Skin Bumps: Are They Warts or Just Pimples?

I would like to ask the doctor about cauliflower?

Hello doctor, two months ago I had sexual intercourse, and since then I have been very cautious about my health.
My skin tends to develop small pimple-like bumps (usually they fall off easily when I gently pick at them and do not grow back).
Today while showering, I noticed a small, hard bump on my scrotum that looked similar to the pimples on my face.
I was a bit anxious thinking it might be genital warts, but when I picked at it, it came off easily, and the sensation was similar to that of a regular pimple.
One side was beneath the skin and was a light yellowish color, while the other side matched the color of the scrotal skin (the pimples on my face also have a light yellowish color beneath the skin and match the facial skin color on the other side).
Could this possibly be genital warts? I have heard that if genital warts are accidentally picked at, they can grow back quickly in the surrounding area within a week.
Is this true? Would you recommend that I observe it for a week? (Since I picked it off, there’s nothing to see now, and I’m not sure a doctor would find anything at this point.) When I usually pick at small pimples, there is no bleeding, and if it were a pimple on the scrotum, it shouldn’t bleed either, right? If it were genital warts, would there be bleeding or pus when picked off? I’ve been feeling a bit anxious and would like to consult with you, doctor.

Niming, 20~29 year old female. Ask Date: 2016/03/06

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it cannot be confirmed.
If it is very concerning, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/03/06

More Info

When it comes to skin bumps, particularly in sensitive areas like the scrotum, it’s essential to differentiate between various types of lesions, such as warts (also known as condylomas or genital warts) and common pimples. Your description of the bump being small, hard, and easily removable without bleeding suggests that it may not be a wart, but rather a clogged pore or a sebaceous cyst. However, the concern about whether it could be a wart is valid, especially given your recent sexual activity.

Genital warts are caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or gray bumps and may have a cauliflower-like appearance. One of the characteristics of warts is that they can sometimes bleed or ooze if they are irritated or scratched. If you noticed that the bump you removed did not bleed and felt similar to a pimple, it is less likely to be a wart. However, it is important to note that warts can sometimes be flat and not always have the typical raised appearance.

You mentioned that you have been cautious about your health since your sexual encounter, which is wise. If you are experiencing anxiety about the possibility of having contracted an STI, it is advisable to consult a healthcare professional. They can perform a physical examination and may recommend tests to rule out HPV or other sexually transmitted infections.

Regarding your question about whether warts can grow back quickly after being scratched or removed, it is true that some types of warts can recur. HPV can remain dormant in the skin, and if the virus is present, it may lead to the development of new warts in the same area. This is why it is crucial to monitor the area for any new growths or changes.

As for your current situation, if the bump has been removed and there are no signs of irritation, bleeding, or infection, it may be reasonable to observe the area for a week. However, if you notice any new bumps, changes in color, or any discomfort, it would be prudent to seek medical attention sooner rather than later.
In summary, while the bump you described may not be a wart, it is essential to remain vigilant and consult a healthcare provider for an accurate diagnosis and peace of mind. They can provide you with the appropriate guidance and treatment options based on a thorough examination. Remember, early detection and intervention are key in managing any potential skin issues, especially in sensitive areas.

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