Q. Warts in my genitals has become bigger, red and painful. Why?

Answered by
Dr. Sampada Avinash Thakare
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 15, 2020

Hello doctor,

I have had a clear wart 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 popped up and I burned one off but it did not heal fully. It actually got bigger and redder and more painful. I have attached a picture. Can you tell me what I am dealing with here, please?

Dr. Sampada Avinash Thakare

Cosmetology Dermatology Venereology


Welcome to icliniq.com.

I have seen the picture. (attachment removed to protect patient identity).

This does not seem to be herpes genitalis. In 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.

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Thank you doctor,

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.

Dr. Sampada Avinash Thakare

Cosmetology Dermatology Venereology


Welcome back to icliniq.com.

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.

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