What could cause a scrotal bump after a protected encounter?

Question

Hi doctor,

I had protected sex with an escort 15 days ago. We did not kiss or do anything without a condom. Today, I noticed a bump next to my scrotum that looks like a wart. I cannot remember whether it was there before. I just noticed it today, and it seems to burn. It terrifies me that it may be a genital wart. But it is tucked away behind the scrotum, where there was never any contact.

So, I am hopeful that it is something else. No tests have been performed yet. My last STD (sexually transmitted disease) was nearly 4 years ago and came back negative.

Please help me.

Answer 1

Hello, Welcome to icliniq.com.

I went through your query and picture (attachment removed to protect patient identity), and honestly, it does not seem to be anything related to sexually transmittable disease. It is not a wart too. You did not mention whether it is painful or exhibiting any other symptoms or the consistency of the lesion.

So, it is impossible to make a diagnosis only with the picture of a raised nodule without close inspection and palpation. I would assume it is a scrotal cyst, which is removable surgically by your dermatologist. Rest assured, once again I would emphasize that the image does not concur with any sexually transmittable disease.

Please consult your dermatologist for a physical evaluation if you are looking to get rid of it.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.

Answer 2

Hello, welcome back to icliniq.com.

You have described that the contact you had with the escort was 15 days ago. It is unlikely that a wart this big will show up that soon. The incubation period of the wart virus is a minimum of two weeks, after which the wart begins to appear. Primary syphilis appears as an ulcer and not as a swelling; neither syphilis nor warts would look like that in any stage.

Actually, the lesion does need to be palpated for consistency to determine if it is a cyst or just an enlarged lymph node. Since I can see there is no summit, other possibilities are pretty much ruled out. That can never be a genital wart. I really cannot appreciate the splotch you are talking about in this picture (attachment removed to protect patient identity,) though.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.

Answer 3

Hello, Welcome back to icliniq.com.

Since you have already picked on the surface, it is impossible to tell if it was a wart in the first place or not. Did you notice it just now? Usually, Human Papilloma Virus - HPV enters through the mucosa or small cut, laceration or abrasion in the skin surface. If your skin was intact, there is a next to nil chances of her giving off HPV infection from her genitalia. The chance of infection from genitalia to skin or vice versa is minimal. Now, there are 100 types of HPV. Few affect hand and feet and few affect mucosa, there is very slight overlap.

Answer 4

Hi,

Welcome back to icliniq.com.

They seem to be pearly penile papules.

They are pretty common, benign, and harmless.

If you still want to get them removed, ask your dermatologist to do a radio frequency cautery for the same.

For further information, consult an HIV AIDS specialist online.

Answer 5

Hi, Welcome back to icliniq.com.

I went through your pictures (attachment removed to protect patient identity) and the bump does not look like something bothersome. It just seems like a Staphylococcal infection or any other boil and you can just get an antibiotic prescribed from your physician for that. The testicular pain does not seem related. If it recurs with fever then please get it checked with a surgeon to rule out inflammation of testicles or cord. None of them seem sexually related or transmitted. So, you can allay your fear.