Dr. Dhepe Snehal Madhav
Venereology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have white pimples or bumps on my genital area. There are three tiny ones and one large one. It is not hurting or itching; however, it concerns me. Please advise on what I should do to get rid of them or if there is anything I should be doing. It started when I had unprotected sex with my partner a few months ago, which resulted in lumps (similar to the one I shared) in her vaginal area. However, after applying ointment, the pimple disappeared for her, but I have had it for over a month now. As I mentioned earlier, it does not hurt or itch, but I am just concerned about what it could be. Everything seems fine when we have protected sex, but it becomes a concern when we do not use protection; it really hurts her, and later she gets the pimples. When she consulted a dermatologist, she was told it could be an infection from me; hence, I have to consult a professional. But lately, I have gotten this pimple, and it started to spread eventually.
Kindly help.
Hi,
I appreciate that you have chosen icliniq.com for your medical needs.
I am here to give you the best care possible.
I have reviewed the attached image (attachment removed to protect the patient’s identity) and it appears to be Verrucae or genital warts. Long-term follow-up is necessary. If left untreated, the prognosis is poor. Local tissue destruction with excision under local anesthesia or cryotherapy is the treatment of choice available. Other options include CO2 (carbon dioxide) laser, which generates heat energy that vaporizes the tissue and leads to destruction. In terms of topical treatments, a five percent Imiquimod cream applied three times per week or Cidofovir one percent cream every other night for a maximum of 16 weeks can be helpful. Surgical methods such as cauterization and electrodessication are better options. Spontaneous regression occurs in 10 to 15 percent of cases. Podophyllotoxin 0.15 percent cream can be applied twice daily for three days, followed by a 4-day gap, for three cycles. PCR (polymerase chain reaction) and southern blot hybridization are serological tests available for the confirmation of HPV (human papillomavirus) infection.
Hope I have solved your query. I will be happy to help you further.
Thank you.
Patient's Query
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Venereology
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