Hello,
Thanks for posting your query.

I agree with your urologist as from the photographs, STD’s like syphilis should be ruled out. Syphilis is a sexually transmitted infection caused by Treponema pallidum. The symptoms start with a sore on the penis which turns into an ulcer, which is called a chancre. The chancre heals spontaneously after 4 to 6 weeks.

The other possibility is of balnitis penis which is due to fungal infection of the penis. I suggest you to get the lesion swabbed and a KOH examination and a complete STD panel be done.

Many people do not develop symptoms after they first get infected with HIV. Others have a flu-like illness within several days to weeks after exposure to the virus. For HIV infection, unprotected intercourse done even once is sufficient for transmission of HIV but if the penis did not insert inside the vagina then chances of HIV are less. CDC (centre for disease control and prevention) has clearly stated that specific fluids (blood, semen, vaginal secretions, and breast milk) from an HIV-infected person can transmit HIV. These specific fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the blood-stream (from a needle or syringe) for transmission to possibly occur. If there was no such contact, chances of HIV transmission are less likely.

If you are still apprehensive then you can get tested for HIV. HIV testing is done with a blood test and is done in full confidentiality. The blood is first tested by ELISA test which is a screening test which looks for antibodies in the blood. Then if it is positive then Western blot test is done to look for specific proteins of HIV.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.


Wishing you good health.
Regards.

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Hello,

Thanks for writing back.

You have been prescribed antimicrobials ( antibiotic and antifungal) for the symptoms. Hence your doctor may be suspecting a bacterial or fungal infection.

If it is syphilis then also it is completely treatable. A single injection of penicillin can stop the disease from progressing if you've been infected for less than a year. For those allergic to penicillin, other antibiotics may be used.

Oral sex with an infected partner carries a small risk of HIV infection and this risk is present if you have bleeding gums or tiny sores or ulcers somewhere in the mouth, which causes a risk of HIV entering the bloodstream. If you had given her oral intercourse with open sores in your mouth then HIV transmission can occur. Licking of skin with no visible sores on skin and with no sores in your mouth does not transmit HIV.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Regards.

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Hello XXXXXX,

Thanks for writing back.

You can complete the course of medicines prescribeda nd then get a blood test for HIV done. Although chances of HIV are least likely in your case, for your peace of mind you can get HIV testing done.

You can get the investigations for syphilis if the symptoms persist even after the course of antibiotics. Syphilis can spread by vaginal as well as oral sex.

Regarding you can use condoms while having intercourse and use dental dams when indulging in any oral form of oral sex. However avoid intercourse till there is complete healing as friction rub during intercourse may irritate the lesion.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Regards.

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Hello,

Thanks for writing back.

I have checked the photographs and there is indeed swelling of the penis. Sudden swelling of genitalia is usually due to allergies. You have been prescribed an antiallergic Allegra. Moreover it can be due to an infection for which you have been given the antibiotic Linid.

Other than that, apply moisturizer and wear cotton undergarments. Also use mild soaps like Dove and take the medicine as directed as Sumo tablets which you have been prescribed is an anti inflammatory drug. It should help you in reducing the swelling.

Hope this answers your query.

Wishing you good health and a speedy recovery.

Regards.

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Hello,

Thanks for writing back.

It is good that the swelling is going down with the prescribed medicines.

There is nothing to worry as symptoms of an allergic reaction usually improve after taking the antiallergics. It is not serious and the swelling should subside in 5-7 days with the medicines.

Hope this answers your query.

Wishing you good health and a speedy recovery.

Regards.

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