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Genital wart from oral?

Hello Dr. Handsfield;

I have read a number of your posts in this forum and I feel compelled to ask this question.

About a week ago, I had unprotected oral sex with a SW. About 2 days later, I noticed a small, flesh colored bump on the left side of my penis shaft, near the base.

The following day, I went to a healthcare provider, who diagnosed it as a genital wart and treated it with liquid nitrogen. I also had urine and blood taken for STI testing.

Over the next few days, I treated the site with apple cider vinegar and vitamin E. Gradually, the bump became darker in color and looked as though it was scabbing over. Yesterday, after showering, the bump fell off. The site is now a little bit inflamed, and I have continued to use vitamin E and Polysporin.

From reading your responses to others, it sounds as if a wart would be unlikely, due to the fact that it appeared so quickly after the encounter and that I only received oral sex (though I acknowledge that the timing could have been coincidental and could have been from a previous partner - though I have had few partners).

I plan to return to my healthcare provider tomorrow so he can take another look, but given what I've told you, do you have any suspicions about what it is?

Thank you for your time.
Worried999

3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.  (I think it should be "Welcome back".  Someone with this username asked a question back in 2007.)

Genital warts cannot develop in less than 2-3 weeks after exposure and usually it's 1-3 months.  You did not catch your penile wart from the recent oral sex event -- and most likely you did not get it from any oral sex exposure.  Genital HPV infections are transmitted almost entirely by vaginal or anal sex.  You're never going to know when and from whom you caught it; no point in trying to find out.  However, it would be appropriate to tell recent partners (any in the last 3 months or so) about your diagnosis, so they can be on the lookout for genital warts.

The wart fell off because of the liquid nitrogen freezing; the cider and vitamin E have no effect on warts and made no difference.  Stop the vitamin E, and continue the polysporin only if it was recommeded by the clinic that treated your wart.

I don't understand what you mean by "suspicions" about what you have.  If the provider who examined you is at all experienced, the diagnosis of a genital wart probably was reliable.  What's the mystery?

I hope this helps.  Regards--  HHH, MD
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
A red streak extending from the treated/inflamed area could indicate a secondary bacterial infection, e.g. staph, strep, etc.  You should phone the doctor or clinic about it first thing Monday morning -- or just drop in for an examination.  You might need an oral antibiotic.

Someone else used the same username back in 2007.  Just a coincidence, no doubt.
Helpful - 0
Avatar universal
Thank you for your quick response.

My comment about suspicions was based on what I had read about how quickly warts can develop after exposure. I had assumed that it came from the oral sex, but reading your comments, I understand that it did not.

One thing that I only noticed after posting my original question - the area where the wart was is now quite inflamed and there is a fairly noticeable red/purple line that has developed on the top of the shaft. I assume that this is normal?

Thank you again for your help. (And it is a "welcome" - this is my first time posting a question.)

-Worried9999
Helpful - 0

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