[Question #14017] Warts from Oral

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1 months ago
I did a very dumb thing while super intoxicated. Received oral from a sex worker. I was wearing a condom. About 5-6 months after I noticed bumps on my penis. I noticed them after a shaving nick in the area and they seemed to form a few days later. I thought nothing of them but after 8 months of persistence I had them checked. The doctor called them skin tag like growths from hpv. I have seen on here oral sex with a condom is basically zero risk. But the timeline is concerning as I have been with my partner for 10 years. Do you think this event could have caused my bumps or would it likely be more from a dormant old exposure. 
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Edward W. Hook M.D.
1 months ago
Welcome to our Forum. Thanks for your questions.  I'll be glad to comment.  My guess is that your doctor has not seen a lot of genital lesions.  Genital warts and skin tags are entirely separate processes.  I a skeptical that the lesions you noted are genital warts.  It would be unusual for warts to appear 5-6 months following an exposure, particularly when the exposure is receipt of condom protected oral sex.  Personally, I would not be concerned but if you feel strongly that you need an answer I would suggest that you seek an opinion from a dermatologist.  Personally, I would not worry and would move forward without concern.  EWH ---
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1 months ago
I feel he was explaining it that way to calm my nerves. They did seem to have gw tendencies. And persisted for 8 months.  The lesions have been treated twice by cryo. And I am going back for one more as there is a tiny amount of bump left in each of the spots. 
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Edward W. Hook M.D.
1 months ago
Thanks for the additional information.  Cryotherapy is effective for both skin tags and warts.  My assessment is unchanged.

One follow up remaining.  EWH
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1 months ago
Interesting. I have been fretting about this a lot. So you figure after cryotherapy I’ll be all clear. With my last follow up can you humour me, assuming it is a wart. What is the possible transmission receiving oral wearing a condom. And would that be more likely than a latent infection. 
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Edward W. Hook M.D.
1 months ago
Wart transmission data are estimates at best.  Condom use with genital-genital contact is estimated to reduce transmission risk 50%. There’s no way to accurately compare transmission risk between condom protected sex and risk related to exposure to latent infection.

This completes this thread.  Take care.  EWH
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