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HIV PEP ( TPE VIH SIDA ) - Penis white discharge but no STD
Hi Everybody,
I was sexually attacked in August 2014. I was not sure as to whether my attackers were HIV positive. I was put on Post Exposure Prophylaxis (PEP) within 34 hours [This should be taken as soon as possible if you have a potential exposure - go directly to the Hospital Emergency Room US / Accident & Emergency UK / Urgence FR ]. This was a regime of Truvada (1 tablet per day) and Kaletra (2 tablets in the morning and 2 in the evening). I was also screened for all STDs at this point. I was also given the emergency Hepatitis B.
One day after begining the treatment of the PEP I started seeing what looked like a white milky discharge from my penis head. Fearing that I had an STD, I waited around 10 days for it to develop, it didn't go away. I went to an STI clinic and had a test for Gonorrhea and Clamydia. The nurse also swabbed the white liquid and sent it for test. On closer inspection it looked like the skin on the head of my penis had gone very pail and the liquid was just urine. There was also a smell associated with it. The test came back negative.
On the 21st day I took an HIV test - the P24 Antigen/Antibody combination which is supposed to be around 80% - 90% reliable at this stage after the exposure. This came back negative. 1 week later, exactly 28 days after exposure, I took another P24 antigen/antibody combo test, at this point this test is reported to be 99.8% reliable. This came back negative. I also tested negative for Syphillis and Hepititis B. On the 29th day, I did another series of tests at the original hospital who gave me the PEP, they tested for all major STDs but did not do a P24 Antigen Combo test for HIV. I have not been contacted so can only assume they were negative.
My issue is that my penis is sometimes inflamed around the urethra (penis hole). I also sometimes feel a slight burning during urination and also when ejaculating. This is not new and is similar to a condition I had previously which seemed to be associated with Thrush. I used thrush cream and it seemed to go away.
I was sexually attacked in August 2014. I was not sure as to whether my attackers were HIV positive. I was put on Post Exposure Prophylaxis (PEP) within 34 hours [This should be taken as soon as possible if you have a potential exposure - go directly to the Hospital Emergency Room US / Accident & Emergency UK / Urgence FR ]. This was a regime of Truvada (1 tablet per day) and Kaletra (2 tablets in the morning and 2 in the evening). I was also screened for all STDs at this point. I was also given the emergency Hepatitis B.
One day after begining the treatment of the PEP I started seeing what looked like a white milky discharge from my penis head. Fearing that I had an STD, I waited around 10 days for it to develop, it didn't go away. I went to an STI clinic and had a test for Gonorrhea and Clamydia. The nurse also swabbed the white liquid and sent it for test. On closer inspection it looked like the skin on the head of my penis had gone very pail and the liquid was just urine. There was also a smell associated with it. The test came back negative.
On the 21st day I took an HIV test - the P24 Antigen/Antibody combination which is supposed to be around 80% - 90% reliable at this stage after the exposure. This came back negative. 1 week later, exactly 28 days after exposure, I took another P24 antigen/antibody combo test, at this point this test is reported to be 99.8% reliable. This came back negative. I also tested negative for Syphillis and Hepititis B. On the 29th day, I did another series of tests at the original hospital who gave me the PEP, they tested for all major STDs but did not do a P24 Antigen Combo test for HIV. I have not been contacted so can only assume they were negative.
My issue is that my penis is sometimes inflamed around the urethra (penis hole). I also sometimes feel a slight burning during urination and also when ejaculating. This is not new and is similar to a condition I had previously which seemed to be associated with Thrush. I used thrush cream and it seemed to go away.
They were swabbing for Gonorrhea and Clamydia so I guess they didn't test for Thrush. I will get it looked at by my Dr.
The symptoms you describe are of Thrush.
I am surprised that the swab tests did not pick this up, unless they were not looking for any fungal problems.
Because you also mention having a burning pain on urination and the urethra is inflamed, I suggest you make an appointment to see your doctor. Take a morning mid stream urine sample so that the doctor can check it out for any urinary infections. If a urinary infection is confirmed, you will need a course of antibiotics.
Ask your doctor to take a swab of the area to see if there is a fungal problem. Although there are antifungal creams available, your doctor may prescribe an antifungal medication to take by mouth. Fluconazole 100mg 1 single dose oral capsule can be bought without a prescription from the pharmacy. Your doctor may prescribe a longer term course of antifungals for you to take.
In the meantime, even though it is sore to urinate, make sure that you drink plenty of water - 2 litres (4 pints) a day is usually recommended. To ease the soreness, you can add a teaspoonful of Bicarbonate of Soda into a glassful of water and drink this. You can have one every hour 3 times only, no more. You can purchase Bicarbonate of Soda in your local grocery store under the baking section. This neutralises the urine so that it will not sting when you urinate.
But do get checked out by your doctor.
I am surprised that the swab tests did not pick this up, unless they were not looking for any fungal problems.
Because you also mention having a burning pain on urination and the urethra is inflamed, I suggest you make an appointment to see your doctor. Take a morning mid stream urine sample so that the doctor can check it out for any urinary infections. If a urinary infection is confirmed, you will need a course of antibiotics.
Ask your doctor to take a swab of the area to see if there is a fungal problem. Although there are antifungal creams available, your doctor may prescribe an antifungal medication to take by mouth. Fluconazole 100mg 1 single dose oral capsule can be bought without a prescription from the pharmacy. Your doctor may prescribe a longer term course of antifungals for you to take.
In the meantime, even though it is sore to urinate, make sure that you drink plenty of water - 2 litres (4 pints) a day is usually recommended. To ease the soreness, you can add a teaspoonful of Bicarbonate of Soda into a glassful of water and drink this. You can have one every hour 3 times only, no more. You can purchase Bicarbonate of Soda in your local grocery store under the baking section. This neutralises the urine so that it will not sting when you urinate.
But do get checked out by your doctor.
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You are reading content posted in the Sexual Health Community
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
Discharge often isn't normal, and could mean an infection or an STD.
STDs aren't transmitted through clothing. Fabric is a germ barrier.
Normal vaginal discharge varies in color, smell, texture and amount.
