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STDs (Expert Forum)
Puzzled
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
Puzzled
by metalmadness, Mar 17, 2006 12:00AM
In January, i received oral sex from a stranger i met at a bar. I had stinging around the tip of my penis for weeks, but the tests for gonorrea/chlymdia were negative. 6 weeks after receiving oral sex, I developed a small white scab near the head of my penis. I was puzzled how this scab could form without a blister which never developed. The scab took about 4 weeks to heal (although, you could still see remants of it)I must also mention that the scab was never painful. Does this sound like a herpes sore or another skin irritation? Also, if this is herpes, would it be considered to be HSV1 on the genitals. If so, can I transmit this form of herpes to my girlfriend's genitals (through intercourse) if she already has HSV1 on her mouth.
Doctor's Answer
by H. Hunter Handsfield, M.D., Mar 17, 2006 12:00AM
, Mar 17, 2006 12:00AM
Herpes is the most common cause of genital sores. However, it started too late to be something you caught during the oral sex episode you describe; and herpes usually is painful, although not always. Syphilis is possible and the timing is right, but a "white scab" (by which I assume you mean a dry lesion) is atypical.
Most likely, it is entirely unrelated to the oral sex exposure and not an STD. From your description, psoriasis comes to mind. It often affects the penis, and a white, scaly, scab-like lesion is typical. Psoriasis would be especially likely if you have similar spots elsewhere on your body; or if you have dandruff. (Many cases of apparent dandruff actually are due to psoriasis of the scalp.) But many other kinds of dermatitis also are possible.
You cannot and should not assume you have herpes. You need to see a health care provider and learn for sure what is going on. You might also post a question on the Med Help dermatology forum and get Dr. Rockoff's opinion. If you do, be prepared to describe your penile "scab" in more detail, and add the information about dandruff and any other skin rash or spots you may have.
Good luck--- HHH, MD
Most likely, it is entirely unrelated to the oral sex exposure and not an STD. From your description, psoriasis comes to mind. It often affects the penis, and a white, scaly, scab-like lesion is typical. Psoriasis would be especially likely if you have similar spots elsewhere on your body; or if you have dandruff. (Many cases of apparent dandruff actually are due to psoriasis of the scalp.) But many other kinds of dermatitis also are possible.
You cannot and should not assume you have herpes. You need to see a health care provider and learn for sure what is going on. You might also post a question on the Med Help dermatology forum and get Dr. Rockoff's opinion. If you do, be prepared to describe your penile "scab" in more detail, and add the information about dandruff and any other skin rash or spots you may have.
Good luck--- HHH, MD
