Skin Growths in the Perineal Area: What You Need to Know

There are some small things in the perineum?

Hello Doctor: I discovered a few small growths near my perineum, closer to the anus, that resemble polyps.
They have a smooth appearance and are similar in color to the surrounding skin.
They are on the skin and do not extend to the anal opening.
I visited a dermatologist who said they appear to be normal skin tissue hyperplasia and not warts.
However, I am still a bit concerned because I had a risky sexual encounter two years ago.
I would like to ask if the dermatologist mentioned that if they were warts, they should have increased in size and number over such a long time.
I have been observing them for the past three months and feel that they have not changed significantly.
Should I really not worry? If they are indeed skin tissue, what could be the reason for the hyperplasia? Thank you.

abc, 20~29 year old female. Ask Date: 2011/11/28

Dr. Yang Zhiya reply Dermatology

The time from engaging in risky behavior to the onset of genital warts typically does not exceed one year.
As for whether the rash is due to genital warts or other soft tissue growths, it may require examination by a physician for confirmation.

Reply Date: 2011/11/28

More Info

Understanding skin growths in the perineal area can be a source of concern for many individuals, especially when there is a history of risky behavior. It’s important to approach this topic with a clear understanding of what these growths might be and when to seek further medical advice.

From your description, it sounds like you have noticed small, smooth growths in the perineal area that are similar in color to the surrounding skin. The fact that a dermatologist has examined these growths and deemed them to be normal skin tissue is a positive sign. Normal skin growths can occur for various reasons, including genetic predisposition, friction, or irritation in the area. These growths can be benign and may not require treatment unless they cause discomfort or cosmetic concerns.

The concern about these growths being related to sexually transmitted infections (STIs), such as genital warts (caused by the human papillomavirus, or HPV), is valid, especially given your history of risky behavior. However, as your dermatologist pointed out, if these were indeed warts, they would typically show signs of growth or multiplication over time. The fact that you have observed no significant changes in size or number over the past three months is reassuring.

Skin tissue can undergo hyperplasia, which is an increase in the number of cells, leading to the formation of growths. This can happen due to various factors, including hormonal changes, friction, or even chronic irritation. In the perineal area, where skin is often subjected to moisture and friction, it is not uncommon for benign growths to develop.
It's also worth noting that the skin in this area is sensitive and can react to various stimuli, including hygiene products, clothing, and even the body's natural oils. Maintaining good hygiene, using gentle skin care products, and wearing breathable fabrics can help minimize irritation and the potential for new growths.

If you are still feeling anxious about these growths, it is perfectly reasonable to seek a second opinion or request further testing, such as a biopsy, to rule out any concerns definitively. Additionally, if you notice any changes in the growths, such as increased size, color changes, or discomfort, it is essential to return to your healthcare provider for further evaluation.

In summary, while it is understandable to be concerned about any new growths, the information provided by your dermatologist suggests that these are likely benign skin changes. Maintaining regular check-ups and being vigilant about any changes will help ensure your peace of mind and health. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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