About a 4-5 days after that experience a month ago I started to notice a lot of discomfort on the end of my penis and also some discoloration almost like brown or gray freckles that maybe I hadn’t noticed before. This discomfort peaked at about 2 to 2 1/2 weeks and has slowly gotten better but is still not gone after a month. About five days ago, I noticed in the shower a very small bump in the pubic hair at the crease of the thigh. I thought maybe it was a skin tag or is it? I think it was just flesh colored and I tried to squeeze it. Became red and I’ve been putting Neosporin on it for a few days now. It looks like the inflammation is going down, but I think the bump is still there. I’m concerned that it could be a genital wart.

At seven days after the massage I went to a local InstaCare have the doctor look at it and give an STI panel. Everything came back negative. But I know that wouldn’t catch everything.

I’ve been married for over two decades and I’m very concerned about all of this and my stupid behavior, and the impact this could have on my life. I realize the risk is rare, but I did this several times unfortunately all in the last 10 months or so. I have not been intimate with my wife since this last time because I’m terrified.

We find that it is common for clients who have had an encounter that they have come to regret to both examine themselves (sometimes vigorously) and to have a heightened awareness of otherwise normal findings which had previously gone unnoticed.  Application of irritants including alcohol containing hand sanitizer and Neosporin can also cause irritation on their own or increase irritation due to vigorous masturbation.  I suspect that this is the case here.  

The "bump" you noticed is in a location where skin tags are quite common and warts, which typically take 2-3 months to develop, are quite rare.  I am confident that the lesion you have found has been there for some time- such things do not develop over a few days or even weeks.

I hope this information is helpful.  I see nothing to be concerned about here.  Please don't worry.  If you feel the need, a visit to a dermatologist will verify that the skin tag (most likely diagnosis) is not a genital wart.  EWH

Do you believe I’m OK to be intimate with my wife at this point? Do you think I need further testing?Thank you.