I love bottoming, and am not using condoms for anal sex. And I have anal warts. For a bit of context: I come from California and live in Berlin, Germany. I am a gay man in my mids, love to bottom, and have been taking PrEP for the last two years. Before having anal sex I love to take time to prepare. This includes douching very gently and fingering myself to pre-lube. One day I could feel a certain texture within my ass, which felt different than the rest of the soft tissue inside. This is when I became worried that I might have a wart, and so I made an appointment to see my doctor.
The warts were small and located on the anus exterior and in the anal canal the interior area between the anus and the rectum. About a month later I would undergo laser surgery procedure, and two months later, warts returned.
At that time I decided to switch to a new proctologist who began doing very small treatments, once per month, with a combination of acid and freezing.
I was also prescribed a special cream designed to boost the immune response to the area applied which I apply twice per week on the anus and inside the anal canal area. My progress to date: two small wart areas have reduced to one, which continues to reduce in size with each treatment.
Talking about topics related to sexual health is often uncomfortable. I am grateful to have circles of friends who are both interested and informed in sexual health and never respond with judgement.
