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at risk for genital warts?

I recently had a one night stand with a woman that i am very concerned about. I performed oral/vaginal sex and had oral performed on me. Throughout the night i noticed nothing strange but in the morning i noticed an abnormality around her anus. I didn't get a very good look at it and the woman didnt seem to think anything was wrong with her when i inquired but her anus was protruding out from the surface of the skin. I had felt it the night before but did not get alarmed, but i remember it being hard but she reacted as if it was tender or painful to the touch. It felt like the ring of the anus out a few millimeters from where it normally should be, and the protrusion was skin colored. After the woman left i quickly looked up symptoms as to what it could be and to my dismay i saw that genital warts could produce protrusions from the anus like that, but i realized that the protrusion could also be from external hemorrhoids or god forbid (for her) anal cancer. I used a condom the whole time but am worried because this doesnt cover the testicle region and i performed oral sex

So my question is:
1. Is there any way to test for this in males who are severely at risk after a close encounter like this?
2. Does the woman's symptoms sound like anal warts or some other condition im unaware of?
3. is there anything else i should be doing after a situation like this to maybe prevent them from occuring or preparing for if i have them?
i know this is a graphic story and pretty gross but i am very worried and would like to see if i could resolve this situation.
4 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Herpes lesions are more superficial and do not drain substantial amounts of pus.  Your self-diagnosis of an infected cyst or hair follicle sounds like a good bet.  But see a health care provider if you remain concerned about it.

That will be all for this thread. Take care.
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Avatar universal
Ok so i have been examining the area, and have experienced soreness in my lower abdomen neck and legs today. I had a large cystic ingrown hair the day after the encounter occurred. I popped it and like normal a yellow pus leaked out and i thought nothing of it, i also popped it several times after and feel i have irritated it. The encounter occurred friday, and now the area where the ingrown hair was has turned into a shallow open sore with a yellow unpoppable center that leaks clear fluid. the underlying cyst is gone. Could this be an example of a herpes sore?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
If you remain concerned about all this, speak with your primary care provider about being vaccinated against HPV.  The Merck vaccine (trade name Gardasil) protects against 4 types of HPV, including the two that cause most genital warts and the two that cause 70% of genital cancers.  Depending on your age, sexual history, and other factors, your provider might agree you would be a good candidate for immunization.  But it will not protect against any HPV strains you already have been infected with or exposed to.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

You used a condom, which reduced the chance of genital HPV infection, if you were exposed, although it did not eliminate it.  The oral sex isn't an issue.  The mouth is not highly susceptible to the genital types of HPV, and when orl infection occcurs, it usually remains asymptomatic and goes away.  Oral to genital HPV transmission may occur, but if so, it is rare.

I would not assume that the "protrusion" near your partners' anus was genital warts.  Probably not.  The chance of anal cancer is exceedingly low.  Hemorrhoids?  Who knows.  I will not speculate about causes and neither should you.  Most likely nothing is wrong at all.

And even if your partner was carrying a high risk (cancer causing) strain of HPV, it wouldn't matter much.  The cancer causing strains are the most common HPV types of all, and as a sexually active person you probably have been exposed to one or more such infections before and will again.  If so, most likely the infection will remain asymptomatic and never cause disease.

To the specific questions:

1) There is no such thing as being "severely at risk" for HPV.  All sexually active persons are pretty much at equal risk; genital HPV probably is no more common in sex workers than in the average person, or only slightly so.  Getting HPV, even with high risk strains, is inevitable and normal.  And no, there is no test to see whether any particular person has been infected or not.

2) As I said above, I won't speculate about whether there was anything abnormal at all or, if there was, about the cause.  The only way to know more is for you to call and ask her -- this event was not sufficiently important to go to that trouble, in my opinion.

3) Nothing can or should be done.

You need to put this behind you forever.  Accept that you probably have had one or more genital HPV infections, assuming this wasn't your first sexual encounter, and that you will have more of them as the years pass.  We all do.  Happily, it is the rare infection that progresses to anything important.  This particular sexual exposure carries no more HPV risk than any other, and less than many -- because of the condom.

Regards--  HHH, MD
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