My question is regarding hpv genital warts.  I had a sexual encounter with a sex worker. She gave me oral sex (I’m a male). It was protected but she did apply the condom with her mouth and hands. As of writing this it has been a month and 1 week.  I have been tested for other sti’s so I have ruled them out. 1 day ago I noticed a slightly raised bump,( about 2-3 mm in diameter), that is the same color as the surrounding skin and is smooth. It’s location is the right side of my corona glandis right below where the head of the penis meets the shaft. It’s very slight and only really noticeable if you stretch the skin. 

1) could this be a wart? 

2) if so is this the beginning stage and can I expect it to get larger?

3) could this have been from an encounter a year prior?

Thanks so much for your help. 

I doubt your penile bump is a wart. First, it's too soon:  warts rarely are visible sooner than 2 months after exposure, usually longer, up to a year. Second, transmission of warts by oral sex is very rare, if it occurs at all; and neither HPV nor any other STI is transmitted by hand-genital contact, even if genital fluids are used for lubrication. Finally, your description is not very suggestive:  smooth and only one lesion also are atypical.

Those comments answer your questions, directly or indirectly, but to assure no misunderstanding:

1) Could it be a wart? Maybe yes -- it isn't possible to be dogmatic based only on verbal description, without seeing it. But probably not.

2) Yes:  If it's a wart, you can expect it to grow and for others to appear. But I doubt that's going to happen. It seems most likely you're just looking too hard and noticing a minor irregularity, sebaceous gland, or something else that has always been there.

3) If it's a wart, almost certainly it is not from the recent oral sex event, and therefore would have to been from some other past sexual exposure.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Thank you

 Though I do feel better knowing transmission is unlikely. Is it possible  for warts to form over 1 year? Could stress cause the latent virus to become active?

Thank you for your patience

That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful.