Growths in the Genital Area: When to Seek Medical Advice

Q: Growths in the Genital Area: When to Seek Medical Advice

Hello： <br>1. <br>Most cases found online show that warts appear suddenly as one or two lesions, but I have noticed them gradually. <br>I can't feel them just by touch, and it seems there aren't many cases reported online where they grow at the junction of the penis and scrotum,

Abnormal growth in the genital area?

Hello Doctor, due to recent unprotected oral sex, I have been monitoring my genital area for any abnormalities.
This morning, I noticed something similar to the issue described in this link: https://adoctor.tw/article/8595.
I have a few questions:
1.
I found that most cases I researched online involve suddenly discovering one or two bumps, but I only noticed it through observation and can't feel it by touch.
It seems that there are not many cases of lesions appearing at the junction of the penis and scrotum, as most are located on mucosal surfaces.
Is it possible for genital warts to appear in large numbers overnight and form a semi-circular pattern around the base of the penis, or is that unlikely?
2.
If it is genital warts, how long does it typically take for them to grow larger? How many days should I observe for changes before deciding to seek medical attention? If there are no changes and they resemble acne or pimples, should I just ignore them?

aaa, 30~39 year old female. Ask Date: 2024/03/25

Dr. Du Shixi reply Urology

Hello:
1.
Most cases found online show that warts appear suddenly as one or two lesions, but I have noticed them gradually.
I can't feel them just by touch, and it seems there aren't many cases reported online where they grow at the junction of the penis and scrotum, as most are located on mucosal surfaces.
So, is it possible for genital warts to appear in large numbers overnight, particularly in a semi-circular area around the base of the penis, or is that unlikely? → Generally, they start as a single lesion and do not appear in large numbers at once.
2.
If it is genital warts, how long does it take for them to grow larger? How many days should I observe for changes before deciding to seek medical attention? If there is no change and they resemble pimples or comedones, should I just ignore them? → They also grow slowly, and a few days of observation may not be sufficient.
It is advisable to seek medical evaluation for a better assessment.
Wishing you good health.

Reply Date: 2024/03/25

More Info

When it comes to growths in the genital area, particularly after engaging in unprotected oral sex, it is crucial to approach the situation with caution and awareness. The sudden appearance of growths, especially in sensitive areas like the junction between the penis and scrotum, can be concerning and warrants careful observation and potentially medical evaluation.

1. Understanding the Growths: The growths you are describing may resemble genital warts, which are caused by the human papillomavirus (HPV). While it is common for genital warts to appear as single or a few isolated bumps, they can also manifest as clusters or patches, especially in areas where the skin is moist and sensitive. The fact that you are observing a patch of growths rather than isolated bumps does not rule out the possibility of them being genital warts. HPV can cause a variety of presentations, and the growths can indeed appear in the area you mentioned.

2. Rate of Growth: Genital warts can vary in their growth rate. Some may appear suddenly and grow quickly, while others may remain small for an extended period. Generally, if the growths are indeed warts, they can take weeks to months to develop fully. However, if you notice that the growths are changing in size, color, or texture, or if they become painful or itchy, it is advisable to seek medical attention sooner rather than later.

3. When to Seek Medical Advice: It is always better to err on the side of caution when it comes to any new growths in the genital area. If you notice any of the following, it is recommended to consult a healthcare provider:
- The growths are increasing in size or number.

- They become painful, itchy, or bleed.

- There are accompanying symptoms such as unusual discharge or odor.

- You have concerns about sexually transmitted infections (STIs).

4. Observation Period: While it is reasonable to monitor the growths for a few days, if you have any doubts or if they do not resolve quickly, it is best to consult a healthcare professional. Waiting too long can lead to complications or the spread of potential infections.

5. Differential Diagnosis: It is essential to consider that not all growths in the genital area are warts. Other conditions, such as folliculitis (inflammation of hair follicles), cysts, or even other STIs, can present similarly. A healthcare provider can perform a physical examination and may conduct tests to determine the exact nature of the growths.

In summary, while it is understandable to feel anxious about new growths in the genital area, especially after potential exposure to STIs, it is crucial to approach the situation with a clear plan. Monitor the growths for any changes, but do not hesitate to seek medical advice if you have concerns. Early intervention can lead to better outcomes and peace of mind. Remember, your health is paramount, and addressing any potential issues promptly is always the best course of action.

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