Need some guidance ...
Overall a healthy male (39 y.o.) with no known issues. About four weeks ago, I had a night of indiscretion. It was a one night instant relationship ending just as quickly as it started. It was the first interaction that I had had in four months. We used a condom and I do not aware of any transfer of body fluids.
Later that evening, I questioned the encounter and reacted with extreme hygiene. I showered, soaped, scrubbed, wiped down with an iodine solution, and an alcohol wipe that night. Over the next two days, I repeated the alcohol wipe several times. OK - so a paranoid over-reaction.
At the end of the week, I started burning during urination at the tip and in general the end of my penis burns continuously as if having been freshly wiped down with alcohol again.
Two weeks ago I went to a doctor. As a precautionary measure from the description, he prescribed Cipro and Doxycyclene. Initially the irritation got better, but at the end of the 7 day treatment of Doxycyclene, the burning started back and a little more aggressive.
About that time, I see a small swollen area along the opening of the penis. During an erection, I looked at the swollen tip. It appeared as if a fine patchwork lace of red across the darker flesh tone of the tip. ... back to the doctor.
He prescribed a single dose of Diflucan for Candida yeast. I am circumcised and have never had issues like this one.
As a precautionary step, I have requested a 7 panel STD test from one of those anonymous services. I am waiting the results now; however, yeast or Candida is not one of the screens.
Now my questions -
-Is a single dose of Diflucan typically sufficient to knock out a male yeast infection?
-Are there any detrimental results of adding a vaginal cream like Monistat 7 as a topical treatment?
-Are there any other recommended topical creams that would be more effective than the Monistat 7?
-After reading about Candida and the frequency of occurrence in HIV positive people, can Candida by-products or toxins lead to a false positive HIV screen?
-How would I be able to differentiate between a Candida infection as compared to a possible Enterococcus infection?
-Do both require treatment to be corrected?
... and most importantly ...
Is it likely or possible that my initial over reaction of severe hygiene could trigger a Candida yeast infection even though the tip of my penis was protected by a condom and no direct contact with the woman's genitals?