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Avatar universal

Chance of Passing on Genital Warts or Molluscum from Single Encounter

Hello,

I was diagnosed with Genital Warts on December 1st, 2009.  I believe it was from my previous girlfriend of 6 months (at the time only second person I had sex with). Since then I had about 6 treatments with freezing for maybe a total of 15 warts.  The initial freezing took off about 7-8?  As of March 23rd, 2010, I had my last genital warts freezing.  Around Late May 2010 I found a white spot at the head of my penis to one side that I thought could be a wart.  After 2 weeks of using Aldera it went away.  I am still not sure if this was a wart.

I have a very small raised bump on the head of my penis around the rim (flesh colored and disappears when I stretch the skin, can't feel it at all) that my doctor and PA told me on TWO different occasions is not a wart.  I think it is not but I am not positive.  My other warts were white and you could easily feel the bump.  I can only see it in certain light. What is it?

In February 2009, I also discovered I had Molluscum as well and had about 6 spots frozen off.  I thought it was done, then I noticed in early July 2010 that another spot had formed, I immediately removed it.  Then I noticed another spot on August 6, 2010 which I had removed 3 days later (not sure if spreading or missed).  No other signs of Molluscum.  I carefully trimed the area yesterday August 29, 2010, (without scratching anything) and saw no signs of Moluscum.

Unfortunately I messed up and I had sex with a girl I know Aug 27, 2010 (my first sexual encounter since I found at I had GW and Molluscum).  Before sex we messed around while we were naked, touching each others penis/vagina and even grinding with no condom (which was a big mistake).  We then had sex but I used a condom when we had brief intercourse. I guess I am most concerned about the grinding (her genital area on mine with no condom).

Can you give me your thoughts on the chance I spread either GW or Molluscum to her from that one encounter? I will wait much longer now...
12 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Re your doctor's advice "that there is always a chance of spreading HPV":  Did you read the information in the link I provided?  "Always a chance" is correct -- but it's a very low chance, and the longer you go without a recurrence of your warts, the less likely it will be.  The large majority of people in your situation never have a recurrence and never transmit the infection.  This is not something you should worry about.

"I will try and figure out if I should tell the girl based on what you have told me..."  I continue to recommend against it.  But other experts would disagree.  it's your decision.  

That will be all for this thread; no more comments, please.  I won't have any further advice.  You came here for reassurance, and I have tried to give it.  Please try to accept it and move on.
Helpful - 2
239123 tn?1267647614
MEDICAL PROFESSIONAL
Thanks for clarifying your medical history.  And sorry for not looking closely enough at some older threads.  Your username appears on threads from as far back as 1999, but I see that those were delayed comments that you actually posted in 2009.

But none of this changes my reply.  When warts respond to treatment and do not recur within the next 2-4 months, they usually are gone for good and not transmissible to partners.  I didn't realize the MC was still being treated so recently. But most people have had it in childhood and then are immune.  You obviously were apparently one of the unlucky/unusual ones, but the odds are that your new partner is not susceptible, even if you remain somewhat contagious.

I can't comment on the "flesh bump".  You're a better judge than I can be; you know what your warts looked like.  But if in doubt, show it to your dermatologist.
Helpful - 1
Avatar universal
A related discussion, Chance of passing on GW after 2 sexual encounters was started.
Helpful - 0
Avatar universal
Hi Doctor,

I went to my dermatologist today.  He said that the "flesh bump" was definitely NOT a wart, it is just a gland.  That is some relief because it means I have not had a wart for some time.  He also said I am clear, of MC and of warts at the present time.  

Again, last wart was frozen on March 23, 2010 but I feel like I could have had a wart that was resolved within 2 weeks via Aldera between Mid May 2010 and early June 2010... still not sure if it was a wart...

My doctor basically said that there is always a chance of spreading HPV but doesn't want to comment on the % liklihood I could have given her MC or HPV with my current situation.  He simply said it was not likely and up to me if I want to say anything.  The encounter was on Aug. 27, 2010.

I will try and figure out if I should tell the girl based on what you have told me and what my dermatologist has said... want to be responsible but i also want to avoid this if possible...

Thank you for the link, I will look into it after work (I may have read it before in my previous research).

