First off thank you for being a healthcare provider during these trying times and I hope everything is safe for you and your colleagues

Some background, had confirmed HPV at 17, currently I'm 32. Been with my significant other for roughly 12 years and have been faithful when it comes to genital to genital contact. Therefore have had very minimal risk at an exposure. 

I have had a growth in that region before which I thought were skin tags, they came off very easily and bleed like crazy when they did. 

I also had, what I think is a wart, in my nose. everytime i would pull it off, it would return in the same spot. Stalk like presentation, similar to what a skin tag would look like. Finally I pulled it off with tweezers and it hasn't returned. 

The other day I trimmed my pubic region and found, close to the same spot that I removed the previous thought skin tags, 2 small (about the size of a dull pencil point) brown growths, right next to each other with a fairly rough presentation. They're fleshy and I can move them around and even extend them, one even looks as if it has a white point. The one with a white point looks has a stalk like presentation. 

From the research and reading I've done, Dr Hansfield says that normally a healthy adults immune system will suppress the virus over time and you will not have anymore outbreaks. Perhaps I'm misunderstanding what I am reading, but I dont quite understand how I could have warts there if I havent been exposed in 10+ years. 

Sorry for the long typed message, just want to be thorough. 

What you describe, recurring skin lesions which grow from the skin on a stalk could well be either skin tags or, perhaps less likely warts.  In each case, unless the lesion is eradicated at it’s base, below the surface of the skin that the stalk emerges from, they will tend to recur.  Simply scratching or pulling off the lesion will separate it at the stalk but not eliminate the root from which it grows.  This can be accomplished with relatively minor interventions such as freezing with liquid nitrogen, removing them with a laser, or even a biopsy.

From the sound of things you were free of lesions for a substantial period of time, perhaps years.  If so, it would be most unusual for HPV/warts to recur in the way you describe.  As we get older, skin tags do tend to increase in number.  

I hope these comments are helpful.  EWH

I took up close pictures of the lesions, they're a bit shiny, and have a cauliflower like look to them. I'm not sure if I'm allowed to post pictures. They stalk like presentation does not seem to be true upon closure examination. They are also right next to each other, not growing out of the same location.  They look brown with my bare eye but are skin colored when I look through the lens. 

Would it be possible to have 2 skin tags right next to each other? Could it be that when I removed the one lesion, it was a wart and the blood infected other places? Could I have infected myself through the growth on my nose?

I just dont quite understand how I could be possibly experiencing warts if my first diagnosed case was 15 years ago, and havent had sexual intercourse with anyone other than my wife in 12 years. 

Also, would it be advantageous to have it biopsied? I'm honestly, really curious to know what it is and why it's happening. 

Indeed skin tags can be multiple and can occur close to one another.  

HPV is not spread in blood, only through direct inoculation so I would not be concerned that your lesions were spread by blood following removal of the earlier lesion.

I do agree with you that it would be most unusual for warts to recur after being absent for more than a decade.  That’s the reason that I suggested seeking evaluation by an experienced clinician.  If appropriate, he/she could then perform a biopsy.  The starting point of answering the questions that you are asking is to know what the lesions are.  A trip to a doctor could be a helpful first step..  EWH

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