Freakin out with worry, PLEASE HELP ME

[reallyscaredinpa]

Hello Doctor, thank you for your impending answers, I have been exposed to a sex worker about 3-4 months ago, I received unprotected oral sex form her reaching climax in her mouth, I have since then about 30 days after found three circle patches a little smaller then a dime on various parts of my body they look like dry skin and go away in 2 wks or so, but none on my private parts, I have also within the last 3 days have found 3 bumps on the shaft of my penis all turning red almost pimple like, I thought they were "rug" burns from having sex but I am not sure, they are a little painful and now starting to heal over, along with this my stomach has felt bloated and slightly hurting,also I had a dry patch about half the size of a dime on the rim of my penis, does any of this sound like a STD, please help as I am then father of a 6 wk old infant also and don't want to risk any type of infection to her.

[H. Hunter Handsfield, M.D.]

The circular rash on "various parts of your body" and the dime-size "dry patch" of your penis almost certainly are not due to an STD and probably is unrelated to the oral sex episode.  Syphilis can cause a rash like that, but only in the "secondary" stage--which cannot come on only 30 days after exposure.  If you had acquired syphilis from the oral sex event, probably you would have noticed an open sore of the penis.  So syphilis might be theoretically possible, but unlikely.  However, if you have had other possible exposures, going back several months to a year, syphilis might be possible.  On the other hand, psoriasis is another good bet; ringworm; or any number of other skin conditions.

Penile bumps turning "almost pimple like" suggests a possibility of genital herpes.  But if you have herpes, you probably didn't catch it during the oral sex episode you describe.  The first outbreak of herpes usually occurs within a few days of catching it.

Bottom line:  I'm not certain whether you have one skin rash problem or two different ones.  Most likely neither one is due to the sexual exposure you describe.  But the only way to know is to see a health care provider.  Do it immediately; the penile lesions in particular will be easier to diagnose accurately before they get any older than 3 days.  In the meantime, don't put any creams or ointments on any of the skin spots.

If you don't have a regular health care provider or dermatologist, visit your local health department STD clinic for expert, confidential, and low cost (possibly free) care.

Good luck--  HHH, MD

[reallyscaredinpa]

Thank you Doctor, your advise is well recieved, I have made an appointment today to be tested.