What causes dark genital warts to become red and painful?

Question

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.

Answer 1

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.

Answer 2

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.