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STD Concern
Hello Doc,
6 Months ago I had intercourse with a prostitute. We used a condom for insertive vaginal (for about 20 seconds maybe) and then I received Oral from her (still wore a condom). I have no STD's that I know of (done many tests) and my concern is HPV leading to penile cancer.
1. Let's say I contracted several strains of HPV (even though I wore a condom). I'm assuming she had many strains of the virus because she has sex with many guys in one day. If I had MANY (and not one) high risk strains of HPV, can it lead to penile cancer so quickly ? (6 Months).
The reason I ask is because the glans and rim of my penis have been changing. There are now visible black spots and what looks like raised dark growths. And when I squeeze the penis, I can see many lumps on the penis head, is that normal?
2. Can someone get Anal Warts even if they do not engage in any type of anal activity? I though I had been suffering from hemmhroids but my gastroenterologist told me he didn't see any. Yet I still have lumps around my anus region.
3. I have developed an aching pain throughout the penis (inside) that runs up and down the shaft into the head and sometimes into my body. Couple with the dark lesions, does sound like penile cancer?
4. Are there unknown STDs out there that may be causing my pain and discoloration?
5. The day after I slept with her, I got incredibly sick. I could literally not move around because my body ached terrible. Same thing the day after. Does this sound like any STD or other contagious virus?
I've made an appointment with a Derm. But I'm Still Very worried....thank you.
6 Months ago I had intercourse with a prostitute. We used a condom for insertive vaginal (for about 20 seconds maybe) and then I received Oral from her (still wore a condom). I have no STD's that I know of (done many tests) and my concern is HPV leading to penile cancer.
1. Let's say I contracted several strains of HPV (even though I wore a condom). I'm assuming she had many strains of the virus because she has sex with many guys in one day. If I had MANY (and not one) high risk strains of HPV, can it lead to penile cancer so quickly ? (6 Months).
The reason I ask is because the glans and rim of my penis have been changing. There are now visible black spots and what looks like raised dark growths. And when I squeeze the penis, I can see many lumps on the penis head, is that normal?
2. Can someone get Anal Warts even if they do not engage in any type of anal activity? I though I had been suffering from hemmhroids but my gastroenterologist told me he didn't see any. Yet I still have lumps around my anus region.
3. I have developed an aching pain throughout the penis (inside) that runs up and down the shaft into the head and sometimes into my body. Couple with the dark lesions, does sound like penile cancer?
4. Are there unknown STDs out there that may be causing my pain and discoloration?
5. The day after I slept with her, I got incredibly sick. I could literally not move around because my body ached terrible. Same thing the day after. Does this sound like any STD or other contagious virus?
I've made an appointment with a Derm. But I'm Still Very worried....thank you.
MEDICAL PROFESSIONAL
No, I do not understand that embarrassment and I have no patience with it. You must describe all those details to the dermatologist. Just do it. S/he has heard and seen it all before; your story is nothing compared to others s/he has dealt with on almost a daily basis. Trust me on this.
MEDICAL PROFESSIONAL
Stopping after the opening lines: In 30+ years in the STD business, with 6,000+ men attending my STD clinic each year, of whom at least 80% have had genital HPV at least once, I have never seen a case of penile cancer. It is a very rare disease, even in people who have had genital HPV.
To your specific questions:
1) Penile cancer usually takes years to develop. But I can't say whether it sometimes can be as short as a few months. But what you describe doesn't sound at all like penile cancer anyway. I won't try to speculate; you are smart to be seeing a dermatologist.
2) Yes, warts are common in the anal area, including men who have never had any sort of anal sexual contact. But presumably the gastroenterologist saw the bumps when s/he told you that hemorrhoids were not the cause. What did s/he say about them? In any case, have the dermatologist take a look.
3,4) Penile cancer is painless. No STD causes the sort of general genital area pain that you describe. However, genitally focused anxiety definitely can do it. You can learn a lot about this if you google "chronic pelvic pain syndrome"; the Wikipedia article is quite good.
5) No STD or other virus can cause symptoms in less than 24 hours. Whatever you had was caught at least 2-3 days before your symptoms started. It could be just a garden variety cold or flu-like syndrome.
You are overreacting. There is almost no chance you have anything seriously wrong. Keep the derm appointment, but settle down in the meantime.
Good luck--- HHH, MD
To your specific questions:
1) Penile cancer usually takes years to develop. But I can't say whether it sometimes can be as short as a few months. But what you describe doesn't sound at all like penile cancer anyway. I won't try to speculate; you are smart to be seeing a dermatologist.
2) Yes, warts are common in the anal area, including men who have never had any sort of anal sexual contact. But presumably the gastroenterologist saw the bumps when s/he told you that hemorrhoids were not the cause. What did s/he say about them? In any case, have the dermatologist take a look.
3,4) Penile cancer is painless. No STD causes the sort of general genital area pain that you describe. However, genitally focused anxiety definitely can do it. You can learn a lot about this if you google "chronic pelvic pain syndrome"; the Wikipedia article is quite good.
5) No STD or other virus can cause symptoms in less than 24 hours. Whatever you had was caught at least 2-3 days before your symptoms started. It could be just a garden variety cold or flu-like syndrome.
You are overreacting. There is almost no chance you have anything seriously wrong. Keep the derm appointment, but settle down in the meantime.
Good luck--- HHH, MD
Sorry I've started a new thread but I'll be gone once these are answered. My Derm appt is next tuesday and you must understand that I cannot ask these types of questions in such detail because I am too embarrassed.
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
