[Question #11566] genital Molluscum contagiosum
13 months ago
|
Hello,
As I described before I'm 34 years old female. 8 years ago I had unprotected sex twice and oral with someone who had multiple partners and visible warts on his penis (a Derm confirmed that what I saw on him was warts). 6 months passed and I was diagnosed with genital Molluscum contagiosum. So my derm thinks either his derm made a mistake or he had both wart and genital Molluscum contagiosum. My question is based on the evidence that he had a single big red bump on the base of the shaft (below the pubic area)and 6 months later I got MC ( multiple small bumps), is there any possibility that his wasn't a wart?
![]() |
Edward W. Hook M.D.
13 months ago
|
Welcome back to the Forum. the concerns you outline are quite similar to the questions you asked of Dr. Handfield and I about six months ago. I'll try to provide some information and context.
Let me start by asking why you are so worried about an encounter which occurred 8 years ago and, other than getting MC which may or may not have been related to that encounter, you seem to have not had problems. You have never mentioned your routine GYN check ups when HPV would have been looked for so I can only presume that there is no evidence of genital HPV and you have been examined by an ENT who found no abnormality. That raises the question of why you are so concerned- perhaps you can clarify. You also have not mentioned whether or not you have been vaccinated for HPV which is the single most important preventative measure that you could take. Are you worried about cancer? If so, your risk appears to be close to non-existent.
I cannot tell you whether or not the bump you saw at the base of your partner's penis 8 years ago was a wart, MC, or something else (like folliculitis). Neither can anyone else. The location you describe, near the base is more typical of MC or folliculitis than a wart. The dermatologist who told you that the lesion was a wart was likely making an assumption since, he/she did not exam your partner either. No one can tell you today what the lesion may have been.
That being the case, the best you can do going forward is to follow recommendations for routine GYN evaluation including HPV tsting and see your own doctor regarding any new lesions or dermatologic changes you note and are concerned about.
I hope this information and perspective is helpful to you. EWH
---
13 months ago
|
Thank you Dr, I have been seeing OBGYN for regular tests, which were normal. BUT I read that HPV stays dormant and when I get older suddenly I will see warts or cancer.
I asked just to know whether MC could be a single bump. Also to clarify I send him to a derm and that derm looked and said it was a wart. My derm thinks since I didn't get it maybe his derm made a mistake because HPV is very contagious.
I got vaccinated after that event. right after that with the older Gardasil, 2 years ago again with gardasil9
![]() |
Edward W. Hook M.D.
13 months ago
|
Thank you for the additional information. Your vaccination status and normal exams reinforce that you are not at meaningful risk and may be more worried than you really need to be. Dormancy is the norm and reactivation is relatively rare,. I am not aware that reactivation would necessarily be associated with increased cancern risk.
Thanks as well for the additional information. If the dermatologist said the lesion was a wart, it probably was. While MC can occur as a single lesion, it typically looks quite different from warts and I would think that if a dermatologist had any doubts at all, he/she would have done additional testing.
Again, thanks for the additional information. I urge younot to worry. EWH
---
13 months ago
|
Thank you, I know I have one last chance, This is my last follow-up.
1. is it usually the case that people with wart (6 or 11) also have other strains like 16?
2. I read and heard that everyone gets it even after one exposure, I did not have any signs yet does it mean I get it but it is dormant?
3. when does usually MC show after exposure on average?
Thank you so much, I appreciate your work here.
![]() |
Edward W. Hook M.D.
13 months ago
|
!. Good question. Many people are infected with more than 1 HPV type however if you are being tested and no evidence of infection has been found, you have nothing to worry about. Once again, I urge you to put these concerns behind.
2. I'm not sure where you read that- most single exposures do NOT lead to infection. To my knowledge, despite your possible exposure there is NO evidence that you are infected. Again, I urge you not to worry. Perhaps you are being misled by the internet- much of what is found there is incorrect and misleading
3. The typical incubation time for MC is 2-3 months and only very rarely more than 6 months
I hope this information is helpful. EWH
---
13 months ago
|
Thanks. sorry one more follow-up for your first answer. does a cervical negative HPV test for starin 16 mean this is not in my body? and I don't have it in my throat as well (considering that was my only exposure)? I'm seeing ENT regularly and they saw something like a cyst in the back ofmy throat but assured me it is not wart or HPV related.
Also, my MC showed up after 6 months with no other exposure ever.
![]() |
Edward W. Hook M.D.
13 months ago
|
Final responses.
1. There are no guarantees that HPV 16 is not in your body and undetectable. The absence of detection however indicates that you are at virtually no risk for HPV related cancer
2. If you had HPV-related throat problems your ENT would have detected it
3. As I said above, the typical incubation period for MC is less than 6 mo.
Final comment: Your level of concern about HPV, presumably related to an encounter more than 8 years ago when there is absolutely no evidence of infection is inappropriate. I urge you to consider figuring out how to move forward, even if that involves counseling. I say this only out of concern for you.
End of thread. EWH
---