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STDs, test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2393 Questions
User :   Hi, I have a question in regards of HIV specifically and overall all STD deases. My question is which STD I can say I can elimiante from the list and which I should do a test to make sure I dont have it.
My story is that I had a an sex with a sex worder (condom where used) around 7 months ago. I been having fevers and sore throat couple of times within these months. I noticed some red bumps two months ago around my public area which there were around 10 - 15 but now I got 4 left. They are not going don't know why. Also, around the sharft of my penis the skin is bit whitish more like crusted maybe.
I done HIV duo test the forth genration after 4 weeks of the intercouse (p24 + antibody) and I did basically all the other test for the common STD infections. However, this was after 4 weeks which makes me worried of the window period.
I also done again after 8 weeks HIV (antibody test only) and Hepatitis B test. All test results were negative.
Can you please advise if I am fine after these test or still I should do the tests again? Some today me that HIV test with the forth genration test one month window period is enough.
second question I got is what are these red bump can be and the bit whitsh crusted skin. those red bump they are not buring or itchy. They are basicaly just there maybe the witish one is bit itchy.
I basically have these two questions. Please let me know if anything also you think I should know.
User :   : Hi, I have a question in regards of HIV specifically and overall all STD deases. My question is which STD I can say I can elimiante from the list and which I should do a test to make sure I dont have it. My story is that I had a an sex with a sex worder (condom where used) around 7 months ago. I been having fevers and sore throat couple of times within these months. I noticed some red bumps two months ago around my public area which there were around 10 - 15 but now I got 4 left. They are not going don't know why. Also, around the sharft of my penis the skin is bit whitish more like crusted maybe. I done HIV duo test the forth genration after 4 weeks of the intercouse (p24 + antibody) and I did basically all the other test for the common STD infections. However, this was after 4 weeks which makes me worried of the window period.I also done again after 8 weeks HIV (antibody test only) and Hepatitis B test. All test results were negative.Can you please advise if I am fine after these test or still I should do the tests again? Some today me that HIV test with the forth genration test one month window period is enough.second question I got is what are these red bump can be and the bit whitsh crusted skin. those red bump they are not buring or itchy. They are basicaly just there maybe the witish one is bit itchy.I basically have these two questions. Please let me know if anything also you think I should know.
Doctor :   Hi,
User :   hi
Doctor :   ,
Doctor :   Let me read your query for few minutes to be able to have a good discussion here
User :   I copied my story and situation .. sure take ur time
Doctor :   ok, i had been through
User :   so what do u suggest ?
User :   do you think I am safe from STD ..
Doctor :   At first , do not again test for HIV , i think there is no need for it , as P24 test is one of the sensitive and will show result after one month of exposure
User :   thats good news :)
Doctor :   and the whitish crusted lesion you mentioned could be a Fungal infection , if you still have it then apply Micanazole oint
User :   how about other STDs I mean Hepatitis B and C
User :   ic
User :   can I get Micanzole oint from pharmacy
User :   or I need docotor prescription
Doctor :   If you have got tested Antigen and Antibody test for Hepatitis then need not worry in that aspect too
User :   let me check which test I done exactly one sec
Doctor :   yes, Micanazole is an OTC , need no prescription
Doctor :   yes, i wil wait
User :   for Hepatitis B I done MEIA test
User :   Hepatitis B "s" Ag Interpretation
Doctor :   proceed
User :   hmm dont know if this make sense just checking my report
User :   HBsAg (serum)
Doctor :   ok,
User :   and hepatitis c I done HCV Abs (serum)
User :   for Hepatitis B I done it twice ..
Doctor :   ok, are both negative ?
User :   after a mont and after two month .
User :   yes all my test resutl were negative
Doctor :   then , its again clear
User :   perfect so the window period is enough for this duration .
User :   nice :) ..
Doctor :   you do not have the infection , as these tests are very sensitive and pick even old and infections still not evolved completely
Doctor :   yes,
User :   ok in this case the main thing i need to do now get the cream for the fungal infection and see if it will go ..
Doctor :   yes, it will work , keep the area clean and apply the oint twice a day
User :   sorry I am asking to much just too many question .. you are really ansering my questions .. if we exceed whatever time is set I will pay anything I have to pay
User :   ok this is for the fungal infection .. and the witish thing
User :   how about those red bump are these also I apply the cream on them
Doctor :   I am here to answer you , please feel free
User :   so do you think also those red bump is because of the fungal infection
Doctor :   yes, the same , i suspect them to be folliculitis , first get rid of the fungal infection , then for sure you will get clearence about the red lesions
User :   ic .. in the test result I got positive in my urine test Epithedial cells
User :   does this mean something or i have to do something aobut it .
Doctor :   no,
Doctor :   oint will suffice
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   hi again,
Doctor :   hi, i am here
User :   sorry my time was finished I subscribed for the monthly one .
Doctor :   fine , proceed
User :   can fungal infection be from sex
User :   or it is from cleaness
User :   I mean where it comes form ???
Doctor :   its due to lack of hygiene
Doctor :   mainly from the clothing and the water used to wash the parts
User :   ic ..
User :   really ???
User :   so do I need ot change my clothes maybe or the washing machine or something
User :   I mean what steps I should take to prevent it
Doctor :   it would be good to dip them in antiseptic solutions like DETTOL after being washed
User :   ic ok I guess you answered all my questions .. I just got one last quetion .
Doctor :   yes , please
User :   when I did the STD test it showed in my test
User :   postive Epithelial
User :   what does this mean ?
Doctor :   thats very much normal
Doctor :   the epithelial cells are the outer lining cel later of al most al; tissues in the body
User :   ic .. thats good .. ok then I guess then I dont have HIV or Hepatitis so the worry can be zero ... ooo doctor you dont know how worried I was ..
Doctor :   sorry ignore the last line
User :   in many website they put window period 6 months
User :   or 3 months
User :   but then
Doctor :   i will retype for you again
User :   I did a lot of research and I figured out about the due test ..
User :   so I was thinking that antgin is senstive but I wasnt sure ..
User :   hm retype ??
Doctor :   the epithelial calls form the outer most cel layer of major number of tissues in the body
Doctor :   daily shedding of those cells is normal in normal renovation process hence you can see those cells in the urine stool and many other body fluids hence positive epithelium
User :   yep .. so this I souldnt worry .. thanks a lot doctor .. just to confirm before I leave you and stop botherin you .. HIV duo test (p24 + antibody) one month is enough and I am 100% save from it
Doctor :   yes,
Doctor :   and you are not bothering me , i am here to help you
User :   it is my bed time and you confirm my releave .. thanks a lot doctor .. I can sleep tonight happily
Doctor :   please feel free and clear all your doubts
Doctor :   Thanks for consulting me
Doctor :   kindly provide your feedback
User :   what I am planning to do is get the cream you told me about for the fungal infection oo yeah how many days I should use it
Doctor :   use it for a minimum of 1 week
User :   sure I will do provide a feedback ..
Doctor :   do not stop if the infection is g0ne
User :   ??
Doctor :   continue for 5 mare days if the infection persists after a week
Doctor :   more*
User :   ok I will do that and shal I put on the red bumps as well
User :   or only on the whitish crusted one
Doctor :   yes,
User :   okz
Doctor :   on the red lesions too
User :   thanks doctor .. u been very helpfull . I will provide for sure for you a great feedback
Doctor :   you are welcome
User :   if it didn't go I will contact you again
Doctor :   Bye for now
User :   bye ..
User :   is there a way I contact you again
User :   not someone else
Doctor :   yes, same time everyday expect wed and thursdays
Doctor :   Ask for
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