Cauliflower Warts: Symptoms and Concerns After Unprotected Oral Sex - Urology

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Cauliflower (Condylomata Acuminata)


Hello doctor, I had a one-night stand two weeks ago and had unprotected oral sex.
A few days ago, I noticed 4 to 5 small bumps on my foreskin, smaller than sesame seeds.
They are not pus-filled, ulcerated, or foul-smelling.
Could I possibly have genital warts or syphilis?

jack, 30~39 year old female. Ask Date: 2016/09/20

Dr. Sun Hongshun reply Urology


Hello, engaging in risky sexual behavior can indeed lead to the transmission of all sexually transmitted infections, including herpes.
It is advisable to consult a urologist or an infectious disease specialist for evaluation and treatment.

Reply Date: 2016/09/20

More Info


When it comes to concerns about sexually transmitted infections (STIs) and specific symptoms like cauliflower warts (also known as genital warts), it's important to understand the risks associated with unprotected oral sex and the potential implications of any symptoms that arise afterward.

Cauliflower warts are typically caused by certain strains of the human papillomavirus (HPV), which is a common STI. HPV can be transmitted through direct skin-to-skin contact, including during oral sex. If you engaged in unprotected oral sex, there is a possibility of HPV transmission, especially if the partner had visible warts or lesions. The small bumps you described on your foreskin could potentially be genital warts, but they could also be other benign conditions, such as pearly penile papules or Fordyce spots, which are not harmful.

In terms of the risk of contracting other STIs, unprotected oral sex can also expose you to infections like syphilis, gonorrhea, chlamydia, and herpes. The symptoms of these infections can vary widely. For instance, syphilis can present with sores or rashes, while gonorrhea and chlamydia may cause discharge or irritation. It’s crucial to monitor any changes in your body and seek medical advice if you notice new or concerning symptoms.

Regarding your specific concerns about the bumps on your foreskin, it’s essential to consult a healthcare provider for an accurate diagnosis. They may perform a physical examination and possibly recommend tests to rule out STIs. If the bumps are indeed diagnosed as genital warts, treatment options are available, including topical treatments, cryotherapy, or surgical removal.

As for the timeline of STI symptoms, it's important to note that many STIs can have an incubation period where symptoms may not appear immediately. For example, symptoms of gonorrhea and chlamydia can appear within a few days to weeks, while syphilis can take longer to manifest. Therefore, if you are experiencing symptoms two weeks after the encounter, it is advisable to get tested as soon as possible.

In summary, if you have engaged in unprotected oral sex and are noticing new symptoms, it is crucial to seek medical attention. A healthcare professional can provide a thorough evaluation, appropriate testing, and guidance on treatment options. Additionally, consider discussing vaccination options for HPV, as the vaccine can significantly reduce the risk of developing HPV-related conditions, including genital warts and certain cancers. Regular STI screenings are also recommended for sexually active individuals, especially those with multiple partners or those who engage in unprotected sex.

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