HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Red Dots On Penis After Unprotected Intercourse

default
Posted on Thu, 7 May 2015
Question: Hi Feb 7 I had unprotected sex with a female friend who claim that she has been tested and is clean. Three weeks later I noticed red dots on the tip of my penis and I went to the emergency room. It was diagnosed as balanitis fungal and was given a cream to apply, but was also given medication for gonorrhea and chlamydia. At 33 days I went to see my urologist and he confirmed the original diagnoses and ordered a full panel of STD testing including a 3rd generation HIV test. He said he doubt that would have caught anything serious.

About a week later I was given the results and everything came back negative. I was still very scared and having tons of anxiety around 6 week and lost my appetite and dropped some weight I believe do to some of the stress of this situation. I bought some additional HIV testing and took them at 7 weeks or 49 days after possible exposure. The tests I took at 7 weeks was the HIV 1 RNA QL TMA (which I was told that 28 days the results are 99% accurate and conclusive) and the HIV 1/2 Antigen/Antibody, 4th generation W/RFL HIV AG/AB, 4th Generation (which I was told is 97% to 99% accurate at 7 weeks and would be conclusive at 12 weeks). Both test came back negative and I was also told that the 4th generation test confirms the results of the HIV RNA test and have nothing to worry about and that I am HIV negative. I am still freaking out and having stress hives on my legs and sometimes on my forearms only that appear quickly and are gone right away like 5 to 30 mins. This was a huge mistake and I want to make sure I am okay. Can someone please assist me?
doctor
Answered by Dr. Bharatesh Devendra Basti (4 hours later)
Brief Answer:
Chances of HIV is almost nil. Allay fears.

Detailed Answer:
Hi XXXXXXX
Thank you for the query. I am Dr Bharatesh D Basti answering your query.
Welcome to health care magic. I have gone through the details and can make out your anxiety.

Hiv1 PCR is negative after 7 weeks.It is >99.5% sensitive after 10-12 days of exposure. It detects the RNA part of HIV1.So you can totally allay fears of HIV1.HIV 1 is the most common type.

HIV2 is very rare in certain parts of world like XXXXXXX countries or if exposed to person of XXXXXXX orgin.So it is very unlikely.The chances are nil.
Moreover 4th generation tests detects antigen and antibodies( to HIV 1&2).Usually antibodies are formed by 2-6 weeks .In few individuals it may take until 12 weeks.So unlikely to come Positive for HIV2 later.
The symptoms of weight loss may be due to anxiety or stress.Just relax, have a protein rich balanced diet.
Hives is due to allergy and is not specific to HIV.

The chances of HIV is nil.I would anyway suggest you to go for antibodies test after 12 weeks to be totally conclusive.
You can allay fears of HIV.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venerologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Bharatesh Devendra Basti (13 hours later)
So the HIV RNA test will pick up the virus at 7 weeks if there is any virus in your system and the combo test confirm the RNA test the HIV 1 is not in my system? Would these results change at all 5 weeks later for HIV 1? I should test again for HIV 2 at 12 weeks to confirm the results? So the Hives that i have been having are not related to that and just stress?
doctor
Answered by Dr. Bharatesh Devendra Basti (48 minutes later)
Brief Answer:
Test after 12 weeks is for HIV 2 and reconfirm HIV 1

Detailed Answer:
Bi
Thank you for follow up query.

Yes the combo test will reconfirm the RNA test.They confirm by detection of antibodies. They detect HIV 2 as antibodies too but are confirmatory after 12 weeks.
The symptoms are non specific and can be due to any allergy or infection.
The chances of tests coming positive after 5 weeks is almost nil.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Bharatesh Devendra Basti (25 minutes later)
These are how the Hives look. The literally disappear as quickly as they appear. Is there any reason to be alarmed by these and it berelated to HIV or more stress and anxiety? It was a mistake when i sex with that girl, a one time thing. I will be getting married soon. Do i pose any serious health issues to her? She wants to hve kids right away. Will i be okay?
doctor
Answered by Dr. Bharatesh Devendra Basti (21 minutes later)
Brief Answer:
Better to go for conclusive tests

Detailed Answer:
Hi
Thank you for follow up query.
They do appear like hives.They are not related to HIV.
The chances of HIV is almost nil.But it may be better to go for conclusive tests to be on safe side.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
default
Follow up: Dr. Bharatesh Devendra Basti (9 hours later)
So the RNA test and 4th generation is conclusive at 7 weeks but just get additional test? The odds of those results changing in 5 weeks after those two test is basically 0. Is that correct? But have another test just for piece of mind at 12 weeks? Would it be a waste if i do the test again at 10 weeks? Can i relax i have so much anxiety over this?
doctor
Answered by Dr. Bharatesh Devendra Basti (1 hour later)
Brief Answer:
Conclusive after 12 weeks.

Detailed Answer:
Hi
Thank you for follow up query.

The test is almost conclusive.The odds of test coming positive 5 weeks after the last test is almost zero.Go for test to be conclusive after 12 weeks.
It would be waste to go for tests again at 10 weeks.
You can relax for now.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Bharatesh Devendra Basti

Dermatologist

Practicing since :1998

Answered : 1764 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Red Dots On Penis After Unprotected Intercourse

Brief Answer: Chances of HIV is almost nil. Allay fears. Detailed Answer: Hi XXXXXXX Thank you for the query. I am Dr Bharatesh D Basti answering your query. Welcome to health care magic. I have gone through the details and can make out your anxiety. Hiv1 PCR is negative after 7 weeks.It is >99.5% sensitive after 10-12 days of exposure. It detects the RNA part of HIV1.So you can totally allay fears of HIV1.HIV 1 is the most common type. HIV2 is very rare in certain parts of world like XXXXXXX countries or if exposed to person of XXXXXXX orgin.So it is very unlikely.The chances are nil. Moreover 4th generation tests detects antigen and antibodies( to HIV 1&2).Usually antibodies are formed by 2-6 weeks .In few individuals it may take until 12 weeks.So unlikely to come Positive for HIV2 later. The symptoms of weight loss may be due to anxiety or stress.Just relax, have a protein rich balanced diet. Hives is due to allergy and is not specific to HIV. The chances of HIV is nil.I would anyway suggest you to go for antibodies test after 12 weeks to be totally conclusive. You can allay fears of HIV. You can get back for any clarification. Thank you Dr Bharatesh D Basti Dermatologist and venerologist