instruction: hi doctor years ago I had genital warts as I embarrassed to go to the doctor I ordered aldara online and it worked my question is what if I missed a wart after all this time I do have a few very tiny white specks on underside of the head on my penis when I showed them to my regular physician five years ago he said they are pearly papeles and not warts can I trust him is he right I am seeing a new partner and do not want to infect her please guide me
output: hello first I do want to make sure that recurrence of wart after years is almost impossible now you can get genital wart only after exposure due to sexual contact done recently the second possibility of untreated or remaining part of wart also impossible as in year untreated wart would have become significantly large in size and would never remain unnoticed all these years the penile pearly papule and wart are very different condition and can be recognized by photos if you are able send me photos of your condition I would definitely tell you what it is penile pearly papule is not a disease or any treatable condition it is just sweat and sebaceous gland which are a bit bigger in size these are small multiple and arranged around the penile skin it does not increase in size totally asymptomatic and natural thing wart has rough surface they appear four to five in number it will appear after a sexual contact history within a month revert back with the photos to a dermatologist online