Hello,
Thanks for posting your query at DoctorSpring.com. I can understand your concern.
You seem to be having dermatitis i.e eczema around the anal area.
From the picture, there don't seem to be warts, however due to the presence of the dermatitis, the clear picture may not be visible.
I would recommend that you let the dermatitis heal with the cream I recommend, after it heals you could send me a picture once again of the area, then it would give me a better idea. As of now, there doesn't seem to be any genital warts.
You could apply mometasone and fucidin cream to be mixed together and applied twice a day for two weeks. You will need a prescription for the same.
Please let me know if you have any queries.
Take care
Patient replied :
Hello, thank you for your reply. You say that you don't see any warts in the area but then can you please tell me what all the bumps/blisters are around the anus? I have attached 2 more photos (853 and sample). Could you please open them and zoom in to look closely at the bumps and tell me what they could be.
Thanks
Hello
Thanks for the new pictures.
They are very clear and show the warts very clearly.
You have eczema too and the bumps are warts which can be treated with imiquimod cream at night daily. You will require a prescription for the imiquimod cream.
Take care
Patient replied :
OK, well it is bad news, but I suspected it. Are you 100% certain these are genital warts caused by HPV, or could it be something else? I am not sure why 3 other doctors could not agree on what it was, and one of them was certain it was not genital warts.
Thanks
Hello
Thanks for your reply.
Yes, it surely seems to be warts caused by hpv.
Thanks