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Avatar universal

Irritation/ rash

Good day,

About 4 weeks ago I was on a tropical resort and had protected sex with woman I met. There was also brief unprotected oral sex performed on me. It lasted a fairly long time.  When I woke up my penis felt raw and a little sore, and within the day a rash started to develop on the penis head. And within less than 24 hours and there was a full rash on my penis head, which was itchy and burning. I went to the resort doctor, who said it was an allergic reaction to the latex condom used. She gave me vitamin a+d cream and oral steroid tablets. Didn't too much except help with the burning a bit. Within the next day my foreskin became pretty swollen as well. 3 days later I returned home and went to see a doctor who thought It was possible an allergic reaction which may have gotten infected by bacteria or fungal and have me cream (canestan and hyderm mix) as well as Cephalexin 500 if the cream doesn't work.

The cream started working right away and within a few days all te swelling was gone as well as the rash and most of the redness/itch/burning. I used the cream for 2 weeks but seemed to stop working after the first few days. I tried 7 day cephalexin after but did not do anything.  It's been about 3 weeks that the meatus and surrounding area of it is still red.  The skin on my penis head gets a little red at times but is generally fine, although seems to get dry and a little wrinkly now ( is this from the cream). I left it alone for a few days but it just stayed the same. It does not really bother me only that there is a very slight burning on the tip once in a while.  I've been to 4 doctors and they are all pretty positive it's not an Sti, but rather a fungal infection or from contact dermatitis.  My Doctor gave me another antifungal cream to try ( kenazole), which I have been using for the past 3 days but hasn't done anything yet.  I've gotten sti and std checks done also and am waiting for the results.


Any advice would be much appreciated.
5 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum.  On occasion we can provide insights which take our clients in a somewhat different direction than their own doctors are gpoing. In your case, even before you mentioned the advice you had received from your own doctors, I had come to a conclusion similar to theirs.

There are no STDs which cause symptoms within a day, or even two of exposure.  On the other hand allergic reactions are famous for causing symptoms rapidly.  These reactions can occasionally become infected (the medical term is "superinfection" meaning that one infection occurs on top of another).  I also agree with your doctors that the most likely culprit here is a yeast/fungal infection of some sort.  We typically prefer to treat such infections with an oral medication called fluconazole, sometimes adding the creams you have received.  You may wish to discuss this with one of your doctors.  

Based on your doctors' assessments and your test results, I would presume that this is not an STD.

Finally, sometimes after an event such as you have experienced, we tend to observe ourselves more closely than we might do otherwise.  In doing so we tend to notice normal variations in coloration, etc. That combined with the healing process may be what you have noticed.

My advice would be to work with one of the doctors that you feel best with and have him/her follow-up.  Sometimes seeing the same person repeatedly can be helpful.  There is little here to suggest that what you are experiencing at this time is an STD

I hope this comment is helpful.  EWH
Helpful - 1
300980 tn?1194929400
MEDICAL PROFESSIONAL
Typically a single dose is sufficient- you then need to give it time to heal.  As I said before however, I think it would be a good idea for you to see one of your doctors again rather than self medicate.  EWH
Helpful - 0
Avatar universal
Great I will look into that. Here in Canada, there is a Difulcan One now available, which is a one pill one time dose. Have you heard much about this compared to say a 7 day dose?

Thanks.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Good questions.

Here in the U.S. I do not believe that fluconazole is available over the counter. There should be no difference if you can get it that way however.

All drugs have side effects but among them fluconazole is quite well tolerated.

Some fungal infections can be resistant to common topical antifungal creams.  The reason I suggested fluconazole is that resistance is rather rare while iti si more common to several of the more widely used topical creams.  EWH
Helpful - 0
Avatar universal
Thank you for your time and advice.  I will book another appointment with my doctor. I just have a another couple questions.

Is there a difference between an over the counter fluconzole such as diflucan and a prescribed fluconzole?
Are there any major side effects to an oral anti fungal?

And lastly is it abnormal that it takes this long to treat a fungal/yeast infection and having to use different kinds of products?
Helpful - 0

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