Brown Wart-Like Growths: Possible STDs and Testing Options - Urology

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Dark brown warty lesions


Hello doctor, I had unprotected oral sex with a stranger sex worker 12 days ago, and had protected vaginal intercourse.
Prior to this, I had a fixed sexual partner for over eight months.
Today, I noticed a lump of dark brown wart-like growth on my penis, as shown in the attached photos taken in both erect and semi-erect states: https://ibb.co/d6bRbvchttps://ibb.co/qdc0w2Shttps://ibb.co/xSBYn1L.
Could this be a manifestation of genital warts? Or could it be another sexually transmitted infection or infection? Previously, I did not notice any blood during erections, but now, at the suspected lesion site, there is blood appearing on the glans.
Can you explain why this is happening? I have read that the incubation period for genital warts averages 6-8 weeks, with lesions appearing within 3 months to 1 year.
Is it possible for lesions to develop in just 12 days? After engaging in high-risk sexual behavior, can I consider myself free of infection if no lesions appear after three months? Additionally, I am very worried and unable to sleep.
Is there a way to test for HPV infection immediately? How long should I wait for a more accurate result? What would the cost be?

Ya Li Hao Da Shui Bu Zhao, 20~29 year old female. Ask Date: 2020/05/14

Dr. Du Shixi reply Urology


Hello: The image shows a 502 Bad Gateway.
Genital warts (cauliflower-like growths) appearing too early are mostly not due to current infections.
Generally, sexually transmitted infections should be observed for at least three months.
There is no precise testing method for genital warts.
If there are any new growths that were not present before, it is important to seek medical attention, as they can appear on the genitals, pubic area, or perineum.
Wishing you good health.

Reply Date: 2020/05/14

More Info


The brown wart-like growths you are describing on your penis could potentially be a manifestation of several conditions, including sexually transmitted infections (STIs) such as genital warts, which are caused by the human papillomavirus (HPV). Given your recent sexual encounter, it is essential to consider the possibility of STIs, especially since you mentioned engaging in unprotected oral sex and protected vaginal intercourse.

Genital warts typically appear as small, flesh-colored or brownish bumps and can vary in size and shape. They may not appear immediately after exposure to the virus; the incubation period for HPV can range from weeks to months, with some cases taking up to a year to manifest. However, it is important to note that while the average incubation period for genital warts is indeed around 6 to 8 weeks, it is possible for symptoms to appear sooner or later than this timeframe.

The presence of blood during an erection or at the site of the growth could indicate irritation or injury, but it is crucial to have this evaluated by a healthcare professional. Blood in the urine or from the penis can be a sign of various conditions, some of which may require immediate attention.

Regarding your concerns about testing, the most reliable way to diagnose HPV and determine if you have genital warts is through a physical examination by a healthcare provider. They may also perform a Pap smear if you are a female or recommend a biopsy of the growth if there is any uncertainty about the diagnosis. Unfortunately, there is no specific test for HPV in males, but visual inspection is often sufficient for diagnosis.

If you are anxious about your symptoms, it is advisable to seek medical attention as soon as possible. A healthcare provider can conduct a thorough examination, discuss your sexual history, and recommend appropriate tests. They can also provide guidance on the timing of tests, as some STIs may not be detectable immediately after exposure. Generally, for most STIs, including HPV, waiting at least 2 to 3 weeks post-exposure for initial testing is recommended, but follow-up testing may be necessary at 3 months to confirm results.

In terms of costs, testing for STIs can vary widely depending on your location and the specific tests being performed. Many clinics offer sliding scale fees based on income, and some health insurance plans may cover STI testing. It is best to contact local clinics or healthcare providers to inquire about specific costs and testing options.

In summary, it is crucial to consult with a healthcare professional regarding your symptoms, especially given your recent sexual encounter. They can provide you with the necessary evaluations and tests to determine the cause of your symptoms and recommend appropriate treatment if needed. Remember, early detection and treatment of STIs can significantly improve outcomes and reduce the risk of complications.

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