Questions About Genital Herpes and Genital Warts (HPV)

by KC
(CA)

I am a 23 year old female, I recently went to my doctor because I had small bumps around my anus that I noticed have been there for a few weeks and now that I think about it it was probably closer to a month.


Upon examination the doctor stated that she thought it was genital herpes. I have never had anal sex only vaginal intercourse, however the doctor said herpes could still show up on the surrounding areas.

We did blood work and she took a culture during my pap smear and prescribed me aciclovir to treat what she believes to be herpes.

My blood test came back and stated that I have low and high risk HPV as well as HSV 1 and 2.

However, I have taken all the aciclovir prescribed to me and I still have these bumps around my anus. They are not painful and have never been painful since I've noticed them. They do itch sometimes when I get sweaty and I notice minor bleeding on the tissue paper after I've used the restroom.

Even though through my blood work I have been diagnosed with genital herpes, is it possible that these bumps are genital warts since they are not painful and have not gone away in more than a month and after taking aciclovir?

I asked my doctor if we could take a culture from the bumps and she said that wasn't possible even though I have read online about many doctors taking a culture from the infection to see what the cause of it is.

I want to find out specifically what these bumps are and how to get rid of them. If you have any suggestions or thoughts I would really appreciate it.

Hi KC and thank you for your question. I'll try to answer the best that I can within the scope of my experience and your description.

HSV outbreaks usually don't last a month. Especially while taking anti-viral medication.

However you may have had more than one outbreak during the month.

For the sake of discussion, lets assume that these bumps were from the same outbreak. If this was the case then your doctor is right on. It would not do you any good by having a culture taken.

Although cultures are extremely accurate for providing a "positive" result, they can only be taken within the first couple of days after an outbreak occurs.

Besides, your blood test had already confirmed that you were positive for HSV-1 and HSV-2. From your doctor's point of view there was no need for another test.

I also understand your point of view...you have these itchy bumps and you want to get rid of them!

KC, I'm just not knowledgeable enough about the HPV to provide you with much reliable information. So my advice is for you to seek a second opinion from another doctor or try seeing your doctor again.

My gut feeling is telling me that your bumps are probably genital warts or something else that might be totally unrelated to either. From my limited experience, your doctor should have been able to visually diagnose your bumps as genital warts. But instead thought they were a herpes outbreak.

I'm sorry that I could not help you much. Maybe another reader can shed more light on this.

To your success and happiness.

May Peace Be With You,

Ed
LWGH


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