Sorry, I have nothing more to say. Continue to work with your dermatologist about it.
Hello Dr. Handsfield,
I went to see the dermatologist, as you suggested but he told me the same thing - that it might be a wart or a skin tag. I was wondering if genital warts would show up on a pap smear for sure?
Also, the bumps are not fleshy but tiny and a little hard.
This doesn't sound like either warts or molluscum. MC usually causes bright pink lesions, quite firm, often with a dimple in the center. Warts usually aren't soft or fleshy (which you seem to be describing, although you don't use those words) and, as I said above, the location is atypical for warts. MC is definitely not a sign of HIV; aggressive/progrissive MC in adults, especially in non-genital areas, can be evidence of immune deficiency. But not in situations like yours. Stress alone cannot cause skin lesions.
All I can do is reiterate the advice to continue to work with your provider and/or get a second opinion, preferably from a dermatologist. Sorry I mis-read your gender.
Dear Dr. Handsfield,
I thank you very much for your kind response.
I don't know that it makes a difference but I am actually female.
With regard to the bumps, they seem to appear right at the point where the pubic hair line ends - sort of at that point close to the thigh. Also, I forgot to mention that they are flesh-colored.
The forum seems to suggest that molluscum contagiosum is a sign of HIV? Is that the case? Or could this be brought on by something like stress?
I appreciate your comment greatly. Thank you for your kind words.
Directly to your three questions.
1) There is no way I can say what the bumps are if the diagnosis remains unclear after direct examination by a doctor. I don't know where you mean by "hairline", but genital warts aren't very common in the pubic hair area. One possibility might be molluscum contagiosum, a minor viral infection which often occurs in the pubic area and which some doctors confuse with genital warts. If you're not certain about your doctor's expertise in this area, you might want to see a dermatologist.
2) At least 80% of sexually active adults acquire a genital infection with human papillomavirus (HPV) somewhere along the line; it is a normal and expected part of being sexually active. However, most HPV infections don't cause warts. There are no good data on how many people catch HPV types 6 and 11, the usual cause of genital warts, but it's probably around 20-25%. It is true that warts generally are not "a big deal".
3) About 90% of people with new HIV infections have positive test results at 1 month. If you had a high risk exposure -- i.e., sex with another man, an injection drug users, or a woman known to have HIV -- you should have another test 6-8 weeks after the exposure (or even as long as 3 months, although it rarely takes that long for the test to be reliable). Scan the HIV Prevention and Safe Sex forum for innumerable questions and discussions about these points.
Best wishes-- HHH, Md