Sexually Transmitted Diseases/bumps on pubic area

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QUESTION: I wanted to ask a quick question, can HPV ever have hair growing out of it? What about molluscum can that have hair growing out of it?

I have two bumps in my pubic area with hair growing out of them, they have remained there for about a week now. I suspect they may be folliculitis because of the hair, but I cant seem to find an answer to my questions online.

For now I have applied tea tree oil to them, but I worry that it might be hpv.

ANSWER: Hello Adam,
A photograph would be helpful to see exactly what you are experiencing! Can hair grow out of a wart or molluscum contagiosum? HPV is a virus. When HPV activates the abnormal skin cell growth that progresses to warts, it can occur around hair follicles, so that hair may be seen growing from warts, which are really tiny skin "tumors" or "neoplasms." Same thing can be said about molluscum (caused by a poxvirus known as molluscum contagiosum virus, MCV).  Searching for these terms on google.com/images might show lots of photos, some of which may be similar to what you have.

Good luck!
--mark


---------- FOLLOW-UP ----------

Spot 1
Spot 1  

skin tag and bump2
skin tag and bump2  
QUESTION: Hey,

Let me just say thank you for helping out on this website and giving your input, I really appreciate it!

I have uploaded two images. The first one is composed of three images of the spot that first appeared. The one with a hair follicle coming out of it.

The second image has the second spot and next to it what seems to be a skin tag. beneath the second image there is a new 3rd bump I spotted earlier.

Yesterday I put some vinegar on the skin tag and the 3rd new bump, and even 10 mins later, they did not turn white, but I have heard that the vinegar test is unreliable.

I have had a negative herpes igg type specific blood test 4months after last sexual encounter. negative for both hsv1 and hsv2.

I've only been with one girl, and she claims to have gotten the hpv vaccine, but she is very promiscuous so I am not completely assured by what she says. I think she said it to quell my concern.

Is it hpv? molluscum? folliculitis? or sebaceous cysts?

Thank you for the help!

Answer
Hello Adam,
Your herpes 1 and herpes 2 IgG tests are pretty accurate reflections of your NOT having herpes unless you had your first out break within the last few weeks. Your partner's HPV vaccine is very good at preventing HPV induced disease (such as warts, cervical precancerous lesions, etc.), but it isn't a 100% guarantee!

Of all the bumps on the two photos, all except one appear to have a red base, meaning mild inflammation from a pimple, sebaceous cyst, or some other irritant.  The one circled as "new bump" looks more like a skin tag, flat wart, or venereal wart.

Hope this is helpful!
Good luck!
--mark  

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Mark P. Behar

Expertise

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!

Experience

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.

Organizations
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)

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

Education/Credentials
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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