What tests confirm the cause of small genital lesions?

Question

Hi doctor,

I do not know what these lesions are. I first noticed them about one and a half years ago as a very small area on the pubic region. Since then, they have slowly increased and are spreading across the genital area.

Now they have extended to the penis as well, and there are several very small lesions present. I am concerned because they seem to be gradually increasing in number and area.

I would like to know:

What could these lesions be?
Is this something that commonly spreads over time?
Could this be an infection or a skin condition?
What tests or examinations are needed to confirm the diagnosis?
What treatment options are available, and is this condition curable?

Please guide me on the next steps.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com

Thank you for sharing your concern.

I understand how stressful and frightening this situation can be, especially when lesions appear and gradually spread in the genital area. Please be reassured that this is a common and treatable condition, and it does not reflect poor hygiene or personal care.

Based on the history you have described, slowly increasing, skin-colored growths over the past 1 to 1.5 years, absence of pain or itching, and bleeding when shaving, along with the image you shared, these findings are most consistent with genital warts (condyloma acuminata).

Genital warts are usually painless and non-itchy, as in your case, and they tend to bleed easily when cut or traumatized, which explains the repeated bleeding during shaving.

They are caused by the human papillomavirus (HPV), a very common viral infection. Many people carry the virus without visible lesions.

Please do not worry, this is a benign condition, and although complete clearance may require more than one treatment session, it is very much manageable.

Treatment focuses on both improving immunity and removing existing lesions:

You may start tablet Osiris once daily, as it contains zinc, which helps strengthen the immune system and supports viral clearance. This should be continued for two to three months.
For removal of visible warts, definitive treatment options include:
- Electrocautery, which destroys the lesions using heat
- Cryotherapy, which freezes the lesions using liquid nitrogen

Both methods are effective, though multiple sittings may be required depending on the extent of lesions.

I would suggest you take precautions and follow the sexual health advice:

Avoid shaving the area, as micro-cuts can lead to the spread of new lesions; trimming is safer if hair removal is needed.
Do not cut, pick, or manipulate the lesions.
Avoid home remedies or over-the-counter acids, as these can worsen the condition and cause scarring.
Use condoms during sexual activity until treatment is completed, as this helps reduce transmission.
Be aware that a partner may carry HPV without any visible symptoms.

In many individuals, HPV (human papillomavirus) gradually clears over time as the immune system strengthens.

Overall, this condition is not dangerous, and there is nothing to be worried about. With proper treatment, precautions, and follow-up, good control is achievable.

I hope this answers your query. Please feel free to ask if you have any further questions. I will be happy to guide you.

Your valuable feedback is appreciated and helps us improve patient care.

Take care.