Please Help Doctor

[reallystressedout]

I would first like to thank you for the work you are doing here.

Here is my problem: Five months ago I had protected oral and vaginal sex with a csw in my home for which I paid $100 for the half hour.This took place on march 25,2008. During the whole time I did have a condom on but my penis was a little limp (soft). At the end of the sex I notice a little bit of vaginal fluid got into the condom (BUT NOT NEAR THE BOTTOM). Six weeks after I did get an HIV test and it did come out negative. I am still concerned. Can you please suggest the next step to do assure myself that I am clear. I have not lost any weight. But have had on and off diarreia but this could be due to me eating takeout everyday. I have had headaces and Fatigue. One other thing is that around the same time around the sex I sparyed perfume in my armpits and they immediately turned red
and a few days later became big brown spots which I still have today. A month ago I did go to a dermatologist hes said it was erythrasma and was 100% not serious he gave me fucidin h cream which hasn't been working .Im going to see him again tomarrow. I have also had a slight dry mouth. But the thing that concerns me the most are are a few these red pimples that are starting to come up on me with white puss in them. I don't know if it could be from the fucidin h cream. Im just hoping its not and hiv rash


1) what are my chances of hiv
2) what are my chances of std's
3) do you think that my erythrasma not curing is something to do with hiv
4) do you think I should take another hiv test. Or do I need an std test
5) what do you thinks of those red dot appering.


Thank you so much,

Aaron

[H. Hunter Handsfield, M.D.]

"Does this change your advice?"  No.

That's all for this thread.

[makingupaname]

I think you should take the good dr's advice and go see a dermatologist.

[reallystressedout]

My last thing I wanted to tell you is that its not just one red dot its about 15 altogether in my armpits and on my shoulders. And that I have been having less saliva in my mouth as usual. This could be from fear though. I also want to point out that this csw did mention something about cystal meth. I dont if she said did it or she was just talking about people she knew. Does this change your advice.

THANK YOU FOR EVERYTHING,
Aaron

[H. Hunter Handsfield, M.D.]

Doesn't change my opinion or advice.  Show it to your dermatologist.

[H. Hunter Handsfield, M.D.]

Three main points before I respond to the specific questions.  First, examination by a health professional, especially a dermatoloist for a skin complaint, is much more reliable than anything an online expert can say based on written description.  Since a dermatologist diagnosed erythrasma, as far as I am concerne, that is what you have.  Second, you had condom-protected sex, both orally and genitally, so you were not at significant risk for any STD or HIV.  There is some theoretical risk of catching something from skin contact above the condom line, but that is rare for any particular exposure.  Third, none of your symptoms suggests any STD or HIV -- not even close.  To the questions:

1) Zero risk for HIV, and the test result proves you weren't infected.  Blood test results ALWAYS are more valid than symptoms in deciding whether someone has HIV.

2) Nearly zero.

3) No.  But follow up with the dermatologist if the rash persists or you otherwise remain concerned.  

4) You don't need further STD/HIV testing.

5) I haven't a clue what the red dot might be.  It doesn't suggest an STD or HIV.  Show it to the dermatologist.

Bottom line:   You are overracting in a big way to a trivial health issue.  Try to mellow out.  Rely on your dermatologist.  But truly stop worrying about HIV and other STDs.

Regards--  HHH, MD

[reallystressedout]

One more thing I forgot to mention is that I have a small little brown dot on my penis.


Thank you Aaron