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What causes dark genital warts to become red and painful?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had clear-looking things pop up on my genitals for a few years now, never many I just burn them off and all is fine. However, a few months ago, I had three darker color things pop up and I burned one off but it did not heal fully. It got bigger and redder and more painful. I have attached a picture. Can you tell me what I am dealing with here, please?

Kindly help.
Answered by Dr. Thakare Sampada Avinash

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

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Hello,

Welcome to icliniq.com.

I can understand your concern.

I have seen the picture. (attachment removed to protect patient identity). This does not seem to be herpes genitalis.In the case of herpes, you would have got vesicles that would burst to leave erythematous erosions. These can be verruca plana variety of wart. The second one looks inflamed. Use antibacterial cream for it. Between I hope to burn them of means, getting them treated medically.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

One of the doctors here just diagnosed me with genetic melanotic macules. However, there is another issue that I was not able to ask about, please see below. This is the same issue however this growth is just below the others and different looking again. It is more of a skin color-raised lump and I have two of them. Can you tell me what this is and how to treat it? Link attached.

Kindly help.

Answered by Dr. Thakare Sampada Avinash

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

I have seen the attachment. (attachment removed to protect patient identity). None of the above pictures suggest any STD. Brown pigmented flat lesion could be melanotic macule. Skin colored raised lesions are not a genital wart. There is erythema is one of the pictures that can be scrotal dermatitis. Mild topical steroid Desowen cream (Desonide 0.05%) can be applied once daily for 10-15 days. Skin colored papular lesions which you are talking about is normal morphology of genitalia. No treatment is required. If at all there is an increase in the size of lesion nodular kind then it can be a cyst that is treated by cauterization.

I hope this helps.

Thank you and take care.

Regards.

Medically reviewed by Dr. Vinodhini J.
Published At February 15, 2020
Reviewed At January 31, 2025

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Thakare Sampada Avinash
Dr. Thakare Sampada Avinash

Dermatology

Education:

MD

Professional Bio:

Dr. Thakare Sampada Avinash is a Cosmetologist and Dermatologist with expertise in managing skin, hair, and nail disorders as well as providing advanced cosmetic treatments. She is passionate about enhancing both skin health and aesthetic outcomes through evidence-based practices. She is skilled in the diagnosis and treatment of skin, hair, and nail conditions. She is well-versed in doing cosmetic dermatology procedures such as chemical peels, laser therapies, botox, fillers, and microdermabrasion.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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