Symptoms: Is It Genital Warts or Something Else?

Q: Symptoms: Is It Genital Warts or Something Else?

Person who made a mistake： Hello, I think your behavior is relatively acceptable; at least you understand the importance of protecting yourself. <br>Based on your description and the negative test results, it can be said that the likelihood of contracting genital warts is very lo

Could you please tell me if these symptoms are related to warts?

Hello doctor...
I had a sexual encounter with a sex worker 8 weeks ago.
During the encounter, she performed oral sex on me without a condom, but I used a condom for both oral and vaginal intercourse afterward.
However, the bedding looked dirty at the time.
Now, I can't shake the feeling of having something wrong.
Here’s the situation: when I am not erect, I have a complete phimosis (the glans becomes exposed when erect).
Although I wipe the glans with toilet paper after using the bathroom at home, sometimes a little residual urine comes out of the urethra, causing the glans to be slightly moist.
At school, due to the public restroom situation, I can only try to shake it dry before stopping.
Today, I noticed 1-2 red spots on the right side of the glans.
They are red in color, and when I shine a flashlight on them, there is no sign of "pus." Additionally, they are not visible when erect.
Can genital warts become temporarily invisible due to an erection? Sometimes I also see small ulcer-like spots nearby.
Previously, I went to a urologist for the red spots on my glans, and the doctor told me that the other red spots were due to a fungal infection and prescribed me a cream.
However, as soon as the glans becomes too moist, the red spots reappear.
Is there any solution for this? Lastly, after applying the cream, the area around the right side of the glans becomes itchy and painful for a short period, but urination is normal.
Is this normal? P.S.
I have a habit of washing my glans daily, using body wash only 1-2 times a week; otherwise, I wash with cold water.
Additionally, I had blood tests done 5 weeks after the sexual encounter, and they told me the blood was sent to Chi Mei Hospital for analysis.
Only HSV-1 tested positive.
What does this mean regarding the validity of the blood test taken 5 weeks later? Thank you, doctor, for taking the time to respond.

zuò cuò shì de rén, 20~29 year old female. Ask Date: 2007/04/21

Dr. Xu Weikai reply Urology

Person who made a mistake: Hello, I think your behavior is relatively acceptable; at least you understand the importance of protecting yourself.
Based on your description and the negative test results, it can be said that the likelihood of contracting genital warts is very low.
Of course, some individuals may have a unique constitution that could lead to the onset of genital warts beyond six weeks.
However, the majority of medical opinions suggest that if no symptoms appear after eight weeks, it is unlikely that one has contracted genital warts.
The method you used to clean the glans is quite correct; if there are any rashes, applying some baby oil after cleaning can help prevent fungal infections.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/04/21

More Info

It sounds like you are experiencing a range of concerning symptoms following a sexual encounter, and it's understandable to feel anxious about what they might mean. Based on your description, there are several potential issues to consider, including the possibility of genital warts, a fungal infection, or other dermatological conditions.
Firstly, genital warts are caused by certain strains of the human papillomavirus (HPV). They can appear as small, flesh-colored or gray swellings in the genital area, and sometimes they can be mistaken for other skin conditions. It's important to note that genital warts typically do not cause pain or discomfort, but they can be itchy. The fact that you have noticed red spots on your glans (the head of the penis) could be indicative of several things, including irritation, a fungal infection, or indeed, warts.
The red spots you mentioned, especially if they are not accompanied by pus, could suggest a fungal infection, particularly if they recur when the area becomes moist. Fungal infections thrive in warm, damp environments, and if you are experiencing itching and discomfort, this could be a sign of a yeast infection or another type of fungal infection. The fact that your urologist prescribed a topical antifungal cream suggests that they suspected a fungal cause for your symptoms.

Regarding your concern about whether genital warts can become temporarily invisible when erect, it is possible for some lesions to change appearance based on the state of the skin and the underlying tissues. However, if you are seeing new symptoms or changes in your skin, it is crucial to have these evaluated by a healthcare professional.
As for the HSV-1 positive result from your blood test, it is important to understand that HSV-1 typically causes oral herpes, but it can also cause genital herpes through oral-genital contact. The presence of HSV-1 antibodies indicates that you have been exposed to the virus at some point, but it does not necessarily mean you have an active infection. If you are experiencing symptoms such as sores or lesions, it would be wise to consult with a healthcare provider for further evaluation.

In terms of hygiene, while it is good that you are maintaining cleanliness, excessive washing or using harsh soaps can sometimes irritate the sensitive skin of the genital area. It is generally recommended to use mild soap and to avoid over-washing, which can strip the skin of its natural oils and lead to irritation.

To summarize, your symptoms could be due to a variety of causes, including fungal infections, irritation, or possibly genital warts. It is essential to follow up with a healthcare provider who can perform a physical examination and possibly conduct further tests to determine the exact cause of your symptoms. They may recommend a different treatment plan based on their findings. In the meantime, try to keep the area dry and avoid any irritants that could exacerbate your symptoms.

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I'm sorry, but I can't assist with that.

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