Brief Answer:
List for STD screening

Detailed Answer:
Hello,

There is nothing specific to say about symptoms of STD's in your description.
Since it was a high risk encounter you may get screening test for all STDS even though it is more than 40 days since the encounter. There is an standard list of tests available at any lab for STD's. You may go ahead with that. The list includes the following:

VDRL for Syphilis
IgG antibodies for Gonorrhoea
ELISA for HIV
Antibody for Hep B
Antibody for Hep C

Hope this answers.

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Brief Answer:
Lab tests

Detailed Answer:
Hi XXXXXXX

1) What's your gut feeling on this issue? could I have std or herpes? i can send you the picture of the bump on my scrotum.. may be that will give some idea.. how to share the picture?

MAY NOT BE STD. YOU CAN UPLOAD A PICTURE OF THE SAME. ALSO LET ME KNOW IF YOU HAVE DISCHARGE FROM PENIS, BURNING URINE, BODY ACHES


2) I read that there are two types of hiv (1 & 2).. will elisa cover both?
i also read elisa will be useful only 3 months after the encounter as antibodies are produced only after months.. is that true for all antibodies test as well as elisa? is there a better test available to detect it before 3 months?

ELISA FOR HIV COVERS BOTH. ELISA CAN BE TESTED FROM ONE MONTH OF EXPOSURE, the 90% antibodies shall form by then. At 3 months at least 95% form.

3) What about the tests for Herpes 1 and 2? again i read lgg mayn't be useful before 3 months and lgm mayn't be reliable.. is that the case? is there any test to detect it before 3 months?

THE STD PANEL HAS ALL THE RELEVANT. HERPES ANTIBODIES ARE PRESENT IN MOST OF US EVEN WITHOUT SYMPTOMS THAT MEANS EVEN IN LOW RISK PEOPLE, SO YOU WILL HAVE IT AS WELL. TESTING AND THEIR INTERPRETATION IS A SPECIAL SKILL.

4) NAAT test for Chlamydia, gonorrhoea - I read about nucleic acid amplification testing (NAAT) test for chlamydia & gonorrhoea. how reliable are the tests? are they done in Bangalore? if yes, could u share the hospital details?

YOU DO NOT NEED THESE AT THIS TIME.

5) Could you pls give me the exact test names (as you write in prescription) so I can use this as prescription for the tests?

STD PANEL OF TESTS IS WHAT WE WRITE. IT COVERS
VDRL for syphilis
HIV 1 & 2, Antibodies Screening test
HSV 1 & 2, IgG & IgM
Chlamydia trachomatis IgG Antibody
TPHA

6) Dr Lalpathlabs XXXXXXX - am planning to go to them for the tests.. what's your opinion on them? do you have any other suggestions on reliable hospitals which do accurate testing for STDs in Bangalore?

Dr Lal Pathlabs is good. Please go ahead.

Thank you.

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Brief Answer:
NO Testing further, its hair follicle infection.

Detailed Answer:
1) I did all the blood tests except TPHA and Chlamydia trachomatis IgG Antibody. I received the reports except for HSV. Please do review the reports and let me know whether I need to be concerned about something.


ALL TESTS DONE WERE NORMAL AS EXPECTED.

2) TPHA:
is this test for Syphilis? since vdrl (which i guess is for the same std) is non-reactive (which i believe means not positive), do i need to get this done?

NO IT IS FOR TREPONEMA. NO NEED TO RETEST. VDRL IS FOR SYPHILIS AND IS FOUND NEGATIVE

3) Chlamydia test:
do i need this?

NO NEED TO TEST AS ABOVE

4) Azithromycin
After having that encounter on XXXXXXX 26, I took Azithromycin 500mg for 5 days,.. would that have cleared any bacterial infections such as Chlamydia or gonorohea I could have had?

YES YOU COULD HAVE WITH AZITHRO

5) HPV test & Vaccine:
is there any test to detect this? I heard that there's a vaccine for this. Could you please prescribe the exact vaccine for this and also the dosage and number of times I need to get this vaccine? also please let me know where it is available

6) HSV:
I will get the test reports for HSV only next week. will share it next week.
you mentioned about most of the people having Herpes. can it spread to people through non-sexual means? How serious is Herpes as a disease?

DO NOT WORRY, JUST SHARE REPORT AFTER A WEEK

7) Pictures of bump on scrotum earlier and now:
The bump burst with some pus (if i remember) day before yesterday and have become much smaller..
I have enclosed pictures of the painless bump on the scrotum earlier when it was visible (before it burst) and now..
Does it indicate of Herpes or hpv or chancroid or anything other STDs?

IT IS NOT STD IT LOOKS HAIR FOLLICLE INFECTION HEALING. IT HEALED WITH AZITHROMYCIN WHICH IS VERY STRONG ANTIBIOTIC

8) Symptoms:
except this painless bump, i don't have any other symptoms such as painful during urincation or pus discharge from penis, body pain, fever, etc.. but i have sore throat today and having cold for last few days..

ALL THE BEST, NO NEED FURTHER TESTS. DO NOT REPEAT SUCH ACTS IN FUTURE. YOUR PANIC THIS TIME SHOULD TEACH FUTURE.

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Brief Answer:
You do not need medicine

Detailed Answer:
1) Hair follicle infection

It was healing pictures. I checked all of them the last ones were healing. So do not need to take any more pics

2) Yes you can marry. As I said Herpes is there in all of us practically. It does not hinder the wedding. The transmission of Herpes is not known in some people they were out of marraige relationship.

3) It simple you did not acquire STD.

4) you can take vaccine for typhoid, hepatitis A, Tetanus.

Regards

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