Possible lump from hpv?

[Jason_darullo]

I have never contracted an std as I have always practiced safe sex.  My last protected intercourse outside of my wife was 13 years ago.  I have only had unprotected sex with my wife ad she was a Virgin when we met also std free.  No reason to believe she has done anything outside of our relationship.  Has paps every couple of years and no issues.  

Over the past year, up until 2 months ago I have had 3 happy endings, only hand, with different massage girls.  One sat on my bare buttox for a little with underwater.  

Also about 3 months ago I had 2 episodes of protected oral with 2 strippers who touched my erect penis before putting on condom.  

Around this same time I had mamory sex with the same stripper on 3 different occasions.  All unprotected.  I have reason to believe she had done this with a couple other patrons before me.

About a month ago I used an old condom while having sex with my wife. The next day a little bump on my circumcision scar seemed agitated.  Now I have what looks like a tiny growth in that spot.  I went to a dermatologist and he said it was nothing.  He did remove a little pimple like bump ad tested for hpv which came back negative. It was about a half inch from this bump in question.  I went to planned parenthood yesterday and the doctor said it "could" be the beginning of a wart and to keep an eye on it.  When I told him a dermatologist sent a sample of skin to a lab for hpv testing e was now more convinced its a skin tag.  When flaccid the growth is soft, when erect it looks and feels more wart like.  
My questions are:
1 - if the lump on my circ scar is a wart would the little pimple close to it came back positive for hpv?  Or is it only the specific lesion?
2 - what else could this possibly be?  It's been 2 months and I just can't get a good answer.
3 - I always use protection with my wife but she will be going back on birth control soon.  Should this be cause for concern?

[Edward W Hook, MD]

Welcome to our Forum. the exposures you describe are virtually no risk for any STI including HPV/genital warts.  I say this for a variety of reasons.  these include:

1.  The nature of your exposures.
2. Timing.  Warts typically take 4-6 months after exposure to appear and almost never appear within 3 months.
3.  You have been examined by a trained dermatologist who not only felt that another lesion was not a wart but biopsied the area and found no evidence of HPV.
4.  there are alternate dermatological possibilities including skin tags as you have mentioned.

In answer to your specific questions:
1 - if the lump on my circ scar is a wart would the little pimple close to it came back positive for hpv?  Or is it only the specific lesion?
The biopsy you had is specific only for the lesion that was biopsied but is there is a similar lesion close by the site that was biopsied, it is more likely than not that this is the same process, not a different one.

2 - what else could this possibly be?  It's been 2 months and I just can't get a good answer.
You should discuss this with the dermatologist- skin tags are one possibility.

3 - I always use protection with my wife but she will be going back on birth control soon.  Should this be cause for concern?
I would not be worried if I were you.

I hope that these comments are helpful to you.  EWH

[Jason_darullo]

I know.  It's my paranoia.  Started reading online that chlamidya and ghonnorea could cause spotting in women bi weekly periods ect..and ofcourse I assumed te worst.  Hence my exam. Then I read a midstream sample is not accurate...and so on and so on... I have to make an effort to not read these things online. Thanks for your help and professionalism.

[Edward W Hook, MD]

I think you have already answered your question. Yes, i do think that you are over thinking things a bit here.  I cannot conceive of how your wife's irregular periods woudl be related to the events you described in your original post.  EWH

[Jason_darullo]

Just an update.....
Since this post I visited a dermatologist who removed the lesion, (more for cosmetic reasons and not because i still thought it was something of significance).  Viewed it under a microscope ad confirmed it to be a begnign piece of skin or skin tag.   No wart.  That's good news.  On the other hand my wife recently has been having issues with we period.  Bi weekly bleeding.  I attribute this to unfortunate timing and that my issues are not related.  
Naturally I started freaking out as I thought this was behind me.  I tested for chlamidya and ghonorrea, both came back negative ( although I did use a mid stream sample).  I know you think I'm over thinking this but in your opinion can any of my above mentioned exposures have anything to do with my wife's symptoms.  Thank you and I will ask no further questions.

[Edward W Hook, MD]

I think that is the right thing to do. EWH

[Jason_darullo]

Thank you so much.  I'm going to assume this is nothing and move on.  

[Edward W Hook, MD]

The apppearnce of the lesion you describe does not sound like a genital wart but to be sure a professional should look at the lesion.  I have never heard that warts change their texture depending on the presence or absence of an erection.  EWH

[Jason_darullo]

Thank you for such a quick response.  Just a follow up and to confirm, I was actually off on the timing.  It did start around this summer so that would be in the 4 to 6 month range....not saying that to change your answer.  If this were a wart would it feel rough during an erection and softer when I'm flaccid?  And the piece of skin that was looked at was a little pimple.  This is more of a flesh colored growth that sometimes looks pale.  I would go back to the dermatologist but it takes weeks to get an appointment.  Hence my planned parenthood visit.  But that doctor also told me warts on a penis are the same as warts on your hands.  So you see my reason for asking you.