a client visits me at my incall location. We're chatting. He's very nice, clean cut, and respectful. We retreat to the bedroom. I discreetly perform my genital inspection, and I see these large wart like oddities on his scrotum. There were about nine or ten in varying sizes. I sat up, and asked him politely what those abnormalities were. He said they were pimples. I told him they don't look like pimples.

As a twenty-seven year old young woman, I unfortunately still get the occassional blemish on my face. They don't look anything like what I saw today. He said they've always been there. I don't believe that either. I asked him if he's seen a doctor, and he said he had been tested for everything. I very gently told him I could not continue with the date. I didn't suggest he had any type of disease or virus. I just told him for my own sexual and mental well being, I would not be able to finish what we started. He then suggested that we have sex inferring that the condom would protect me. Condoms don't protect anyone from HPV, herpes, or a number of other sexually transmitted diseases. I was really, really nice about it, but at the same time I was horrified.  It was probably one of those most awkward moments of my life.


What should I have done? Has this happened to any providers or clients? If so, what did you do?

*Disclaimer* I am not a medical professional. I have no clue what those bumps were, but I've spent enough hours at the CDC website to know they were not normal. They could have been 100% harmless or not.

It is very posibble that they were warts. If you do a google search for HPV or genital warts and click on the images tab you can get some fine examples of them. A condom can protect you from genital warts that are present on the areas covered by the condom but it only takes skin to skin contact to transfer them. The ability to contract them varies from person to person and the type of wart that appears can also vary. The very small cluster type are considered the most dangerous to women as the are hard to see and remove and can develop into cancer. I have seen Many clients particularly un circumsized ones that have had them on the under side of the glands. You can carry a small "test" kit with you. Just put some plain white vinegar in an eyedroper bottle and if you encounter something suspiciously wart drop a bit of the vinrgar on it. If it is indeed a wart it will bubble. People can get things like skin tags in that area espeically if it is rubbing alot and occurs frequently in overweight people in the groin area. Other than skin tags I have not heard of anything that isn't warts that would apear in clusters like that...i am not however a medical rofessional so I could be wrong.
One of the reasons I love my hand sanitizer and antibacterial babywipes is because of things like warts which can be present and transferred on the hands. Ispect thsese as well and always make sure you or your client do not switch hands with out using some gel. I used to ut it directly on my coochie afterwards but found that Hydrogen peroxide is a healthier alternative and doubles as a good mouth rinse if you don't have any glyoxide handy.
Keeoing a air of latex gloves handy in cases like this can save the appointment if he is willing ot accept a sensual massage in lieu of the other and it is safe for the both of you.

For your sake and the sake of others in this hobby, you did the right thing.

"What should I have done? Has this happened to any providers or clients? If so, what did you do?"

Thankfully it's never happened to me as a client, but I think you were absolutely right to refuse to go on.  If you're not comfortable for any reason, then why continue with the date?

I had a somewhat similar situation where some girl started giving me oral and stopped and started making excuses thereafter only to blow me off.  I have no signs of any warts or anything else, so why she did what she did was a mystery.  Just scroll down and see my post about "providers being careful.....

It's your right to discontinue for whatever reason you choose and playing it saying is the right way to go and telling him honestly makes it all the better.

It`s nice to see that you and others are aware of the dangers in this lifestyle and how best to deal with them. Thanks for taking care to keep us all a little safer.

You did the right thing.  Nothing worth taking these risks.  Cases of Wart is far more difficult and complicated for women than men to get rid of.

-- Modified on 4/8/2003 6:14:14 PM

my reading tells me that the wart doesn't bubble, it turns white.

"You can carry a small "test" kit with you. Just put some plain white vinegar in an eyedroper bottle and if you encounter something suspiciously wart drop a bit of the vinrgar on it. If it is indeed a wart it will {turn white}. "

I did a search for "vinegar test warts" and got the following info:
"  Genital warts can be very small and hard to see. During an exam, your provider may apply a vinegar-like solution to areas where she or he thinks you may have a problem. The vinegar causes the warts to turn white, making them easier to see. "


At another site, I found the following which says:
Question Posted By: Curious on Saturday, February 03, 2001
I noticed some bumps on the shaft of my penis so I visited both a STD specialist and a dermatologist. The STD Doc said it was skin plaque while the dermatologist said it was not warts.

I did do the vinegar test, and I notice some white spots on my scrotum with a brown line as well.

How effective is the vinegar test?

I did have unprotected sex a month ago.

Please help.

Answer Posted By: Derm M.D. ASR on Sunday, February 04, 2001
The vinegar test is not very helpful, because it makes lots of things "light up," even when they aren't warts or STDs.

