[Question #7157] STD anxiety

6 months ago
Hey there, I’ve used the service before and unfortunately I think my anxiety has me returning .. I have no current symptoms but I’ve been having anxiety about some things that occurred 18 months ago. I noticed a very small bump in the middle of my penis shaft (I squeezed it and expressed a small amount of sebum or something similar) .it troubled be so I want to a derm who said it definitely wasn’t a wart but did a biopsy because she could see I was concerned. The biopsy came back incloncusive and the doctor on the phone told me it might have been a wart no big deal(it was to me) I was prescribed Aldara Incase I saw anything new . They typed the biopsy(for cancerous ) just in case, it was negative and the doctor told me “okay I don’t think you have or ever had GW”.. skin wouldV look different, likely have more than one spot etc. I was happy about this but a week later I found what looked like a small soft mole(not skin tag) in between my thigh and scrotum(little more on scrotum) I freaked and picked at it cut my skin, then applied Aldara. 2 days later when I went to the derm the “mole” I applied it to was completely blood red and super tiny , she could barley even see it and I’m so worried that this was actually a GW , but she said they wouldn’t react that way, or that quickly. It was a whirlwind and my OCD.  made it so much worse 

I just want another opinion on if you think I had GW. No symptoms after this (and I check way too often) 
6 months ago
Oh, and Biopsy showed a milia I was told.. but she said b/c location it still could’ve been a wart, I messed with the skin too much for a conclusive result or something. As for the second bump, I was worried because I didn’t think normal skin would react (doc said it’s because I irritated and opened the skin) it was just a bad experience and I do if I trust her (it’s a great clinic and she’s very nice, it is as just a weird and confusing back and forth)
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
6 months ago
Welcome back, but I'm afraid there's not much more we can offer. You're asking about the same exposure and worries discused in two previous threads. This is indeed your OCD speaking, nothing else. Anything a dermatolgist can "barely see" surely isn't a wart or anything else important. It seems clear you don't have genital warts at this time and I see no need for further evaluation or treatment. 

HHH, MD
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6 months ago
I think my previous threads were about HSV concerns .. I realize my OCD is bad. This one is just rough because there’s no way to know (no test). Could you Atleast tell me that if it was genital warts, would it have been easily diagnosed. (The experience was confusing I was told I did and then didn’t.. partially my fault because I broke skin and applied Aldara). Some places say “they could be so small that you can’t see them” or they they could be hard soft smooth rough etc etc,  
6 months ago
Do you agree with the derm that a wart would not likely react to Aldara this way this quickly? My anxiety is very specifically “what if it was” 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
6 months ago
True there's no way to test for HPV in males. But one reason no test has been developed is that nobody sees any need for it. All people are infected at one time or another. Your health would not be affected by documenting whether or not you have detectable HPV at any time. And even if testing were available, a negative result would not prove you don't have it. And there's nothing to do, and no need to do anything, for a positve test without visible warts etc.

And of course a distant forum expert, who hasn't examined you, cannot say whether or not you have had warts, or whether I would have diagnosed warts if I had examined you at the time. But as long as there's nothing to see now, you can be confident you don't have active warts at this time.

I have no comment about how quickly skin lesions might "react" to Aldara. Your dermatologist apparently knows more about this than I do.

On my bookshelf I have a Color Atlas of Genital Dermatology. As the name implies, it is filled with photos and brief discussions of genital skin problems. There are 300 pages. Of those, only 15 deal with all STDs, and just 3 pages address HPV problems. In other words, the very large majority of genital skin bumps, rashes, and ohter problems are not HPV or any other STD.

Do your best to just stop worrying about it. If you cannot, it's an issue for a therapist to deal with your OCD -- not something we can solve on this forum.
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6 months ago
Thank you! I realize all of this.. I just have this irrational fear that I’ll wake up one day and see warts popping up (all this happened 18 months ago and I haven’t been with anyone since) just seems easier to avoid sex outside of a monogamous relationship than to constantly be stricken with worry. I also don’t want to get into a relationship and months later find out I gave them something.

You said for sure now I have no “active” ones.. does that mean if it was hpv it will reactivate? I know it “can” but.. yeah.. if I’m being rediculous and you think I have nothing to worry about in regards to future partners, I’m willing to accept that and you can close the forum. Thanks for everything you guys do.. this is an incredible resource( all though maybe a little too convenient for a hypochondriac lol!)