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Balinitis infection on penis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
User :   Hi Doctor,
I received a handjob after a full body oil massage during my business trip in my hotel. As it was my first time, I had a lot of fear after that - I realised I didn't check the masseure's hands for cuts/blood and neither did I check my penis for cuts/abrasions. And sometimes I tend to have small cuts/abrasions on my penis because of tight boxers/pants. But I have eczema on my backside and usually it bleeds/raw skin. And the masseure did massage my backside during the body massage. I am also fearful if the masseure gave me oral sex which I didn't notice as it was dim and I was like eyes closed and touching her back with her clothes on/waist (naked skin and felt her underwear) / neck /ear and focusing on coming. I am certain I ejaculated onto her skirt or open and not into any enclosed area/mouth.
I did the following tests: 1. Antigen/Antibody - 21 days - Negative
2. DNA PCR - 23 days - Negative
3. DNA PCR - 6 weeks - Negative
4. Antibody rapid - 8 weeks - Negative
I went to meet the masseure again. She confirmed that there was no oral given because it is not something she would like to do either. She confirmed that it was purely handjob with some touching (I touched her waist and felt her underwear when her back was on my arm and she used her breast with clothes on to lean towards my side, and one of her legs went over my leg) before I ejaculated onto her skirt followed by towel. She showed me a medical report which she did 3 weeks post my exposure. She was tested negative for STDs and HIV using blood test. She was willing to go for another blood test which is 2 months post my exposure. I went with her and her manager and the manager will send me the results end of the week. It is antibody blood test and CD4.
As it was very dim and I did not pay any attention during the session, my fear is down to fresh blood on her hands during the handjob and
User :   worried that my small cuts/abrasions were present and active on my penis during that time and also my eczema. Honestly am I at risk? Please advise with explanation.
Lastly, I am a regularly eat supplements and in particular Ganoderma (Lingzhi). I learnt from ewiki and several websites that said that mushrooms inhibit virus and I worry that this may have an impact to my tests. What do you say?
Doctor :   Hi
Doctor :   Dr XXXXXX here
User :   Hi doctor
Doctor :   Let me read what you have typed
User :   ok
Doctor :   May i know your age?
User :   32
Doctor :   How long back was this episode?
User :   9june
Doctor :   Right now what problems are you having in your penis?
User :   what do you mean?
Doctor :   Are there any rashes, cuts, itching, pain or burning?
User :   Before my first DNA PCR test, my wife tried to give me a handjob to encourage me... and after that, I had abrasions on the left side.... that feared me
User :   itching - yes
User :   Burning - no
Doctor :   Any foul smelling discharge present?
User :   no
Doctor :   Is the itching continous or periodic?
User :   periodic
Doctor :   Are you having any problem in intercourse?
User :   you mean ejaculation or ?
Doctor :   Is the Itching present since 2 months itself?
Doctor :   Yes
User :   no problems with ejaculation
User :   regularly I have some itchy
User :   but not like continuous
Doctor :   Is there any itching or eczema on any other body part?
User :   eczema only at my backside (like my anus outside)
User :   then my itchy on my penis is more of like my scotrum
Doctor :   Does it bleed?
User :   my backside - bleeds if I stratch it
User :   or rub on it with a towel
Doctor :   It seems like a penis infection called Balinitis which is due to bacteria, virus or any allergy
Doctor :   Since you are not sure there was any exchange of saliva/cervical/ vaginal fluid
User :   I am certain that there is no exchange of vaginal fluid
Doctor :   Also it can spread through blood
User :   or cervical fluid
User :   because she did not masturbate before the handjob
User :   and she was fully clothe
Doctor :   Ok
User :   and she told me clearly that there was no oral involved
Doctor :   Also it can be any skin infection.
Doctor :   When did she have her tests done?
User :   1.July
Doctor :   Ok
User :   STD and HIV
User :   then I got her to do a HIV and CD4 test on 2.Aug
Doctor :   It does not seem to be any sexual transmission if she did not go for oral job.
Doctor :   Have the results of recent test come?
User :   not yet. I should have them from her manager tomorrow
Doctor :   Fine.
User :   I am certain that she went for the test because I went with her and the manager together
Doctor :   Ok then i do not see it as a problem
User :   why do you say that?
Doctor :   1)For your penis itching i will suggest you to clean your penis regularly with tea tree oil
Doctor :   Because the transmission does not seem to occur.
Doctor :   2)Avoid wearing tight undies.
Doctor :   3)Completely avoid having unprotected intercourse until infection is cured
User :   Doctor, I am concerned if I caught HIV
User :   I am concerned if I am at risk of getting HIV
Doctor :   The main routes of transmission are not present in your case so it does not seem like.
