I got two unprotected fellatios from the same masseuse, (three or four exposures) separated by two weeks. 

45 days after the first encounter, I noticed a bumb on my penis, that a physician assistant to my dermatologist said it is a wart and treated it with cryotherapy and I should go again for another session this week.

But I read here that this is too early for warts to appear in 5 weeks. So I showed it to another dermatologist that said he can’t tell as it does not look like a wart now but that maybe due to the freezing. He suggested treating it with steroid cream for two weeks and see if it will go, if not then it is a wart. And he suggested stopping the freezing sessions till we see.

I am 32 male. Never had vaginal nor anal sex in my life. My sex experience is few oral sex episodes 

1- What do you think I should do?

2- Since I got the wart, I have been so stressed and anxious 247 for three weeks now,  maybe started to be depressed, and I got symptoms like fatigue, dizziness, always wants to sleep and frequent urinating, testicles sometimes feel irritated, and erections without physical stimulation is rare now, I tested negative for ngu, and all bacterial Stds, but symptoms still there. Should I worry about other Stds?

I am sorry but life turned into a nightmare suddenly because if this

 

If indeed you have had no direct general contact with other partners, the likelihood that the lesion on your penis is a wart is minuscule. Very, very few genital warts are acquired as the result of oral sex. Furthermore as you point out, for a wart to appear just five weeks after exposure would also be most unusual. I am skeptical that the lesion you describe is a genital wart.

1.  The second dermatologist you saw is correct, the appearance of general lesions can be changed substantially following cryotherapy such as you have received.  There is no particular reason to continue treatment at this time. I think the plan of observation is a reasonable suggestion.

2.  I would not worry further about having acquired other STI‘s from your receipt of oral sex. Your bacterial STI test results are reliable and should be believed. The symptoms and problems you were having sound very much like anxiety in reaction to the possibility that you may have had a wart. I hope that the responses I have provided will help you to move forward without continuing concerns. 

In addition, at this time, I would suggest that you strongly consider Getting the HPV vaccine. This vaccine will markedly (over 95%) reduce your risk for acquiring genital warts in the future as well as other HPV infections. 

I hope the information I provided is helpful.  If any part of this response is unclear or there are other questions please feel free to use Your up to follow up questions for that purpose. Thank you. Please don’t worry. EWH

So this is what I will do. Your answer is very reassuring and I really hope that the first PA I saw was wrong. I know it could be a long shot but I will go for it. 

I want to ask:

- Will there be any side effects of the freezing I got? Could it damage nerves permanently?  

- the lesion itch a lot and now it has been three weeks after the treatment session,  could this be suggestive of not being a wart?

- Also last question, why do you think a wart is very unlikely  to be transmitted by a fellatio? As the massuse is actually doing fellatios all the time, does not that suggest she has oral hpv?

Thank you and I appreciate your patience 

1.  Freezing, like most therapy for warts, is designed to destroy the infected tissue. Areas that have been frozen as treatment for warts typically heal without scarring. 

2. Itching following treatment may be part of the healing process.

3. There are several reasons for my comment. First, compared to genital infections, oral HPV infections are relatively uncommon. Secondly when HPV infects the throat, it rarely causes warts because the types of HPV which infect the throat or not the same types which caused most warts.   Finally performance of oral sex is a relatively inefficient mechanism for a transfer of HPV.  

Is the final comment, I would add that, as pointed out above, the lesions you noticed on your penis occurred earlier than his typical for the appearance of genital warts. 

I hope this additional information is helpful. EWH 

A dermatologist also suggested doing a biobsy to know for sure without further speculation. She gave me time to think about it.

Also I want to ask why most dermatologists think genital warts are contagious for life?

Thank you

Recent studies have shown that HPV DNA can remain detectable using sophisticated research tools in some people in whom HPV appears to have resolved.  In some of these people, but not all. it appears that there may be occasional recurrent shedding of the virus which can be detected using research tools.  How infectious these occasional shedding episodes are is unclear.  Please remember however, that for most (>99%) persons, HPV infections are innocuous and do no harm.  They are not something to spend a lot of time worrying about.  This is discussed extensively on other posts on this Forum.  You may want to review them.

We provide up to three responses to each client's questions.  This is my 3rd response.  Thus this thread will now be closed.  Take care.  Please try not to worry.  EWH