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Is A Reddish Brown Papule In Perineal Area A Symptom Of Genital Wart?

Posted on Mon, 18 Apr 2016

Question: Does this look like a genital wart? I had unprotected sex 7 weeks back with a person of questionable sexual health..

Answered by Dr. Dr. Kakkar (33 minutes later)

Brief Answer:
Possibility of condylomata acuminatum

Detailed Answer:
Hello. Thank you for writing to us

I am Dr. Kakkar (Dermatologist and Venereologist). I have reviewed the Images.

I can see a single, sessile, smooth, reddish brown, papule in perineal area. Yes this could be a genital wart i.e condylomata acuminatum.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 minute later)

Is it hpv infection?

Answered by Dr. Dr. Kakkar (15 minutes later)

Brief Answer:
Genitals warts is an STD caused by human papilloma virus

Detailed Answer:
Hi.

Yes. Genital warts are usually caused by HPV types 6, 11.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (0 minute later)

Is there a way to know that it's caused by hpv for sure?

Answered by Dr. Dr. Kakkar (3 minutes later)

Brief Answer:
Polymerase chain reaction

Detailed Answer:
Hi.

Either by Polymerase chain reaction(PCR) for HPV (PCR can not only tell that is it HPV but can also identify types of HPV) Or by in situ hybridization

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 minute later)

Is this test available in india?

Answered by Dr. Dr. Kakkar (2 minutes later)

Brief Answer:
Available in XXXXXXX

Detailed Answer:
Hi.

Yes it is. You can contact Dr. Lal Path Lab.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (0 minute later)

Is it a blood test?

Answered by Dr. Dr. Kakkar (1 minute later)

Brief Answer:
Swab test

Detailed Answer:
Hi.

No. It is a swab test from the wart bearing skin

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (4 minutes later)

Does this infection go away in a couple of years or does it keep recurring?

Answered by Dr. Dr. Kakkar (5 minutes later)

Brief Answer:
Visible warts should be removed with electrocautery

Detailed Answer:
Hi.

Most of the patients with warts eventually get rid of the HPV virus/ infection after 1-2 years. Patients own immunity takes care of the virus.
However, some may have persistent infection and keep developing new lesions, specially patients with decreased immunity.
Any visible warts should ideally be treated e.g either with electrosurgery Or Cryotherapy.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (3 minutes later)

How soon after contracting this virus am i infectious? Is there a incubation period for this virus before it becomes transmittable to others?

Answered by Dr. Dr. Kakkar (4 minutes later)

Brief Answer:
Incubation period is variable

Detailed Answer:
Hi.

Warts are just a visible manifestation of HPV infection. Incubation period is variable i.e from days to weeks. It is not necessary that a person becomes infectious only after visible warts develop. Even someone who has no visible warts can still carry this virus and transmit to others through direct skin to skin contact (of sexual nature).

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

What are the odds that this is not hpv?

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
I suggest you to visit a nearby dermatologit for a confirmatory diagnosis

Detailed Answer:
Hi.

The diagnosis is straightforward in genital Hpv infection/ warts and is obvious by clinical examination. The next logical step is to cauterize it with an electrocautery procedure. In case of any doubt a biopsy/ histopathology would be conclusive.

Regards

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Raju A.T