What are the small growths around the genitals?

Question

Hello doctor,

I am not sure if I have genital warts. The doctor said it is not warts, but they are starting to grow more, and I also think I have some on my behind.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

To help you best, could you please upload a clear photo of the areas you are concerned about (the shaft or the area on your behind)? I can review and give you a better-informed response based on the visual features.

In the meantime, here is a quick breakdown based on your description:

Given your history:

You had biopsy-confirmed genital warts (HPV) [human papillomavirus] three years ago. One lesion on the shaft has been stable for a year, now starting to grow.
You are noticing itching and pain around the anal area, with possible new lesions.

Possibilities to consider:

Recurrence of genital warts (HPV): Warts can recur years after initial infection, especially if the immune system is stressed. They can appear anywhere in the anogenital region including shaft, scrotum, perianal area, even inside the anus.
Skin tags or seborrheic keratoses: Often mistaken for warts, especially if they are soft and flesh-colored. These usually do not itch or hurt unless irritated.
Hemorrhoids or fissures (for the anal symptoms): These can cause itching, burning, or pain. But they do not usually look like warts, but more like swollen veins or small tears.
Other dermatologic conditions: Molluscum contagiosum, lichen planus, or eczema (especially for anal itching). These can mimic HPV visually.

What can you do?

Upload a photo (ideally in good lighting and as focused as possible). I will take a careful look and compare with known visuals of genital warts versus other conditions.
Ask your provider about repeat biopsy or HPV typing if you are seeing growth or change.
If you are uncomfortable seeing your original provider again, consider a second opinion with a dermatologist who specializes in STI (sexually transmitted infection) related dermatology or an infectious disease specialist.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.