Skin Symptoms: Is It Genital Warts or Something Else?

Is it cauliflower?

Symptoms: There is a protrusion at the base of the penis that does not cause pain or itching when pressed.
However, there is slight discomfort when pulling on the pubic hair.
Duration: Over six months.

Hello, doctor: About six months ago, I noticed this symptom.
Initially, I thought it might just be folliculitis, as I tend to get folliculitis easily on my scalp, legs, and buttocks.
Therefore, I didn't pay much attention to it, only wearing a condom during intercourse because the pressure at the base causes discomfort when pulling on the associated pubic hair.
However, since it hasn't improved for a long time, I started to worry that it might be genital warts.
I am currently stationed in Vietnam with only one steady partner, but I occasionally wear the underwear provided by the massage parlor, which has increased my concern.
Additionally, it is not convenient for me to visit a clinic here due to language barriers.
Could you please help me with a preliminary diagnosis based on the photos? If the likelihood is high, I will try to find time to seek medical attention as soon as possible.
I apologize for the inconvenience.
Here is the photo: http://imgur.com/a/HfCPk

touge, 20~29 year old female. Ask Date: 2016/03/10

Dr. Wu Yuxin reply Dermatology

Medical regulations state that "a physician must personally examine a patient before administering treatment or prescribing medication," and therefore, online diagnosis is not permitted.
It is recommended to first consult a urologist, as a biopsy may be necessary for confirmation.

Reply Date: 2016/03/10

More Info

When it comes to skin symptoms, particularly those that involve unusual growths or lesions, it is essential to approach the situation with caution and seek a professional diagnosis. Based on the symptoms you described—specifically, a painless protrusion at the base of the penis that causes discomfort when pulling on the pubic hair—there are several potential explanations, but genital warts (also known as condylomata acuminata) is one possibility that cannot be ruled out without a proper examination.

Genital warts are caused by certain strains of the human papillomavirus (HPV) and can appear as small, flesh-colored or gray growths in the genital area. They are typically painless, which aligns with your description. However, discomfort can arise from friction or pressure, such as when wearing tight clothing or during sexual activity. The fact that you have had this symptom for over six months without resolution is concerning and warrants further investigation.

Another possibility is folliculitis, which you mentioned you have experienced in other areas of your body. Folliculitis is an inflammation of the hair follicles that can result from bacterial infection, irritation, or blockage. It can sometimes present as small, red bumps or pustules that may be itchy or tender. However, the chronic nature of your symptom and its specific location make it less likely to be solely folliculitis.

It is also important to consider other skin conditions, such as seborrheic keratosis or other benign skin growths, which can occur in the genital area. These are usually harmless but can sometimes cause discomfort depending on their size and location.

Given that you are currently in Vietnam and have limited access to medical facilities, it is understandable that you are seeking preliminary advice. However, it is crucial to emphasize that self-diagnosis based on photographs is not reliable. Skin conditions can be very similar in appearance, and a healthcare professional's evaluation is necessary for an accurate diagnosis.

In terms of management, if you suspect genital warts, it is advisable to avoid any sexual activity until you can be evaluated by a healthcare provider. This is important not only for your health but also to prevent potential transmission to your partner. If the protrusion is indeed a wart, treatment options may include topical medications, cryotherapy, or other procedures performed by a healthcare professional.

To prevent further irritation, consider wearing loose-fitting clothing and avoiding any activities that may exacerbate the discomfort. Additionally, maintaining good hygiene is essential, but be cautious with the use of harsh soaps or products that may irritate the sensitive skin in that area.

In summary, while genital warts are a possibility given your symptoms, it is essential to consult a healthcare provider for a definitive diagnosis and appropriate treatment. If you are unable to visit a clinic in person, consider telemedicine options that may allow you to consult with a healthcare professional remotely. Your health is paramount, and addressing these symptoms sooner rather than later is advisable.

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