Hello XXXXXX and welcome to XXXXXXX

Thank you for writing to us.

I understand that these warts are too large, and cannot be compared to the usual images seen online, but let me start off by saying that HPV has a very typical presentation, which is easily identifiable, and cannot be confused with other conditions. This is mainly by the appearance of warts in the genital region. Their characteristics are:
-Fungating or cauliflower-like
-Usually small, but when associated with cancer, can grow to larger sizes
-Flesh coloured or gray
-Itching or discomfort around genitals
-Bleed with intercourse (due to friction)

I am really sorry to inform you about this, but there is a very strong chance of this being HPV, along with some complications (given the size of the warts).

The following is my advise:
-Please refrain from any contact with them
-Abstain from sexual contact
-Please get yourself checked, if you have had any sexual or direct contact with the warts, as this is highly contagious (if diagnosis is correct)
-Please request your boyfriend to report to a doctor at the earliest for investigation of HPV, and once this is confirmed, for investigation of HPV-related tumors or cancer

I am afraid other than HPV, the only other possibility is 'Condyloma Acuminata'. But, this is very unlikely, and is also associated with HPV.

I am sorry to alarm you in such a manner, but I only hope and pray for your well-being. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.

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