Could I Have Genital Warts? Symptoms and Risks - Urology

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Doctor, do I have cauliflower ear?


Hello, doctor.
I have a small white bump at the junction of my glans and penis, with a slightly pink outer area (similar to an inflamed pimple).
It feels a bit painful when touched.
I had a sexual encounter a year ago (without a condom) and another one a month and a half ago (with a condom).
There has been no sexual activity in between.
Doctor, could this be genital warts?

Wei, 20~29 year old female. Ask Date: 2015/06/25

Dr. Xu Weikai reply Urology


Hello: It is difficult to make a judgment.
It is best to seek medical attention as soon as possible.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, you should visit a medical institution for treatment.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/06/25

More Info


It sounds like you are experiencing some concerning symptoms in the genital area, and it's understandable to be worried, especially given your history of unprotected sexual activity. Based on your description of a small white bump at the junction of the glans and shaft of the penis, which is painful to touch, there are a few possibilities to consider, including genital warts, but also other conditions.

Genital warts are caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or white bumps and may have a cauliflower-like appearance. They can be itchy or painful, and sometimes they can bleed. However, not all bumps in the genital area are genital warts. Other conditions, such as folliculitis (inflammation of hair follicles), pearly penile papules (normal anatomical variations), or even other sexually transmitted infections (STIs) could present similarly.

Given your history of sexual encounters, particularly the unprotected one, it is essential to consider the risk of STIs. While using a condom significantly reduces the risk of transmission, it does not eliminate it entirely. Therefore, it is crucial to get evaluated by a healthcare professional who can perform a physical examination and possibly run tests to determine the exact nature of the bump.

Here are some steps you should consider:
1. Seek Medical Attention: It is important to consult a healthcare provider or a dermatologist who specializes in sexual health. They can perform a thorough examination and may conduct tests, such as a swab or biopsy, if necessary.

2. Avoid Self-Diagnosis: While it is tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety and potentially incorrect conclusions. A healthcare professional can provide a definitive diagnosis.

3. Discuss Your Sexual History: Be open with your healthcare provider about your sexual history, including any unprotected encounters. This information is vital for accurate diagnosis and treatment.

4. Consider STI Testing: Given your history, it would be prudent to get tested for STIs, including HPV, herpes, chlamydia, and gonorrhea. Many STIs can be asymptomatic, so testing is essential even if you do not have other symptoms.

5. Avoid Sexual Activity Until Evaluated: To prevent potential transmission of any infections, it is advisable to refrain from sexual activity until you have been evaluated and treated if necessary.

6. Follow-Up: If the bump is diagnosed as genital warts or another condition, follow your healthcare provider's recommendations for treatment and follow-up care.

In summary, while your symptoms could potentially indicate genital warts, it is essential to have a healthcare professional evaluate the bump to determine the correct diagnosis and treatment plan. Early intervention can help manage any potential issues and provide peace of mind. Remember, sexual health is an important aspect of overall health, and seeking help is a responsible step.

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