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I forgot to provide the link I referred to.  Here it is:

http://www.medhelp.org/posts/STDs/HPV-AND-CLEARANCE/show/1137032
Helpful - 0
Avatar universal
Thank you doctor for your help, greatly appreciated.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
You misunderstood.  I believe you were NOT contagious for MC.  But nobody knows for sure; there simply are no data on transmission risk at any time and certainly not soon after the end of treatment of the last lesion.  My reply was intended to be reassuring, in that IF you were still infectious I still believe there was little or no risk for your partner, for the reasons stated.

There are no firm guidelines on informing partners about past HPV infections.  But if I were in your situation and my warts had not recurreed 6 months after the end of treatment, I owuld consider myself cured and would say nothing to future partners.  I certainly see no need to ever mention your molluscum.

Here is a thread that goes into some detail about HPV persistence and cure; and in that thread there are links to others, including one that specifically addresses what if anything to say to sex partners.  You can use the search link to find still more information.

If the "flesh bump" doesn't look like your previous warts, it probably isn't a wart.  But of course I can't guarantee it isn't.

That will be all for this thread.  I won't anything further to say.
Helpful - 0
Avatar universal
Also, I am a 24 year old male.
Helpful - 0
Avatar universal
Thank you Doctor, I appreciate your help.

Even though the last MC was removed, can you explain to me why it remains contagious if it lives just on top of the skin and how it can come back and/or spread?

Also, how contagious was to my partner since I recently had it removed but it was no longer present (to the naked eye)?

Last, I wanted your opinion on how I should move forward in my sex life with my current condition (Molluscum and GW) and how to approach a future partner who I will try and make the last.

When do you think it would be OK to be with somone after my last Molluscum episode? I see you already stated your opinion about the warts (about 2-4 months).

The "flesh bump" does not look like my previous warts at all, would this be a good indicator that it is probably not warts?

Thanks again.

Helpful - 0
Avatar universal
Also, I had my last molluscum treated on August 9th, 2010.  Although there were no other signs of mollsucum (inspected by my dermatologist and myself), I was with the girl on August 27th, 2010... i thought this would be OK because Molluscum lives on top of the skin but i know it is highly contagious
Helpful - 0
Avatar universal
Hi Doctor,

Thank you for your response, it is extremely helpful.  

I just want to clear a few things up in your previous message.  I had a biopsy done on both the Molluscum and the Genital Warts, which confirmed both.

Second, I have never posted on any forum about genital warts or molluscum until December 2009 so I think you may have me mistaken with someone else.

Also, my doctor never said I don't have warts, just that there were none present during my latest trips to the dermatologist.  It is confirmed that I have warts and molluscum although they are not present now to the best of my knowledge.

Although I discovered Molluscum myself, I had both an STD clinician and my dermatologist look at it and my dermatologist had the biospy done.

I did notice the warts 6 months after but I am not sure how long they had been there.

Now that I have cleared up a few issues, does your answer change at all?

I am just very concerned about the timing where I had everything treated and then the timing of when I got with this girl a few days ago.  I wonder if my body has not fully supressed the virus till now.

Also, I was concerned about the flesh bump on the rim of my penis and if you think it could be a warts or nothing like one of my doctors suggested.  Thank you for your time and help, I really look forward to your response.

This forum is very helpful and I appreciate it.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

First I suggest you sort out once and for all whether you have (or ever have had) either warts or molluscum.  For a few years -- at least since 2004 -- you have been posting intermittently on MedHelp forums about your concern you might have genital warts, despite being at obviously low risk based on your sexual lifetyle.  In December, there is a comment about you actually having warrs, but now you say your doctor and PA believe you don't have them.  And "discovered" molluscum suggests what was a self-diagnosis.  On top of all this, you describe onset of warts 6 months after the sexual exposure where you apparently caught them, which is much longer than average.  Given all the atypical features, perhaps you can understand that I am skeptical about both diagnoses.

But now let's assume the diagnoses were correct.  If I correctly understand the timing, your sex with your new partner was 5 months after your last wart treatment, several months longer than that since treatment started, and a hear and a half since your molluscum.  You can assume for sure that you no longer have MC and cannot transmit it; and most likely that is true for HPV/warts as well.  Further, warts are not generally transmitted by hand-genital contact, not often by genital apposition without penetration ("grinding"), and intercourse was condom protected.

So my judgment is that if your diagoses were correct, there still is no realistic chance you transmitted the infection to your new partner.  I suggest you say nothing to her about any of this.

Regards--  HHH, MD
Helpful - 0

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