[Question #7375] Genital wart or something else?

3 months ago
Hello
One month ago I have noticed that I have got these tiny skin coloured slightly elevated bumps on my penis(on the shaft I believe and maybe some near foreskin). When I first noticed, I only noticed 2 but there may have been many more. It appears to have a black dot sticking out of this bump in the centre but since they were so small I couldn't really tell what colour it was but there was definitely something in the centre. I would say these bumps were less than 1mm and not noticeable unless you stretch out the skin. However, these spots disappeared within 2-7 days. The black dot in the centre kind of hardened and turned into a scab looking black dot and then this scab looking thing fell off or went away but it was super tiny(hard to see without stretching the skin). However, one/two week later, I noticed that there were more of these spots in different locations on my penis. (not sure how many but I would say more than 8). Once again, in a couple of days these spots then went away(around 4-8 days). Then one/two weeks later, more of these spots appeared  in different locations and then once again they went away in around 4-8 days. However, after the first occurrences of the spots, I didn't notice any scabbing, just tiny spots that just straight up disappeared within a couple of days. These spots are not painful at all nor itchy. I have not had sexual contact in around 1 year and have only had 2 sexual encounters in my life(one protected, one not protected-> the unprotected was not intercourse but just genital to genital touching). Is there any chance these are warts? Is it possible for warts to go away this quickly untreated and then more appear in different locations so quickly? I'm worried that I got HPV and only now I have noticed the warts. I have gone to the doctors and they said they can't see anything because it is so small and it is probably nothing but I am still worried  and would like your opinion. 
Thanks!

3 months ago
Also during this time, I have also got some tiny red spots(1-2mm if I were to guess) on my penis shaft. It does not appear to be elevated at all but just a red dot on my skin. This also does not hurt nor itch. This spot goes away in around 2-3 days however after this disappears I notice another one in around 1.5 weeks in a different location. Then it goes away in 2-3days and then another one appears in around one week in another location. Since one month ago to now, I have noticed 3/4 of these red dots in different locations within this period of time, each one coming after around 5 days-2 weeks after the previous one disappears. Does this sound like HSV or HPV or none of them at all? I have got tested for STDs as well as the HSV IGG test and all this has come back negative but I just wanted to get a final opinion on this matter, hopefully for reassurance. 
Thank you very much for your help!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
3 months ago
Welcome to the forum. Thanks for your confidence in our services.

Your description of your penile bumps doesn't sound like warts; and warts don't come and go in the way you describe and don't move around in this fashion. There also is nothing in your description that suggests herpes.

If a doctor doesn't see anything wrong, you can rely on it:  that therefore is my opinion, that there is nothing wrong with your penile skin. Probably you're just examining yourrself too closely and your anxity about STDs and warts is leading you to notice various details you wouldn't notice without the increased attention you are paying to it. However, if the doctor you saw isn't a dermatologist, seeing one would make sense. If you do so, you can expect to be reassured again that nothing  is wrong.

I hope these comments are helpful. Let me know if anyhting isbn't clear.

HHH, MD
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3 months ago
Dear Doctor
Thank you for your response. I appreciate the reassurance. I just thought that it could possibly be warts because I read that warts can be less than 1mm and very small. My final questions are
1. Is it possible for warts to go away this quickly? Whats the shortest time that they take to go away?
2. What did you mean by "warts don't come and go in the way you describe and don't move around in this fashion." How exactly do they behave?
3. Both the different kinds of spots that I've mentioned also don't suggest herpes at all right? 

Thank you again for your help!

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
3 months ago
1, 2. Warts cannot clear up sooner than a few months. Once a wart is present, it cannot clear up in days or a couple of weeks.

3. No, this isn't at all suggestive of herpes.

I have a book titled "Genital Dermatology Atlas". As the title implies, its 300+ pages are filled with photos and brief descriptions of genital skin problems. Of those 300 pages, a total of 15 are on STDs and 3-4 on genital HPV infections. The point is that the vast majority of gential skin problems have non-STD explanations. And as I said above, with a doctor not seeing anything abnormal, it seems clear your penile skin is normal. Why are you having such trouble accepting that reassurance? 
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3 months ago
Hey
I was having trouble accepting this reassurance as one of the GPs that I went to said it was a wart even though it was basically healed up and there wasn't really anything much to see except a tiny tiny black dot. However, this GP didn't even look properly. However every other doctor(went to multiple, dermatologist included) said that it was probably nothing as it could barely be seen and I'm fine however this GP made me rather worried. Thank you for your reassurance though! Very much appreciated!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
3 months ago
I have nothing more to say except repeat my advice about getting an exoert in-person opinion, which you haen't yet had -- i.e. a dermatolgist. But from all said so far, I am confident you do not have genital warts.

That conclodes tis thread. I hope the discusson was helpful. Do your best to accept the reasoned, sciene based reassurance uou have had,
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