wound/ulcer in penis

[arizkt]

hello dr. HHH,

I've been dating this girl for a month, and we had sex twice (with very proper use of condom) and masturbated mutually twice (i did not use my hand to masturbate myself as I masturbated her).

One or two days after, I noticed a little sore on the 'red' part of the prepuce, near the gland, on the side, but not on the gland. I thought it was a chaff, but it got a bit inflamed. now (3 or 4 days later) there is this yellow liquid and it is reddish around it and warm. the wound is yellow and about 0,5cm, irregular. after researching, I think it might be a bacterial infection, and maybe it is chancroid, i don't know. i am scheduling a doctor on monday. it happened about 2 or 3 days after we had sex for the second time.

she was tested for all dsts on february and had sex with her ex boyfriend on one occasion during this year. he never mentioned anything after that about stds neither she never developed anything. i live in Finland and usually stds are rather rare here, and her boyfriend is from Turkey, but I don't know him.

i am worried if it is a bacterial infection, since I didn't take a shower after we had sex that time. i even thought it could be a chaff that got inflamed for this environment prone to bacteria. if it is a bacterial infection, it's ok, i can treat - but can i rely that i don't have hiv since I only had protected sex with her (i did not even allow her to perform oral sex on me)? can you say anything to me? i am rather nervous.


best regards,

arizkt

[H. Hunter Handsfield, M.D.]

Good grief.  Use a little common sense.  If your partner has HIV, yes you could be at increased risk for catching it if you don't use a condom.  But that is the case whether or not you have an abrasion on your penis.  Since you apparently doubt your partner's HIV status, ask her to be tested.

I will delete any further comments without reply.

[arizkt]

please doctor it's important , i haven't made myself clear in my follow up question you've answered and i promise i won't repost...

[arizkt]

I understand this thread must end, but I think I was not clear on my last question. I ask if with the wound practically healed (just a bit red now), there is a risk of me contracting for example HIV even if I practice sex with condoms.

[H. Hunter Handsfield, M.D.]

Of course no distant online expert can guarantee someone isn't infected with something.  But there is no risk that I can see.

That will have to end this thread.  Take care.

[arizkt]

hello doctor,

i would have one (last) further question: the wound is practically healed, i've been putting on some cortizone prescribed by the health care doctor, and I hadn't have any relation with my girlfriend since then.

i would ask if there is a risk, since it is now practically healed, if I have protected sex with her.

thanks a lot

Az

[H. Hunter Handsfield, M.D.]

Of course no HIV risk, even if your partner has HIV.  If you are nervous that she is at risk for HIV (certainly most Finnish women are not), then discuss it with her and consider going together for HIV testing.

[arizkt]

hey Dr. HHH,

I went to the doctor and he said it was nothing, nothing related to stds but rather with the friction and maybe some bacteria envolved. he prescribed me some anti inflammatory to put on the place.

i have only one further question, regarding the moment of chaffing: it was mutual masturbation, so I figure there is no risk for hiv for example , considering that she was masturbating me and then there was this chaffing that went sore.

thanks so much for you reply

[arizkt]

thanks so much, Dr. Handsfield
I will do that!

[H. Hunter Handsfield, M.D.]

On this forum, we do not examine posted photos.  It comes too close to potentially making a specific diagnosis, i.e. practicing medicine from a distance -- and we do not wish to put ourselves in that position.

Heterosexually transmitted HIV is rare in Finland and infection is rare among younger Finnish nationals, so it is very unlikely your partner has HIV.  Even if she has it, the condom prevented any chance of transmission.

This is nohing to be "very scared" about.  Just keep a cool head and see a health care provider.

[arizkt]

Hello Dr. Handsfield,

i will for sure look for the health care but I would feel much better if you could just clarify something:

1. as I had protected sex (I also had two partners after my last tests, with proper use of condom), can I rely that I am not in risk for hiv?

2. it is a bit embarassing but i could manage to take a picture of the wound , is it possible for you to see it? the wound now is kinda yellowish/whitish and reddish around it. i posted a picture on the web here http://4.bp.blogspot.com/_6YLUbjEOtO8/Swlmxxg98VI/AAAAAAAAAng/JWvKt53UhBA/s1600/182247.jpg

and here http://3.bp.blogspot.com/_6YLUbjEOtO8/SwlmsFD_edI/AAAAAAAAAnY/1StIE-7boTA/s1600/182237.jpg

this is very embarassing for me but i'm very worried.

thanks so much in advance,

az

[H. Hunter Handsfield, M.D.]

Welcome to the STD forum.  FYI, it may be true that STDs are relatively uncommon in Finland compared to other industrialized countries, but they are no means rare, and there are several widely respected and well known Finnish STD researchers.

Overall, the most common cause of penile sores is genital herpes.  Most routine STD testing does not include tests for HSV, so it is possible your partner has herpes (either oral or genital) without knowing it, despite her negative STD tests.  Or you might have recurrent herpes, i.e. a past infection from some other partner that previously was asymptomatic, now causing a recognized outbreak.

On the other hand, your description of the lesion is not typical for herpes, which does not usually start as a chafing sort of lesion.  And it would be unusual to catch herpes given the correct use of condoms.  Herpes is not transmitted by hand-genital contact, but vigorous contact of that sort certainly could result in chafing.

The bottom line is that I am inclined to believe this is not herpes, but it is impossible to be certain without direct examination.  You should not have any difficulty finding excellent experts in your country, especially in Helsinki if not elsewhere.  It would be best to be examined very promptly, before the penile lesion heals.

Good luck--  HHH, MD