Hand Warts and STDs: Your Questions Answered

Viral warts on the hands, sexually transmitted infections (STIs)?

Hello, Doctor:
Self-introduction: I have a history of "viral warts" on my hands, so when I notice small growths on my hands, I immediately go to the hospital for examination and electrosurgery.
However, a few years ago, I was unaware that viral warts are contagious and need to be addressed promptly, which led to a situation where I had viral warts on my hands while engaging in masturbation.

Question 1: I have recently noticed that when my body is overly fatigued, there are signs similar to viral warts on my hands, and I also have protrusions on the glans that resemble acne (without hard lumps).
However, these conditions tend to improve within a few days after returning to a normal routine.
Does this mean that I have a natural predisposition to developing warts? (Since my partner is normal and monogamous.) Does this indicate a possibility of having a sexually transmitted infection in the genital area? Additionally, as I age and my immune system weakens, will this lead to recurrent or systemic viral warts?
Question 2: I would like to undergo a physical examination to check for all possible sexually transmitted infections.
Which department should I consult, and what tests and methods should I expect? Will the examination include the genital area? Will there be a nurse present during the examination?
Thank you, Doctor.
I appreciate your time in responding.
Thank you!

Xiao Gao, 20~29 year old female. Ask Date: 2010/04/02

Dr. Du Zhiqiang reply Dermatology

Dear Xiao Gao,
Viral warts are contagious, but currently, we need to determine if you have any infections in the genital area through a clinical examination.
To check for sexually transmitted infections, primarily syphilis, HIV, and chlamydia, a serological test will be performed.
If a clinical examination is necessary, it will be conducted by a physician; nurses will not specifically check on you, so please rest assured.
Wishing you peace and health,
Dr.
Du Zhi-Liang
Director, Dermatology Department
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2010/04/02

More Info

Understanding hand warts and sexually transmitted diseases (STDs) is crucial for maintaining both physical health and peace of mind. Based on your description, it seems you have a history of viral warts, which are caused by the human papillomavirus (HPV). This virus is indeed contagious and can be transmitted through direct skin-to-skin contact, which includes activities such as masturbation, especially if there are existing warts on the hands.

Question 1: Susceptibility to Warts and Potential STD Risks
Your concern about being predisposed to developing warts is valid. Some individuals may have a genetic or immunological predisposition that makes them more susceptible to HPV infections. Factors such as stress, fatigue, and a weakened immune system can exacerbate the situation, leading to the appearance of warts. The presence of similar lesions on the glans (the head of the penis) could be a sign of various conditions, including HPV-related lesions or other benign skin conditions like folliculitis or pearly penile papules.
While your partner is described as "normal" and "single," it’s important to remember that many STDs can be asymptomatic. Therefore, it’s wise to consider the possibility of an infection, especially if you notice changes in your body. As you age, your immune system may weaken, which could lead to a higher likelihood of wart recurrence or the emergence of new lesions. Regular check-ups and monitoring your skin health are advisable.

Question 2: Seeking Medical Evaluation for STDs
For a comprehensive evaluation of potential STDs, you should consider visiting a healthcare provider specializing in sexual health, such as a urologist or a dermatologist with experience in sexually transmitted infections. You can also visit a general practitioner who can refer you to the appropriate specialist.

During your visit, the healthcare provider will likely conduct a thorough medical history and physical examination, including an inspection of the genital area. Common tests may include:
1. Blood Tests: To check for infections such as HIV, syphilis, and hepatitis.

2. Urine Tests: To screen for chlamydia and gonorrhea.

3. Swabs: If there are visible lesions, the doctor may take a sample for further analysis to determine if they are caused by HPV or another pathogen.

Regarding your concern about the presence of nurses during the examination, it varies by practice. In many clinics, a nurse may be present to assist the doctor, but they will typically maintain professionalism and confidentiality. If you have specific preferences or concerns about privacy, don’t hesitate to express them before the examination.

Conclusion
In summary, your history of viral warts and the current symptoms warrant a proactive approach to your health. Regular check-ups, open communication with your healthcare provider, and awareness of your body’s changes are essential. If you suspect any STD or have concerns about your immune response, seeking medical advice promptly will help you manage your health effectively. Remember, early detection and treatment are key to preventing complications and ensuring overall well-being.

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