vaccinated:  the HPV vaccine is not included in most routine childhood vaccination, and especially not so when you were young enough to not know.

HPV vaccine is recommended primarily in people up to age 26; after that, most people a) have already been infected with some of the 9 HPV types the vaccine prevents, so it's too late; and b) new HPV infections are less common. However, the vaccine is approved for use up to age 45 for people less likely to have been infected, e.g. previously monogamous but likely to be at risk (several new partners) in the future. For example, someone married with only 1 partner but now separated and re-entering the dating scene. This is something for you to discuss with your doctor. My guess is that getting vaccinated isn't worth the cost ($500 or more, perhaps not covered by your health insurance).
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10 months ago
Thanks doctor,

You can consider this closed.
10 months ago
Sorry, I know I said this was closed, but it’s still weighing heavy on my conscience. I’m just wondering if they weren’t warts, what COULD they have been? I tried to look up the Atlas but couldn’t find pictures online. The bumps really did look like warts. They weren’t on penis but very close to the base.  Greyish, brownish, purplish in color, flat and circular.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
10 months ago
Threads are closed after two follow-up exchanges after the initial reply, or 4 weeks later, whichever comes first. Generally I leave them open (up to 28 days) despite a user's statement to the contrary. As for you, many such questioners come up with additional concerns. But this indeed will conclude this thread.

There are many causes of skin bumps other than warts:  fibromas, small lipomas, prominent sebaceous glands or cysts, and probably more. I'm not a dermatologist, who undoubtedly could expand this list. I can't say you didn't have warts, but "flat and circular" doesn't sound like it, and I am skeptical that a wart could be so easily removed by self "cauterization" (not knowing exactly what you did to them). But if they were warts, apparently they're now gone. What's the big deal? As I said above, if such lesions or similar ones appear again, get professionally evaluated before attempting self treatment.

I hope the discussion has been helpful. Best wishes and stay safe.
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