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Avatar universal

What have I got??

I made a very bad judgmental call by having
unprotected sex with a female who assured me that she
was STD free. This was on my overseas assignment and took place on Nov 15th 2005. A week later I felt discomfort in my urethra and the tip of penis became sensitive. No discharge from penis at anytime. Also noticed a small round sore (about quarter
inch diameter) at the corona of the penis. The surface of the skin was slightly raised, grey in colour with no pain and without any discharge. Felt slight discomfort pissing.

Went straight to doctor on 22nd Nov. He gave me a shot
of penicillin and prescribed Doxycycline Hyclate
100mg. 1 tab twice a day for 10 days. Also sent me for
blood test on 23rd Nov. He later told me the blood
test was fine. During this time sensitivity of the
penis went away but felt slight discomfort in urethra
and inconsistent light pain in the lower right of pelvic area. Is this because of antibiotics?

2 days after I finished these tablets, I felt the tip of penis getting sensitive again, discomfort in urethra and when seated for long, a mild burning sensation around my anus. Inconsistent light pain in the lower pelvic returned. No change with sore.

Went to see a doctor in my country who prescribed me
4x Clarithromycin 250mg all at once on first day and
then 2 x Noroxin 400mg taken together once a day for 3
days.

Also did second blood test 5 weeks after the event.
Everything came back negative i.e. HIV, Herpes,
Syphillis and other STDs.

The sore to date has not changed in color or size but
yesterday noticed redness around the edge of it with
very minute nodes on two sides of the sore. Occasionally feel the sensitivity at the tip of the penis and the light pain in lower pelvic area. Anus feels dry and slight discomfort passing stool.I may have torn the skin passing stool when it was dry. Not too sure.
Went to doctor who had a good look at the sore and said it was fungus and gave me some cream to apply. Also dosage of Clarithromycin and noroxin.
Today saw slight redness on another part of the corona. Is another sore coming? I may be examining things in too detailing now.
What did I contract? Is it curable? Should I be still concerned despite the negative blood test?
How long will it take for the sore to heal fully? Sore does not look like pic of chancre I saw as it does not have the shallow feature. This is slightly raised.
Should I be worried about the minute nodes that have emerged around the edges of the sore?
The sore is still painless and grey in its 6th week.
Can I have sex or should I wait until it is healed
fully?

4 Responses
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Avatar universal
A related discussion, what have i got i dont wanna go see the doctor im shy was started.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
The opinion of a provider who has examined someone, particularly a skin lesion, is far more reliable than mine based just on verbal description.  I have no further opinion or comment about it.  In any case, I do not get into non-STD issues, and it clearly isn't an STD.  You'll need to rely on your own provider.

HHH, MD
Helpful - 0
Avatar universal
My doctor had a close look at the sore with magnifying glass and said it was not a chancre or herpes but looked more like a fungus.
Prescribed me VIADERM-K.C. Ointment to apply twice a day which I started yesterday.
He also gave me another dosage of Clarithromycin and Norfloxacin for the occasional sensivity.

Would the fungus look like how I described and have that charateristic?

I also intend to have a blood test again at 3months just to make sure.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
The timing of your symptoms certainly was consistent with an STD acquired during your 11/15 encounter.  The discomfort urinating and sense of irritation at the meatus (urethral opening) are consistent with urethritis--gonorrhea, chlamydia, or nonchlamydial NGU, but anything important in those symptoms would have been cured by the antbiotics you received.  Other symptoms that you can forget about, at least in regard to STD or HIV, are the anal symptoms, pain the pelvic area, and the "slight redness" of the corona of your penis.  (You may well be paying too much attention to variations on normal anatomy and other meaningless symptoms.)

The penile skin lesion ("round sore") is the symptom of greatest concern, at least initially.  By far the two most common causes of sexually acquired genital ulcer disease (in all countries worldwide) are herpes and syphilis.  However, persistence of the lesion so long rules out herpes with virtually 100% certainty; and syphilis definitely would have been cured by the antibiotics (penicillin, doxycycline and clarithromycin all are curative).  The less common causes of sexually acquired genital ulcer (chancroid, granuloma inguinale) alsoo would have responded to one or more of the antibiotics.

Thus, it is likely that the genital lesion isn't an STD at all, and was not acquired during your 11/15 event.  Many other dermatologic conditions (psoriasis, lichen planus, many others) could be responsible.  Presumably you have shown the lesion to your health care provider (?).  What does s/he say?  If no clear answer, I suggest you see a dermatologist. You probably can forget about any STD as the explanation, but you will need to rely on your own provider's and/or dermatologist's opinion about having sex with the lesion.

Good luck and Happy New Year--  HHH, MD
Helpful - 0

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