[Question #6398] Herpes, HPV, something else?

18 months ago

35 y/o male. On 10/18 I stupidly engaged in unprotected oral and vaginal sex on a first date.  3 weeks later I noticed a cluster of 2 to 3 small, relatively flat, flesh colored bumps about 1/3 up the base of my penis. I never felt pain, burning, itching, or tingling. These bumps were never red, never ulcered, no oozing or scabbing. Over the course of about 12 days they began to shrink. Before they completely went away I went to urgent care and they told me that it didn’t look too alarming but suggested blood testing. The next day another similar, slightly pinker bump appeared in the same area. About 12 days after that I saw my PCP but the last bump was also pretty much gone by then. I showed my PCP pictures of the bumps and she didn’t seem to think they were herpes and thought they might be genital warts because they were fleshy. Since they disappeared, she said we would monitor to see if they came back but I wouldn’t need to take any additional steps. I was screened for gonorrhea, chlamydia, and HIV and those were negative. She did not suggest or order any additional blood testing.

I’m concerned this could be an atypical presentation of herpes. My PCP suggests genital warts but it is my understanding those take months or years to come and go.

Is it possible for genital warts to come and go so fast?

Are there any additional steps I should be taking for testing?

Have you seen herpes present this way before?

Are there any other conditions that fit these symptoms?

Thank you. 

18 months ago
Hello. I just wanted to bump this question. Thanks so much!
18 months ago
Hello. I just wanted to bump this question. Thanks so much!
17 months ago
Sorry just wanted to flag this. I think my question may have been missed. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
17 months ago
Not sure what happened here but sorry we are slow to answer your question.
Your symptoms are certainly confusing.  I don't think that these are HPV as they would not disappear so quickly. 
It is also a long time from your encounter to first symptoms - herpes symptoms normally appear within 2-10 days, not 3 weeks
So your symptoms never looked like blisters and there was no fluid inside? This just doesn't sound herpetic to me.
I think you could do an IgG test about 8-12 weeks out from the encounter.  See what you get, but gosh, this doesn't sound like any kind of typical herpes to me. 

Terri
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17 months ago
Thank you for your response. I just wanted to follow up. This was my 12th week from my potential exposure and I took the IGG test for HSV-1 and HSV-2 and my results came back as negative with my doctor indicating that I had not been exposed. 
17 months ago
Correction, that's about 11 weeks out from possible exposure. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
17 months ago
11 weeks is probably plenty, really.  I'm glad you got a negative test, as I actually expected that you would.  If you are unconvinced, you could do the superior herpes western blot antibody test from the University of Washington.  But again, your symptoms are just not consistent with a herpes infection.  I hope if the bumps come up again, you will try to be seen right away and have it swabbed for virus and bacteria if someone is concerned about it's appearance.

Terri
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