[Question #8251] Additional question for #8202 HSV, HPV, other STD risks
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46 months ago
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Dr. Hook,
Appreciate the answers on my previous thread. Following up again, in the past few days I have noticed a singular small but truly visible from a regular mirror white bump (oval, raised, visible) on bottom/underside of scrotum. No other symptoms pain, itching, etc. No urination issues either. Not concerned about HIV per earlier messages and reading the forum, but a now bit concerned about others that are transmitted via skin contact (Herpes, warts, etc.). What is your recommendation on testing for each and when? Is my risk at all high? Should I go see a doctor first? Or just get tested (assuming not in window period), if negative move on and in unlikely event positive get treated by specialist. For reference again about 3 weeks ago received protected oral sex. Don't know status of individual. Scrotum was not licked. Appreciate advise thanks!
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Edward W. Hook M.D.
46 months ago
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Welcome back to the forum. I hope that my answers to these questions will help you move on from your continuing concern over the virtually no risk event that you described earlier here. The majority of irregularities and lesions noted on careful genital examination are not due to STI’s. The location location on the scrotum that you described is a frequent place where benign cysts occur and often go unnoticed until people begin to examine themselves carefully. I suspect that is the case in this instance. The lesion you described in no way sounds like a genital wart or herpes infection. Further, newly acquired genital herpes infections typically become symptomatic within 8 to 10 days following exposure and genital warts virtually never occur until at least 2 to 3 months following an exposure.
Bottom line, the exposure you described nearly 3 weeks ago was virtually no risk and this remains my assessment. I am confident that the lesions you described do not represent an STI acquired through the events you described. Personally, I would not worry further. If my assurances are insufficient however, I would encourage you to seek evaluation by a knowledgeable clinician – preferably a dermatologist.
I hope this assessment is helpful and that you will be able to move on without continuing concern. Take care. EWH
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46 months ago
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Ok. Not a chance for Syphilis either?
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Edward W. Hook M.D.
46 months ago
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No, nothing about this lesion suggests Syphilis. Please don’t worry. EWH ---