Conversation: The conversation between human and AI assistant.
[|Human|] I m a 22 yr old male and have had a lot of risky sex so I would not be surprised if these are HPV warts. However, they do not seem to be warts (or at least the types of warts you see/read about on the internet). These bumps are on the skin of my pubic area. They are mainly flat and roundish (however one or two of them looked more like a skin tag than a bump). None of them were of any significant size (all well under half an inch). So I squeezed them out. And for each bump it was the same. I would squeeze it and a solid mass would come out (sort of like a blackhead). The mass was not very hard like a pebble or tough blackhead, however it was not waxy or soft; it retained its shape if squeezed or pressed on but it was still fleshy. They were flesh colored although some had a darker hue to them. They popped out when squeezed as if they were lodged in my skin and each one was smooth and roundish (while the skin-tag looking ones were not). They would leave behind a small hole in my skin that would begin to bleed so I cleaned the areas with hydrogen peroxide and applied pressure. They are now scabbed over and healing. I do not know how long they have been hiding in my pubic hair (or how long they have not been in there). I just noticed them yesterday. However, a couple of months ago I did find one on the crease of my scrotum and inner thigh. And it did the same thing: I squeezed it, a fleshy mass came out, it bled, healed, and disappeared. I looked for it in the same area and have found nothing, so it seems these things respond to being dug out
[|AI|]  Hello, Welcome to Chat Doctor, Genital warts are caused by HPV (human papillomavirus). The virus is acquired sexually. Treatment options are either surgical/ local ablation with electrocautery, radiofrequency cautery, CO 2 Laser Or cryotherapy. Medical treatment options are topical 20% Podophylotoxin resin and 5% Imiquimod cream. The doctor may choose to either remove them surgically if there are just a few countable lesions Or else may choose to treat them medically if there are numerous lesions Or use a combination of medical and surgical treatment options. I would suggest that you take another appointment with your dermatologist regarding the most appropriate method of removal. If you strongly suspect you can get a Polymerase Chain Reaction test done on the biopsy to identify the strain of HPV causing the lesion. Thank you.