Doctor, is this cauliflower?
Hello doctor, yesterday while I was showering, I pulled back my foreskin and noticed a white, elongated bump at the junction of my penis and glans, which looked somewhat like a grain of rice.
I couldn't scrape it off, but I was able to pinch it with my fingernail, and it didn't bleed or ooze.
When I pinched it, it broke off, but when I rubbed it, it returned to its original form.
Doctor, could this be a wart? Can warts be scraped off? The last time I had unprotected sexual intercourse was a year and a half ago, and the last time I had protected sex was over six months ago.
If it's not a wart, can we rule out the possibility of an infection? Thank you!
Wei, 20~29 year old female. Ask Date: 2016/01/09
Dr. Li Yufen reply Dermatology
Hello: For information regarding genital warts (condylomata acuminata), you can refer to the article by Dr.
Chien Chia-Wei on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=154.
Please note that a proper diagnosis of skin diseases cannot be made based solely on textual descriptions.
If you notice any abnormalities in your skin, it is advisable to consult a nearby dermatologist for a direct examination, diagnosis, and treatment.
Thank you!
Reply Date: 2016/01/09
More Info
When it comes to skin concerns, particularly those involving the genital area, it's essential to approach the situation with caution and seek professional medical advice. Based on your description, it sounds like you may be dealing with a condition that requires a thorough examination by a dermatologist.
The white bump you described, which is elongated and resembles a grain of rice, could potentially be a few different things. One possibility is a sebaceous cyst, which is a common benign growth that can occur on various parts of the body, including the genital region. These cysts are typically filled with a substance called sebum, which is produced by sebaceous glands. They are usually painless and can sometimes be expressed or squeezed out, but they often return.
Another possibility is a pearly penile papule, which are small, harmless bumps that can appear around the corona of the penis. These are normal anatomical variations and are not associated with any disease or infection. They are often mistaken for warts or other skin conditions, but they do not require treatment unless they cause discomfort or concern.
On the other hand, if the bump is indeed a wart (medically known as a condyloma acuminatum), it is caused by the human papillomavirus (HPV). Warts can appear as small, flesh-colored or white bumps and may have a rough surface. They can sometimes be removed, but they are known to recur. It's important to note that while you mentioned having protected sex, HPV can still be transmitted through skin-to-skin contact, and the virus can remain dormant for long periods.
Given your history of sexual activity, it's prudent to consider the possibility of an infection, even if you have not had unprotected intercourse in over a year. Some sexually transmitted infections (STIs) can remain asymptomatic for a long time, and the presence of any new growth or change in your skin warrants a professional evaluation.
In conclusion, while it may be tempting to self-diagnose based on descriptions or images, the best course of action is to consult a dermatologist or a healthcare provider who specializes in sexual health. They can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis and appropriate treatment options. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help.
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