[Question #10674] HPV/Warts Concern

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20 months ago
About 2-3 years ago I noticed a small bump below my foreskin. My primary looked and didn’t think it was anything to be worried with. 

It grew a little the last year and there was another small one that appeared right next to it so I visited planned parenthood and it turned out to be GW. 

That made me anxious since my wife and I have been married almost 15 years and was concerned where it came from. They said it’s impossible to know and it happens often where hpv or warts appear and sometimes decades into faithful marriages. 

I don’t know what to think and I’m having a hard time processing. Can that really happen? I don’t think my spouse has any so this doesn’t make sense. 
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Edward W. Hook M.D.
20 months ago

Welcome to our Forum and thanks for your questions.  I’ll be glad to comment.  Were the lesions that were noted treated?  The reason I ask is because appearances can be deceiving.  There are many benign dermatologic process which can occur on the penis/foreskin which can mimic warts.  At the same time, the fact that your lesions grew and another one appeared is certainly consistent with HPV/warts.

I presume that you and/or your wife may have had sexual partners before marriage.  If so, you are both likely to have acquired HPV at some time in the past.  Over 80% of sexually active persons will acquire genital HPV at some time.  For most people these are innocuous problems which cause no problems although, particularly for women, a very small proportion (1-2%) can be present and lead to abnormal PAP smears- it is for this reason that regular reproductive health checks are recommended for women.  There are many different types of HPV.  Two types, types 6 and 11 cause over 90% of visible genital warts, as well as many clinically inapparent infections.  Once a person has HPV, lesions may occasionally appear years after acquistion of infection.

The bottom line here is that visible genital warts, if that is what the lesions were are an innocuous process which have little or no meaningful significance to you, or your wife’s health.  (BTW, if your wife had the HPV vaccine at some time in the past, this would virtually eliminate her chances of acquiring HPV 6 or 11 from you).  The appearance of a visible wart absolutely does not suggest sexual infidelity in any way,

I hope that this information is helpful.  If there are other questions or any part of my reply was unclear, you have up to two follow-ups for clarification.  In addition, the sponsors of this Forum, The American Sexual Health Association, have an excellent discussion of HPV on their web site.  EWH

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20 months ago
Yes they got treated. I go back in for a check up and maybe another cryo session next week. 

My wife is not vaccinated. She had HPV before we met and had something burned off. She said it was low risk at the time. 

I haven’t had sexual relations with anyone for 15 years, so I’m still baffled they cropped up after this time, but I guess it does. 

Are there any risks if we continue with our sex life?
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Edward W. Hook M.D.
20 months ago
If your lesions were warts, they pose no risk to you or your wife.   Sometimes warts can appear years after the infection has been acquired.  There is absolutely no need for you or your wife to modify your sex life in any way.  EWH---