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STDs, worried about herpes - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   hi,
Doctor :   Hi
Doctor :  
User :   I have an issue and doubts which is making me nervous for the past few months
Doctor :   how can i help u ?
User :   I am worried of STDs overall but these deases specailly with Herpes ..
User :   let me explain as I explained before to some other doctors in this site will let me take ur opinion as well . .
User :   I had a sex with a sex worker last year in june .. this was in malaysia .. however all the activities condom was used .. oral and vaginal sex .. I am 100% sure that the vagainal the condom had no leaks, no slip, etc ... the oral one I wasnt really looking so to be hones I am not sure .. anywayz, after a month of that I had frever for few days and sore throat for 4 - 5 weeks. Took three different types of antibiotics until it got cured .. since then I been having very mild fever and sore throat almost every month but every time milder and milder .. for Dec and this Month it was even without fever and it was only for 2 days
User :   now this is about the fever and sore throats.
User :   about my gential area I been notcing strage things which is my MAIN concern these days now
Doctor :   please understand
Doctor :   STD and ur sorethroat are 2 diffreent matter
Doctor :   one is due to pharyngitis which heals with a course of antibiotics
User :   but I was reading on net that after a month of a sexual intercourse you may get fever, sore throat as an early symptons of HIV and sometimes a sign of Herpes ..
Doctor :   please do not refer to the internet to diagnose yourself
Doctor :   if u can diagnose urself on the net, then the internet also gives u knowledge about treatment too
User :   I also done full STD test including HIV forth genration test (p24 + antibody test), Heptatitis B, C , Syphills, etc .. all showed negative but this was after only a month of the intercourse ..
Doctor :   in cause u have lesions on your genetalia, u need to get urself examined by a physicain
User :   I am worried of the window period in here as it was one month only
User :   in my gential I have like a bit of white skin which is bit itchy and red spots for now about two and half months
User :   what these can be
Doctor :   for a proper diagnosis u beetter see a doctor face to face
Doctor :   i cannot discuss your problems without having a look at the problem in the first place
User :   can't I just send u the pictures ..
User :   so you can have an rough idea
User :   just to give me idea what it can be
Doctor :   u can send it to
User :   ok one sec
Doctor :   i will have a look and send u a reply within 24 hrs at your email ID
Doctor :   send it to
User :   ok I will do that ..
User :   ok now in regards of window period
User :   is one month test for HIV with p24 and antibody is enough
User :   I did after a month p24 + antibody also I did antibody only after two months
Doctor :   yes
Doctor :   they are enough
User :   because I was soo worried (sorry maybe I am reading too much internet) but they were saying like 3 months, 6 monts, etc
User :   but then I was checking some medical journals published ..
User :   which it had some topics about p24 and how accurate that can be and the duration can change to one month window period hmmm ..
Doctor :   PLEASE UNDERSTAND , studies are diferrent
User :   I didnt get u
Doctor :   most testa like elisa are 100 % sensitive and are very accurate
User :   so you mean that if someone had sex and did the test even after a day or two they should be able to find out if they have hiv or not via ellisa test
User :   I mean like no window period thing that people are talking off
Doctor :   within a day or two, no tests can give a correct diagnosis
Doctor :   PCR - needs atleast 1 week for a correct diagnossis
Doctor :   ELIsa - NEEDS 24 DAYS to 6 weeks for a correct diagnosis
Doctor :   once u have been tested, and u have been tested negative and u r no symptomatic, u need not worry
User :   ok I got you .. what are the symptons of herpes ..
User :   does herpes makes the part infected of ur gential area itchy and a bit white ..
Doctor :   oral multiple ulcers
User :   and those white drops slowly
Doctor :   no
User :   I am referring to HSV2
User :   because what is happening to me that small small small white skins
Doctor :   multiple painful ulcers in the gentalia, preceded by vesicles
User :   drops if I rub them with my fingers they go .. ..
User :   and then I see like a think layer of the skin is gone
User :   so it is bit red ..
User :   and then it slowly recover (by creating a new skin)
Doctor :   in case u have itching, u may be having dermatitis due to dryness
Doctor :   this is absence of hydration or over indulgence in masturbation , etc
Doctor :   are u there ?
User :   hmm ic ..
User :   ok the best I guess to email .. wouldnt be possible doctor if I email you know
Doctor :   just use some K Y Jelly
User :   now
User :   so you have a look
User :   in order we sort this issue now
Doctor :   you can email, and once i have a look,
Doctor :   i will give u a reply
Doctor :   it will take some time for me to analyse and give u a reply
User :   ok finaly, do you think I should put on it Miconazole
User :   or you know lets leave it
Doctor :   no
User :   yep
User :   ok the best I think you have a look
Doctor :   you should get a proper diagnosis before initiating the treatment
User :   Doctor, I am doing it this way as you dont know how hard will be for me to go to a doctor in the country I live and tell them what I am telling
User :   so u r my hope
User :   and in regards I had a condom on me . shall I wory much about Heptatiis (B, C) and Syphills
Doctor :   no
Doctor :   not at all
Doctor :   just relax
Doctor :   and u will be fine
User :   ok perfect .. it looks like it is something minor and I can start thinking of marriage :)
User :   even you know doctor I started thinking not marry and live with what i have
Doctor :   yeah
User :   so no one gets anythign I got
User :   I did a mistake in my life .. :( but learnt a lesson from it ..
User :   anyway, I think I am talking non sense .. thanks doctor .. let email u all the pictures .. shall I add in the subject ur name .. so u know it is for u
Doctor :   ok
User :   and please get back to me ...
Doctor :   thanks
Doctor :   i will send u a reply within 24 hrs
User :   ok no problems ... will wait for ur reply
User :   thank you .. bye ..
Doctor :   take care
Doctor :   bye for now
User :   sent you the files in the email ...
User :   bye
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