Sexually Transmitted Diseases/Bump ? Wart?



Hi There my name is Adrian and live in Lubbock,Tx Im 15 and noticed the bumps on my scrotum begin to form about 2 months ago, about 2 weeks after I noticed the bump or wart start forming on my genitals .I have gone to the doctor twice and one said it may be folliculitis so I used the medecine and no change and then I went to a dermatologist and he said they were scabies used the premthrin and no significant change what so ever. Im Worried they may be and Std that I some how contracted from shaking someones hand where I do community service and help the poor out but I really do doubt it was that Im just worried and Im sorta shy to have any girls around me because the thought of these things on penis put me down and I have been worrying a lot lately ,I just want to know what they are and if they are an Std?

Thank You ,Adrian

Hello Adrian,
I can see why the doctors thought you might have nodular scabies or folliculitis. You can NOT get either one from shaking someone's hand. Scabies is from genital skin contact with a sex partner; folliculitis is from something like shaving injuring the skin and allowing skin germs to get into and infect a hair follicle. The large scrotal bump looks more like a sebaceous or epithelial cyst in the photograph. I would apply moist heat compresses to everything, twice daily, followed by applying an antibiotic ointment. My guess is the penile bumps will go away, but the scrotal bump will persist. Schedule a followup appointment with the dermatologist.

You didn't say whether you are sexually active with another guy or girl. Hopefully, you won't be for another 5-10 years, but if you do, to use condoms effectively!!

Good luck!

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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