Genital warts HPV transmission

I was diagnosed by 3 doctors by visual examination. No, they didn't take a biopsy, I want to request a biopsy a bit later when I have money for it.

Yes, I am aware about skin to skin contact, my question was: Do you get warts NOT directly in the exact place of infection and it spreads to other location and then causes warts OR you get warts in the place of infection and then it spreads?

Two of them are located symmetrically on both sides at the ends of labia minora near the clitoris and at vestibule (near urethra and entrance) in rows.

go to an actual obgyn! and if its on both sides its called vestibular paplae. do they itch?

all 3 of them were ObGyns...

Nope, I didn't feel anything just discovered it by accident when I for some reason wanted to look at my vag for the first time.

Damn!

Do you by any chance have a link to that discussion?

Well, I actually got 2 PCR tests for HPV both from inside vagina and in vestibule near urethra and entrance. For 6, 11 and several high-risk strains. Both times negative. Doctors said HPV might went away and just left those papillae afterwards...🤷

I'm really confused. Really want to do a biopsy but afraid that it's gonna show warts anyway... It stresses me out so much...

what they told you makes no sense

Well, I don't know I'm not a doc, so yeah, it's just really confusing

Mary, how did you find out yours were not HPV related? Through biopsy?

the thing is, I have them outside vestibule, on the outer labia minora, so I don't know... Here's a link to my previous discussion with a pic https://patient.info/forums/discuss/could-this-normal-please-help-i-m-terrified-pic--699616

Primero me vieron dos ginecólogas, una no dijo nada, la segunda dijo que era normal. El tercero dijo que eran verrugas y me puse a investigar sobre verrugas en los labios menores, hasta que me apareció un documento que decía que un error de diagnóstico de las verrugas era la papilomatosis vestibular, la cual no se relaciona al VPH. De ahí investigué en artículos de PubMed y me recomendaron a otra ginecóloga la cuál tiene estudios especializados en colposcopia y tracto inferior y por lo tanto, también experta en VPH. Ella me revisó y me explico que estas papilas tienen una sola base, un vaso sanguíneo dentro de ellas, están en forma simétrica en el vestíbulo, introito vaginal y labios menores, su color es igual al de la piel y no se ponen blancas con ácido acético. Ella me dijo que NO era necesario una biopsia para asegurar que no era VPH porque esta descrito en la literatura científica que son una variante anatómica de la vulva. Además si tu ya te hiciste pruebas PCR para el VPH y salieron negativas debes estar tranquila porque con la PCR se confirma si las lesiones son o no VPH, la biopsia puede ayudar pero el verdadero diagnóstico siempre es por prueba PCR. Además si esas papilas fueran verrugas saldrían siempre positivas a la PCR. Te recomiendo que busques información más profunda y vayas con una ginecóloga que sea experto, porque hasta ellos tienen especialidades en otras cosas y los que te deben dar ese diagnóstico son los que expertos en colposcopia, tracto inferior y VPH.

Cambiar a españolFirst I saw two gynecologists, one did not say anything, the second said it was normal. The third one said that they were warts and I began to investigate warts on the labia minora, until I was presented with a document that said a diagnostic error of the warts was vestibular papillomatosis, which is not related to HPV. From there I researched PubMed articles and they recommended me to another gynecologist who has specialized studies in colposcopy and lower tract and therefore, also an expert in HPV. She checked me and explained that these papillae have a single base, a blood vessel inside them, they are symmetrically in the vestibule, vaginal introitus and labia minora, their color is the same as the skin and they do not turn white with acid acetic. She told me that a biopsy was NOT necessary to ensure that it was not HPV because it is described in the scientific literature as an anatomical variant of the vulva. In addition, if you already did PCR tests for HPV and came out negative you should be calm because with PCR it is confirmed whether the lesions are HPV or not, the biopsy can help but the true diagnosis is always by PCR test. Also, if those papillae were warts, they would always be positive to the PCR. I recommend that you look for more in-depth information and go with a gynecologist who is an expert, because even they have specialties in other things and those who should give you that diagnosis are those who are experts in colposcopy, lower tract and HPV.

Thank you!