i have some small warts in my penis which make me crazy so i appreciate ur help 

Thx

Sorry to hear about your genital warts. The first thing is to see a doctor to make sure the diagnosis is correct. Other skin conditions or even normal skin can cause bumps that can appear like warts to medically untrained persons.

Assuming the diagnosis is correct, and answering your second question first: As you already know, warts are caused by HPV. There are over 100 types of HPV that infect the genital area. Almost 90% of genital warts are caused by only two of these types, HPV types 6 and 11. These types do not cause cancer, so your warts carry no risk of cancer for your wife. However, many people with genital warts also are infected with other HPV types at the same time, so it is possible you also are infected with HPV that could risk cancer in your wife. However, even the cancer-causing types don't usually cause cancer. All women should have regular pap smears, although this is more difficult in some countries than others. (I don't know where you live.) If your wife does that, it will protect her from cancer, because paps are designed to detect pre-cancer changes many years before they actually become cancer, and can easily be treated. If paps are not easily available in your country, your wife still should speak with her doctor about cervical cancer prevention.

As for your first question, almost certainly you did not catch your warts from oral sex. It is much more likely you caught HPV from genital intercourse. Oral HPV is less common than genital, and even when present, is not frequently transmitted by oral sex.

Finally, both you and your wife should speak with your doctor(s) about getting the HPV vaccine, which will prevent future infection with 9 types of HPV, preventing over 90% of cervical cancers.

So to summarize: confirm the diagnosis; if warts, your wife should be on the lookout for warts herself; whether or not you have warts, your wife needs regular pap smears if available; don't worry about oral sex; and consider vaccination against HPV.

Finally, excellent information about HPV and warts is available on line. Start with ASHA (www.ashasexualhealth.org) and CDC (www.cdc.gov/std).

I hope this has helped. Best wishes--  HHH, MD

I have 3 more questions and i appreciate your help

1- is any wart in the genital area means that it is transmitted sexually? 

2-i have only 1 small wart noticed it before around 6 months , will it possible if it is hpv to get more warts in future?

3- is it necessary to remove this wart in order to decrease my chance of getting more warts?

1) The large majority of warts "in the gental area" are sexually acquired, especially of the penis. If "genital area" means groin, upper thighs, or lower abdomen, some probably are not sexually acquired.

2,3) As I said, maybe this isn't a wart. If it is, it should be treated or removed to reduce the chance of getting more of them.

does this mean there is no benefit from her vaccine ?

And by the way, when was that oral event? It takes at least 2 months for new warts to appear, usually 6-12 months. A more recent exposure could not have caused this wart.

The vaccine is highly effective at age 29. The recommended age cut-off of 26 years is because new HPV infections are uncommon over age 26. But the vaccine works just fine, against the 4 HPV types that it covers.

If the penile bump continues to concern you, return to your doctor or get a second opinion, ideally from a dermatologist. Until then, you can go forward with confidence that it probably is not a wart.

That completes the two follow-up questions and comments included routinely, and so ends this thread. Do your best to stop worrying about all this!

Best wishes--  HHH, MD