Unprotected Oral on Scrotum Only -- HPV Risk?

[NikePlus]

Hi Dr!

So, I've been driving myself a little crazy over the last 6 weeks, and I am hoping to get some closure here.  I have read the many posts, and still trying to get one last thing off my mind.

About 6-7 weeks ago, I had a serious lapse in judgement and had an exotic dancer/sex worker -- who I know from online boards has had MANY other partners -- lick & suck my scrotum/balls for about 3-5 min without protection.  I was very careful not to let her touch/suck on my penis or any other area.   I've not had any sex with anyone other than my significant other over 7 years, so, if warts show up, it will be hard to explain that one away.

Since then, I've been examining my scrotum 1-2 times a day for any kind of STD.  Though I know the risks were low, who knows?  So, it seems as though at this point, I am pretty much out of the woods for any of the usual STDs, except, one... HPV/Warts.   I have been checking and from time to time, I do see little bumps that are not associated with hair follicles.   In fact, this weekend, I noticed two 3-4mm, raised red dots show up on one part of my scrotum -- they are about 1/2 inch apart.  At first, I thought they might be pimples, but now I'm freaking out that I got something else.   They do not hurt, and when I press on them/stretch the skin, they turn white (blanche) like the surrounding skin.  

I have to tell you that I am exhausted worrying about this, and though I know the risk is fairly low, I just would like to know rough odds on what are the chances?   Should I be worried that I could be passing something to my sig other?  My kids?  I'm really scared that what I thought was a pretty harmless bachelor party could end my relationship!

Please help!  I'm tired of worry and stretching my skin down there... it is getting ridiculous, and I'm starting to lose sleep.  Also, it was dark, so, I couldn't tell if there were any bumps or lesions on the stripper's mouth/tongue.

Thanks!

[Edward W Hook, MD]

Your sense that what you have noticed may have been there for sometime is probably correct.  You are also correct regarding the odds.  My advice is to do as you plan - don't worry and move on from this.  EWH

[NikePlus]

Thank you for your kind and reassuring words.   I am just concerned that if warts are popping up, that my wife we then know I have been messing around (even though it was just this one time).   So, I guess I can assume rare in medical terms are that if I get get HPV from this short exposure, I should take those odds to Vegas and retire somewhat young?

I was diagnosed a couple of years ago with 2 small warts on the shaft of my penis, which after treatment, never came back.  Im wondering if they might have been down there as well, but I never noticed.  I've never been so "intimate" with myself down there until as of late.  

Thank you, again...

[Edward W Hook, MD]

It is time for you to stop worrying about this exposure.  Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned.  This in turns leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  In your case, there are many scrotal "bumps" which are benign and might be mistaken for HPV.  Further, the fact that the most recent bumps you are concerned about blanch like the surrounding skin with pressure tends to rule out HPV as well.  Please realize that not every hair follicle has a hair coming out of it- many do not.  

In addition, let me assure you as well that HPV is rarely transmitted to the genital tract through oral sex.  There are over 100 different types of HPV and different types "prefer" different tissues. Thus the types of HPV that might be found in the mouth are rarely found on the genitals and vis versa.

Finally, what if you do  get HPV (I REALLY do not think you will but....). Over 85% of American adults get HPV.  For most the infection goes away without treatment.  For men complications are exceedingly rare and for women regular use of PAP smears will prevent the major problem associated with the widespread infection, genital tract cancer.

Lastly my advice would be to stop your aggressive self-examination and do your best not to worry.  it is not warranted.  If you cannot help yourself, take your concerns to a doctor who can help, don't go squeezing and poking yourself;  such activates will only put you at risk for complications such as infection.

I hope my comments will be a step towards helping you to move forward from your HPV concerns.  You need to.  EWH

[NikePlus]

One more thing I forgot to mention... I did squeeze one of the bumps.  At first nothing happened, and when I pinched one, a tiny-bit of clear fluid came out, and very little blood.  The bump is still there, but now I see a very small 'cut' sitting on top of the bump.  The surface is still fairly flat and no "cauliflour' appearance.  Of course, now, if I put white vinegar on it, it will turn white because I seemingly broke the skin.  So, who knows?

I am just self-mutilating now?  I don't like this one bit! :(