Could It Be Genital Warts? Urological Concerns - Urology

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Suspected cauliflower (likely referring to genital warts or condyloma acuminatum)?


Hello Dr.
Lee, yesterday I had unprotected oral sex, and today I carefully examined my genitals for any abnormalities.
I have a longer foreskin, so I usually don't pay much attention to it.
Today, when I pulled it back, I noticed a condition in the area marked in red in the image (http://imgur.com/Bre2o3I).
I'm not sure if it just appeared today; it doesn't itch or hurt, and when I pull back the foreskin, the surface is smooth without any bumps.
Is it possible that this is genital warts?

Niming, 20~29 year old female. Ask Date: 2016/01/09

Dr. Li Yilun reply Urology


It is not possible to read your image.
You have engaged in high-risk sexual behavior, which cannot be completely ruled out.
However, if oral sex was the only activity, the likelihood of transmission of the human papillomavirus (HPV) is low unless your partner has an active oral HPV infection.
Generally, HPV is not easily transmitted through oral sex, and symptoms are not typically noticeable the next day.
Symptoms of genital warts primarily include wart-like growths resembling cauliflower in the genital area.
It is important to note that a simple description cannot determine your condition, so if symptoms persist, it is strongly advised to consult a physician for evaluation and examination.
Physicians often require a medical history, visual inspection, palpation, and tests to confirm a diagnosis and determine the appropriate treatment.

Reply Date: 2016/01/09

More Info


Hello! Thank you for reaching out with your concerns regarding the condition of your genital area after engaging in unprotected oral sex. It's understandable to feel anxious about any changes you notice, especially after a new sexual encounter.
Based on your description, it sounds like you are observing a change in the skin of your genital area, specifically in the folds of the skin. Genital warts, caused by the human papillomavirus (HPV), can appear as small, flesh-colored or gray growths in the genital area. They may be flat or raised, and while they can sometimes be itchy or uncomfortable, they can also be asymptomatic, meaning they may not cause any noticeable symptoms.

However, it’s important to note that not all changes in the genital area are indicative of genital warts. The appearance you described—smooth and not raised—could also be a normal variation of skin or a benign condition unrelated to sexually transmitted infections (STIs). Other possibilities include pearly penile papules, which are normal anatomical structures, or other benign skin conditions.

Here are a few important points to consider:
1. Timing of Symptoms: If the changes you are observing appeared very recently, it may be too soon for any symptoms of an STI to manifest. Many STIs have an incubation period, and symptoms may not appear immediately after exposure.

2. Lack of Symptoms: The absence of itching, pain, or discomfort is a positive sign. Many STIs, including genital warts, often present with additional symptoms.
3. Self-Examination Limitations: While self-examination can be helpful, it is not a substitute for a professional evaluation. Many skin conditions can look similar, and a healthcare provider can offer a more accurate diagnosis.

4. Consult a Healthcare Provider: Given your concerns, it would be wise to schedule an appointment with a urologist or a dermatologist who specializes in genital health. They can perform a thorough examination and may conduct tests if necessary to determine the nature of the changes you are observing.

5. Safe Sexual Practices: In the future, consider using protection during sexual activities to reduce the risk of STIs. Condoms can significantly lower the risk of transmission, although they do not eliminate it entirely.

6. HPV Vaccination: If you haven’t already, consider discussing the HPV vaccine with your healthcare provider. The vaccine can protect against the types of HPV that most commonly cause genital warts and certain cancers.

In conclusion, while it is possible that what you are observing could be genital warts, it is equally likely that it is something benign. The best course of action is to consult with a healthcare professional who can provide a definitive diagnosis and appropriate guidance. Remember, it’s always better to err on the side of caution when it comes to your health. Take care!

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