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STDs (Expert Forum)
I need help - negative for rpt and tppa but
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.
I need help - negative for rpt and tppa but
by picante, Jan 01, 2008 02:12PM
I noticed a pimple like thing on the upper shaft of my penis and thought it was just an irritation after shaving my pubic hairs. It stayed very small and I kind of forgot about it. I went to a massage parlour and had protected sex about 2/3 weeks prior to this. Since then - over two months the pimple or whatever it is, is bigger (a little bigger than an 1/8 inch in diameter) red and kind of hard. At one point I squeezed the hell out ot it thinking it was like a whitehead. That didn't work. Then I thought it might be syphilis so I was confidentialy tested and the RPR came back negative. I then ordered a tp-pa after reading there were false negatives for rpr. The tp-pa was negative as well. I know I ned to go to my doctor soon - it is just so hard because I am married and feel guilty about my escapade - even if it has nothing to do with it. Am I syphilis free - and advise? differential diagnosis?
thanks
thanks
Doctor's Answer
by H. Hunter Handsfield, M.D., Jan 01, 2008 03:16PM
, Jan 01, 2008 03:16PM
Even without the blood test results, the chance you have syphilis was virtually zero. Only about 9,000 new cases occur per year year in the United States and most of those are in gay men. Oral sex is not a common transmission route anyway. As a guess, there are only about 200 cases per year acquired by oral sex in the US. Further, your symptoms don't suggest syphilis, which doesn't start as a pimple.
In any case, the negative blood test results prove you don't have syphilis. Your description is most suggestive of a superficial, non-sexually transmitted skin infection, like folliculitis (hair follicle infection). Probably it had nothing to do with your massage parlor adventure - just a coincidence, nothing more.
If the lesion is persisting, of course see your provider. But don't worry about STD. No realistic chance.
Happy new year-- HHH, MD
In any case, the negative blood test results prove you don't have syphilis. Your description is most suggestive of a superficial, non-sexually transmitted skin infection, like folliculitis (hair follicle infection). Probably it had nothing to do with your massage parlor adventure - just a coincidence, nothing more.
If the lesion is persisting, of course see your provider. But don't worry about STD. No realistic chance.
Happy new year-- HHH, MD
Member Comments (3)
by picante, Jan 01, 2008 04:48PM
To: Dr Hansdfield
Thanks for the information and reassurance. BTW - the escapade was protected intercourse not oral sex. - You may have mixed two forums questions. thanks again and happy new year
by H. Hunter Handsfield, M.D., Jan 01, 2008 05:36PM
, Jan 01, 2008 05:36PM
Oops, sorry for the error, which came from habit. Most massage parlor questions on this forum describe oral sex or hand-genital contact. But it doesn't change my opinion or advice.
