Molluscum vs wart

[runningaggie]

Dr. HHh,

I have read your forum a lot and have noticed responses similar to my "event".  I was fingering a girl and then she tried to have sex, which I stopped her, but can't remember if my penis touched her vagina, if it did it would have been for maybe 1 second. I then grabbed my penis to put it back in my pants (after fingering her).  Later she gave me unprotected oral sex. I know from the forum below, my chances of contracting warts or hpv is very low, correct? I assume it would remain so low that I shouldnt worry about it?

http://www.medhelp.org/posts/STDs/HPV-Transmission-hand-genital-hand-genital/show/1214652

My issue is that after 5 weeks and 6 days, I noticed a very small spot on my foreskin that if you stretched the skin, was pretty smooth.  If you shined a light on it, it would shine. I know the vinegar test is crap, but it didn't change at all. Also, I have 2 molluscum contagiosum on my inner thigh that has been there for at least 6 months (prior to my event) that are at the exact place where the spot on my skin touches when I'm sleeping. I'm assuming this is a molluscum as its only 1 spot and you have said the earliest after recent research is 2 months for a wart to show up. Would there be an exception to this or is 2 months pretty much the earliest? I.e. in the research you mention the earliest is 2 months, was this a large sample of people to confidently say 2 months is the earliest?

This is the only sexual contact I've ever had and am curious whether this could have been a wart. I stupidly cut it out after freaking out thinking it was a wart and new skin has come in and it has not grown back.

Thanks for your comments Dr. Handsfield!

[Edward W Hook, MD]

The difference  in our recent posts and post from years ago reflects more recent infomation from research studies.  EWH

[runningaggie]

Dr. Hook. Sorry about commenting again, this will be my last comment. Regarding your comments above on the timing of hpv and the comments Dr. Handsfield has posted recently, you both state that 2-3 months is the earliest warts would show up (and a wart would not become visible at 6 weeks per above). However, 1.5-2 years ago you both commented many times that a wart could show up within weeks.  Is this disparity because of the recent research that Dr. Handsfield has mentioned that has come out that shows that 2-3 months is the earliest and 6 weeks is not possible?

I just wanted to clarify for both myself and other forum readers. Thanks!

[runningaggie]

Thanks again Dr. Hook. Once again, I really appreciate what you and Dr. Handsfield do on here. I agree she didn't need to since she has only been with 3 long term boyfriends and has never shown signs of hsv.

[Edward W Hook, MD]

There was no reason for her to test and we do not recommend it for this use, mostly becasue fo the problem of false positve results.  That said, her result is strong evidence that she does not have HSV.   EWH

[runningaggie]

Thanks Dr. Hook! One final question, can you comment on the accuracy of The HSV I/II IGG RFLX non-type specific test? The girl I messed around with had this done and it came back negative at .6. Just wanted to make sure this is an accurate test to base off of?

[Edward W Hook, MD]

Yes, six weeks is far too soon for a wart to appear.  On average it takes about 6 months for a wart to appear after exposure.  In some cases it may be as soon as 3 months but certainly not sooner.  EWH

[runningaggie]

Dr. Hook,

Thank you for your quick response. In regards to your response, you do not comment whether just under 6 weeks is too early for a wart to show up and you don't respond regarding the risk of the event that I described.

I know Dr HHH has mentioned 1-1.5 weeks is too early, for example the attached:
http://www.medhelp.org/posts/STDs/Genital-WartsShould-I-get-a-second-opinion/show/1563486

Thanks for commenting further!

[Edward W Hook, MD]

Welcome to the Forum. As I suspect you know, Dr. Handsfield and I share the forum.  You got me.  FYI, the reason we share the forum is because we have worked together for nearly 30 years and while our verbiage styles vary, we have never disagreed on management strategies or advice to clients.

Your question is a bit difficult to follow however the exposure you describe was extraordinarily low risk (you do not know that your penis even touched this woman's vagina) and the spot you describe does not sound like either a wart or molluscum.  In that you have removed the lesion, you may never know.  My advice to not worry. Should the lesion recur, do NOT manipulate it, rather have it inspected by a knowledgeable clinician.  EWH