Dear Dr. Hook / Dr. HHH,

Also here is an image of the back of my throat if it helps...

Also I just want to reiterate that you are Gods for the service to humanity you provide. So thank you for everything in advance.

Welcome back to the Forum although it saddens me that you continue to worry about the brief encounter you mention to me.  I think you are overthinking this and need to move forward -over a month has passed since the event.  I would urge you to read some of the many, many other threads on the site that we have posted regarding HPV. It is really not something for someone to worry about in this day and age.   Further, in the case of your recent casual encounter, the fact that your partner has been vaccinated for HPV should eliminate most of the concerns you have for what, most of the time, is an innocuous infection, particularly for men.   

Further, as for your questions

1.  Neither of the lesions you describe suggest HPV.  HPV would not appear just two days after an exposure and you do not mention performing oral sex on your partner so there is no risk for oral HPV since HPV is transmitted through direct sexual contact. 

2.  The 4 HPV type covered with the original HPV vaccine covered well over 70% of HPV include the types that cause most than 90% of visible warts and genital tract malignancy.,   The current vaccine covers substantially more than that.

3.  Regarding your concern for a future wife, the best thing you can do is to be sure she is vaccinated for HPV.  There are no recommended tests for HPV in men and when tests are performed on men and are positive, there is nothing in particular to do about them. 

I hope these responses are helpful.  I also hope you can move on, perseverating on this encounter is a waste of time.  EWH 

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I did perform oral on the partner.

And I noticed the nodule in the back of my throat about 3 to 4 weeks later although I can't be sure whether it was there from before. 

Sigh, as I said, if you did not perform oral sex on this person, this cannot be HPV.  Further, when warts appear, on average they take 2-3 months to appear, not a month or less.  I suspect you have noticed something that has been there for a long time and is unrelated to the encounter that you continue to worry about.  It is clear that you are inspecting yourself far more closely than you did before you became concerned about your misstep and thus you are far, far more likely to now notice things of no consequence which, in some cases, have been there for some time and are unrelated to your encounter of concern.  EWH
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Sorry, I just noticed that you did perform oral on your casual partner.  That still does not change the remainder of my assessment and the reasons that I think this is unrelated to your encounter of concern.  EWH
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Thanks Doc, you can go ahead and close this thread. Sounds like I'm virus free according to you so I can carry on with life. Thanks for your time. 

Thank you.  I'm pleased that my comments have been helpful.  Please don't worry and stay safe.  EWH
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