For some reason, warts almost always affect the middle of the penile shaft, rarely the scrotum. For that reason, plsu the assessments of the 2 experts you consulted, I suggest you chill.

For peace of mind, among other things, avoid unprotected sex. And save the vinegar for the salad.

Best.

Dr. Rockoff
http://www.medhelp.org/forums/dermatology/messages/30966a.html

might be pearly penile papules. My husband has them, he is black and uncircumcised, two of the traits mentioned in this article where people are more likely to have them. He has had them since he was a child and his father has them as well. They are completely normal.

http://www.emedicine.com/DERM/topic313.htm

If you do a search on "pearly penile papules" (don't you love the alliteration) I'm sure you'll find more info on them.

As for the original poster and the bumps on the scrotum I'm not sure what those are but warts are definitely a possibility.

Edited to say: I googled some more and found some photos of the pearly penile papules. Please note the location - around the rim of the glans and know this is completely normal so no need to be dropping vinegar on those uncirc'ed men with bumps around the glans!

http://dermatlas.med.jhmi.edu/derm/result.cfm?Diagnosis=57



-- Modified on 4/8/2003 5:57:47 PM

I totally respect your honesty with this client, and agree you made the best educated decision that could have been made at the time. it is of the utmost importance to keep everyone as safe and clean as possible. even if you had continued, it would be too awkward and uncomfortable, most undoubtedly affected your performance and ultimately ruin the session for both of you.

a thought just came to me; just curious:
suppose one must end a session, either provider or client, for health concerns, would you be willing to reschedule after he/she has had proper medical treatment, or would you still be afraid, knowing the potential risk(s)?

best regards, and please for the love of God, play safe
mr.man

"Cases of Wart is far more difficult and complicated for women than men to get rid of."

Did you mean that it is more difficult for women to get rid of the warts than it is for men to get rid of the warts?

Or did you mean that it's more difficult for a woman to get rid of the wart than it is for her to get rid of the man?

Could be both are true!

Good Point Clearskin! Yes, both are sometime true! In this case, the answer is ...

Did you mean that it is more difficult for women to get rid of the warts than it is for men to get rid of the warts?  YES!

Thank you for the info... I recently met a gent who had what were *probably* those pearly penile papules (oh my, that is a HECK of an alliteration! LOL!), but I frankly was not sure at the time, and would only touch his penis with a cover on. My question is really, how do you tell the diff between harmless papules and dangerous warts? =
Those pics really do look icky, though. I wonder if for cosmetic reasons there's a way to get rid of them? Not to mention the fact that if a guy had bumps all over his penis with me, I'd have to stay on the "better safe than sorry" side of things and just not touch it!  Maybe guys who have the 3P's should carry a doc's note around... =:O LOL!

Hugs*
Nicole

First of all the PPP are only on the glans, and the fellow in that picture really had quite a few of them. My husband only has one row on the underside of the glans, barely noticeable and certainly not offensive looking at all (at least to me). I suppose there is a way to get rid of them if you wanted to.

You might want to take a look at these photos of genital warts next to the PPP and you can see they are QUITE different:

Genital Warts:
http://www.cure-genital-warts-condylox.com/genital-warts-photos.html

Also handy is this one which shows warts in the nose and mouth (yes you can get them there)

http://www.willyworries.com/pages/warts.htm

Also informative is this site which shows other conditions you may come across: syphilitic lesions, scabies, herpes. Over my six years in this business, I've had clients show up with herpes, warts and scabies so far and it is nice to be able to recognize those things for what they are.

http://www.thebody.com/sowadsky/symptoms/symptoms.html

thanks carpevinum and Ned for the very useful information. Yes the things I have been seeing that I thought were warts were not. I once worked in a peep show and got a wart on my butt cheek from what I assumed was not cleaning my booth thorougly before work and touching myself after touching a surface that had the virus on it. The doctor said that is was good that i had not gotten any on my genital area and to be more careful. I have also had several friends who have contracted them and had very painful surgeries on there cervix to remove them and precancerous tissue. I have freaked out and ran to the doctor over razor bumps several times once making my boyfriend miserable for two days because I thought he had given me something...nope not herpes just razor bumps...my dr. has got to think I am crazy by now.
My old roomate had a bump on his penis that i can only describe as looking very much like a big pimple. I cannot remember the name for it but it ended up being something harmless as well and did look rather frightening. Poor guy has had sex with les than 10 women in his whole life and spent several days until he coudl get to the doctor freaking out and showing WAY tooo many people his dick.