User :   I did my tests - Antigen/Antibody - 21 days, DNA PCR - 23 days, DNA PCR - 6 weeks
User :   do I need to do any more tests?
User :   After I received the first DNA PCR test from the doc, he said "go home and have sex with your wife" and get over it
Doctor :   Also the virus can be transmitted by only 4 routes mentioned above and cannot pass through touching
User :   I did that and after that, I felt very guilty and decided to go for another DNA PCR test
User :   and I did that. Now my fear returns... so I went to indonesia to find the masseure and advised her to do a blood test
Doctor :   You do not require any tests now as they are negative.
User :   Is DNA PCR reliable?...
Doctor :   Yes it is very much reliable
Doctor :   Do not be stressed.
User :   does my supplements affect the results?
Doctor :   No it would not.
Doctor :   Be relaxed now and take care from now onwards.
User :   I am only fear that her hands had blood and my penis has the abrasions (which I got when my wife gave me the handjob)
User :   what are the 4 routes of HIV transmission?
Doctor :   Also if your penile itching is not cured then you got to see the urologists
Doctor :   They are through saliva, vaginal, cervical and blood
Doctor :   But since you got het tested and she is negative then its fine
User :   but she is negative based on 1.Jul test result
User :   and I am negative based on DNA PCR test result at 42 days
User :   are these sufficient?
Doctor :   It may be that masseuers have some bacterial or viral infection present
Doctor :   Yes they are
User :   so assuming my fears are warranted and if I really got HIV, it should have appeared in my DNA PCR test result?
User :   I am tempted to go for another DNA PCR test (today is 8 weeks)
Doctor :   Of course these tests are very much reliable.
Doctor :   You already have done these tests no need to worry
User :   ok. cos I am so scared of getting HIV and scared that I have transmitted to my wife (cos the doctor advised me to move on after the first DNA test)
Doctor :   No need to be panicky
Doctor :   Be relaxed and be cautious from now onwards.
Doctor :   All the best.
Doctor :   Take care and enjoy with your wife.
Doctor :   Thanks for consulting me, bye for now.
User :   wait...
Doctor :   Tell me
User :   I am happy to move on if I am really free of HIV risk
Doctor :   Yes move on
User :   I got the massage lady to do her test on 2.Aug (which is approximately 2 mths from my exposure)
User :   so her results is really negative (probably I will receive it tomorrow)
Doctor :   Ok
User :   I believe I should be 100% fine right?
Doctor :   Yes you can
User :   because if she had a prior exposure, it should have show in her 2.aug test
User :   I got her to do the antibody blood test + CD4
Doctor :   Even if she had prior HIV she would have shown up in previous report
User :   they don't have DNA test in that part of indonesia
Doctor :   Ok
User :   I was only worried that she had prior risky activities during the month before 9.jun
Doctor :   If she had some infection it would have come up in report.
User :   anyway, I believe she is honest otherwise she won't make an effort to show me her 1.Jul report + she won't be willing to go for the second test
Doctor :   Most people develop detectable HIV antibodies within 6 to 12 weeks of infection.
Doctor :   So if they would be there it would have come up
User :   ok. lastly, back to DNA PCR test, when is it really reliable?
Doctor :   Its not that she would have suddenly developed this infection.
Doctor :   It is always reliable.
User :   I mean I took it at 3 weeks and then 6 weeks.
Doctor :   Yeah it is fine.
Doctor :   No need to go for other test.
User :   don't need to do any antibody test?
Doctor :   It is more reliable then antibody test so no need to
User :   may I ask from which week it is reliable?
Doctor :   As early as 4 weeks
Doctor :   And you already got it done as 6 weeks
User :   ok. my first doctor initially told me that I am not at risk
User :   and don't need to do any tests at all because of handjob
Doctor :   Ok
User :   but I was worried because the situation was dim. I am 100% certain that there was no mutual masturbation, no kissing and no intercourse
Doctor :   Then it is fine
User :   but my fear is only about blood present (of course I am certain she didn't use her mensus blood because she was fully clothe and there was no mutual masturbation)
Doctor :   I have already explained that infection cannot spread like this.
User :   ok then. I will try to move on
Doctor :   Yes you should
User :   and won't go back for more tests
Doctor :   Be careful from now onwards.
User :   I will
Doctor :   TC
User :   thanks
User :   can I return back to my wife?
User :   btw, why did you ask if I had smelly discharge?
Doctor :   Yes you can
Doctor :   Te rule out the infection
User :   HIV or STD?
Doctor :   NO
User :   then what infection/
User :   ok
User :   understand
User :   thank you
Doctor :   Thanks for consulting, plz provide the feedback
User :   ok
Doctor :   Bye
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