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STDs  (Expert Forum)
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Need help identifying
Answered by
Edward W Hook, MD - HIV Prevention, stds
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.

Need help identifying

by JasonWSparks, Mar 19, 2008 02:34PM
Hello,

First a bit of background.  I am 22 years old, and have had two sexual partners.  The first, was shortly before I turned 20.  We used a condom, had sex around 3-4 times within a period of one week.  The second was around January 2007 until May 2007.  We had sex often, always without a condom (I regret that now).

Around July to August 2007, I had noticed one or two pimple-like growths in my pubic area.  They had occured about halfway between the base of my penis and my belly button.  I thought it could be acne (I have acne on my face, neck, arms, shoulders), especially after researching that it was possible.  None of these pimple-like things appeared on my penis.  To this date, they are still there.

Just recently, I shaved/trimmed close my pubic hair, and realized I had two wart-like growths.  Neither were actually on my penis, they were just in the pubic area.  Now, I must mention that I have had a problem with common warts in the past.  I have had them off/on on my hands for the past 15 years.

My question, is there a way to identify these, without any formal tests (Confidentiality is hard right now).  If I DO have an STD, is there a way to have sex with minimal risk?  If so, how?

by Edward W Hook, MD, Mar 19, 2008 10:19PM
To: JasonWSparks
The pimple-like lesions you describe are probably a well described case of folliculitis, a well described, non-STD skin infection that is caused by clogged pores.

As for the other lesions, it is tough to make a diagnosis over the internet. You need to see and experienced health care provider.  Your local health department likely has a STD Clinic.  Confidentiality in such clinics is a central part of what they do.  

As far as future sex, condoms are the best protection. Using them will minimize any risk you might have.

hope this helps.  EWH
Member Comments (4)

by JasonWSparks, Mar 19, 2008 10:28PM
To: Edward Hook
I'm in a tough situation right now, and full confidentiality is NOT available.  I have heard through word of mouth about other people's STD's.  I have heard that the doctor said, and I quote, "The cervix was extremely discolored" when talking about someone else.

Since the wart-like lesions are not actually on my penis, and some contact between the area may occur during sex, will a condom actually help?  Will a simple cloth barrier help?  (I could wear my boxers, which will cover the affected area, and have my penis thru the 'easy access' hole in the boxers, with a condom)

Thank you for any help

by Edward W Hook, MD, Mar 19, 2008 10:34PM
To: JasonWSparks
I find it hard to believe you cannot somehow, somewhere find a place to be examined.  Getting tested is critical. What if these are simple moles and not warts?  then your worries are for naught.

As for risk to your partners, the risk of transmission of whatever you might have, based on their location, is very low.  Having sex with your underwear on is not very romantic.  You can take them off.  EWH

by JasonWSparks, Mar 19, 2008 10:44PM
To: EWH
I can find somewhere to get examined, just not confidentially.  Not only that, but blood tests will take longer to get back because of my current location.

To clarify, one of the wart-like lesions is about a 45 degree angle left from the top center of the base of my penis, about 1/4 inch away from the base of my penis.  The other is a 45 degree angle right, about three inches away from the base of the penis.  Just want to confirm that these locations are low risk for transmission.

I will explain this to my partner, and if she wants to have sex, then I will be cautious.  But confidentiality is not an option until later this year.
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