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Can Herpes Test Detect HIV?

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Posted on Thu, 26 Oct 2017
Question: Hi Doctor,
if a herpes test is conducted does it look for hiv too?The reason I am asking this question is because I have a small boil on my penis meatus. The doctor initially could not see it hence gave me those prescriptions. Today he prescribed Fusibact B cream and XXXXXXX Flam 50 mg since it is two weeks now and I have this burning sensation on the tip of my penis. No discharge or any sort of pain. In addition I did have a massage two weeks back where I was completely naked and the lady gave me a hand job which resulted in me ejaculating. The next day I had sex with a sex worker and used a condom. I checked the condom after sex and there was no tear, please advise on my query.
doctor
Answered by Dr. Dr. Kakkar (42 minutes later)
Brief Answer:
Regarding your complaint related to STD screening and meatal burning

Detailed Answer:
hello. Thank you for writing to us.

I am Dr. Kakkar (Dermatologist & Venereologist). I have gone through your query and I have noted your concern and i have also viewed the image.

A blood test for Herpes does not automatically test for HIV unless specifically requested for. The nature of physical contact that you mentioned does not pose any risk of HIV as a condom provides good enough barrier against transmssion of HIV as well as gonorrhea and chlamydia. Risk of HPV, syphilis and genital herpes though reduced is not entirely prevented by a condom. A handjob is entirely safe.

The meatus looks pretty normal to me in this image. Perhaps it is a little inflammed from harsh cleaning/ soaps etc. I suggest a urine routine microscopy to rule out a urinary tract infection and advice you to use just plain lukewarm water to clean the area. Avoid soaps etc.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Kakkar (21 minutes later)
I did a urine test and a urine culture test and both came normal.

What could be the cause of the burning sensation?

In addition in the picture do u notice a small boil on the meatus of my penis. Are these any signs of any STD?I have added a new pic highlighting the small boil
doctor
Answered by Dr. Dr. Kakkar (45 minutes later)
Brief Answer:
Doesn't look like an STD

Detailed Answer:
Thank you.

The meatus looks pretty normal. Perhaps a little inflammation which may be due to soap etc otherwise those are normal meatal lips. Doesn't look like any STD. Infkammatio. of anterior urethra/ meatus due to an STD usually presents with discharge and/ or pain and meatal swelling/ edema. Also it is highly unlikely that genital herpes would present with just burning sensation on meatus that would continue for 2 weeks but without any visible sores or pain.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Kakkar (29 minutes later)
The problem is when I wear an underwear or trousers the tip of the penis meatus touches the clothing and that makes me very uncomfortable in addition to the burning sensation. The feeling is similar to a cut/wound on any part of the body and when the clothing touches it. I hope you can gauge the feeling I am trying to say.

Do I need to see a dermatologist?
Do I need to continue with Fusibact B cream, after applying on the meatus it give a burning sensation, today is the first day I applied it after the doctor prescribed it.

What do you recommend in addition to avoiding soaps?
I re sent a pic of the penis highlighting the boil did u re look at that boil, apologies with my number of questions.
doctor
Answered by Dr. Dr. Kakkar (16 minutes later)
Brief Answer:
Continue with the cream

Detailed Answer:
Hi.

I feel that you should continue with the cream prescribed by your physician for a few days. The reason it burned a little on first application is because that area is already inflammed. This cream is a combination of topical steroid and topical antibiotic and is a good empirical choice based on your symptoms that are not very specific to a particular cause. The burning sensation could be because of inflammation due to trauma, irritants, friction/ rubbing against clothing etc. No specific precautions other than avoiding soap.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Can Herpes Test Detect HIV?

Brief Answer: Regarding your complaint related to STD screening and meatal burning Detailed Answer: hello. Thank you for writing to us. I am Dr. Kakkar (Dermatologist & Venereologist). I have gone through your query and I have noted your concern and i have also viewed the image. A blood test for Herpes does not automatically test for HIV unless specifically requested for. The nature of physical contact that you mentioned does not pose any risk of HIV as a condom provides good enough barrier against transmssion of HIV as well as gonorrhea and chlamydia. Risk of HPV, syphilis and genital herpes though reduced is not entirely prevented by a condom. A handjob is entirely safe. The meatus looks pretty normal to me in this image. Perhaps it is a little inflammed from harsh cleaning/ soaps etc. I suggest a urine routine microscopy to rule out a urinary tract infection and advice you to use just plain lukewarm water to clean the area. Avoid soaps etc. Regards