hiv, penis pain, confusion

[bikebmw]

This is my second question to the forumn.  I know the rule that you can only submit 2 questions to any one forumn in 6 months.  I'll abide by that.  You responded but here is the followup and its not good.


At the end of September I received brief oral from a female I dont know.  I latter found out she has hpv.  I tested negative for gonneria, clymidia and Syphillis 4 weeks latter.  Since then I have seen my provider because of sinus problems.  He prescribed doxyciline for 14 days, which I am currently taking.  Yesterday I returned to Dr with a white slightly raised mark on the head of penis.  I told him also my penis on the outside just feels irritated.  He looked at it and  said it was nothing, or an oil gland.  I picked at it and now its blackish.  It never popped.


To add confusion I have a regular girlfriend whom on occasion I have unprotected sex with.  We have been together for two years. She has been tested for hiv several times.  She says she is checked for other stds at het annual.


My concerns are maybe this women I didn't know well gave me hpv and another std.  Would the doxy (given for sinus probs, two times daily for 14 days) conquer most stds?  I have been tested with this one time partner for hiv at 4, 6, and 9 weeks.  They all were negative rapid hiv antibody tests.  In addition this one time partner claims she hasn't been with anyone other then me since the second week in July.  I then went back and was tested again at 10 weeks.


1. My concern is that my penis still feels discomfort.  (Mark still there)


2. Would both I and my one time partners hiv tests be skewed by the fact that she has hpv?


3.  would being coinfected with MORE then one std ( such as syphilis, gonneria, hpv, herpes, etc) lengthen the hiv window period?  This is my bigest concern!


4.  Wouldn't having one or more stds increase my hiv risk?


4.  Do I need more hiv testing.

Please help.


Thanks

[Edward W Hook, MD]

Whether it is HPV or not, you clearly do not have HIV.  You've been told this before.  Having warts does not change this.  EWH

[bikebmw]

Please just provide your final thoughts.  As you can see above, I am scared.  Dr said its hpv.

[bikebmw]

I followed up with a urologist today.  He looked at the sore on my penis shaft / foreskin area and said that it looked like a probable genital wart.  He prescribed liquid condalux (I believe that's how you say it)  he said its not a big deal.

I immediately went and had another rapid hiv test.  It was 77 days post exposure.(approx)  The results were negative.   The girl of concern tested negative 75 days from our exposure.She said it was 4.5months from the last guy she was with before me.  Her results negative.

Considering this new "wart twist" do I need more testing??? (Risk was unprotected oral)  I feel dirty.  

Thanks and have a good weekend.

[Edward W Hook, MD]

This is the correct dose of doxy for STD treatment too, not that you need it.

Yes, you do understand me properly.  EWH

[bikebmw]

Thanks for your response.  Two additional points:

1. The doxy is 100 mg

2. Thanks for confirming that having multiple stds at once doesn't affect the hiv window period or test results.  Am I understanding you properly?

I know after this you will have no further comments.

***I am returning to my therapist on Monday and will print this out.

[Edward W Hook, MD]

Welcome back to our Forum.  This time I picked up your question.  In preparing to answer your question I reviewed your earlier interactions with DR. Handsfield, on the International HIV Forum and on the HIV Prevention Community site.  My answers will only confirm and support the advice you have already received on multiple occasions- your exposures did not put you at risk for HIV, there is no reason to worry about STD, the doxycycline you are taking would have cured most STDs, had you had one.  Thus I have come to the conclusion that you are really fixated on these exposure and perhaps as a result of guilt and resulting anxiety, are having trouble letting this go.  I will try to address your questions but I really think your time would be better spent working through this with a counselor or someone with similar expertise.  With this as a general reply, I will briefly address your questions:

1.  As i have said to others in the past, sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned.  This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  You have been examined and trained health care providers have found nothing of concern.  I suspect your worries are a contributor to your situation and that licking at your genital and areas of concern will just make this more of a problem.

2.  HPV infection has absolutely no influence on HIV test results.

3.  Again, absolutely not.  You need to believe your negative HIV test results.

4.  Only if you had genital-genital or genital-anal contact.  

5.  No, no more.

I hope my comments will help you to move forward although if your recent behavior on Med Help sites is any indication I am not confident that this will be the case.  Your anxiety over this appears to be becoming pathological.  I would urge you to address your unfounded anxiety.  EWH