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Dr. Andrew Rynne

Family Physician

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Suggest treatment for rash in genital area

Answered by
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Dr. Binod Kumar Pati

Infectious Diseases Specialist

Practicing since :2000

Answered : 180 Questions

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Posted on Thu, 21 Aug 2014 in Sexually Transmitted Diseases
Question: Engaged in risky sexual activity 4 days ago. Have experienced itchy genitals since then. Yesterday I noticed a swollen lymph node (and a smaller bump near it). Today I noticed that I have a rash / cut of some sort on the under side of my genital area. Please see attached images for further information. Please let me know my STI / STD risk. Thank you.
doctor
Answered by Dr. Binod Kumar Pati 18 minutes later
Brief Answer:
Little more about the risk.

Detailed Answer:
Hello sir and welcome.
Need some more detail:
What exact you mean by a risky exposure? Was she HIV pos/Commercial sex worker?
Was it unprotected?
All the blackening, rashes and the cuts which are there in picture were all due to fungal infection. Apply any antifungal powder and keep the area dry. Improve your genital hygiene. Change underwears frequently. You will be alright for that.

Hope to listen from you soon.
My best wishes and prayers are with you, live healthy and happy.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Binod Kumar Pati 6 hours later
Was protected sex with a sex worker in a country where this is legal. Her saliva however was applied on my genitals after the condom was taken off. Please advise next steps.
doctor
Answered by Dr. Binod Kumar Pati 4 hours later
Brief Answer:
Very less chance of transmission of HIV.

Detailed Answer:
Hi
Welcome once again.
Try to know her HIV status. If she is negative, nothing to worry. If she is positive, then also the chances of you becoming positive will be very negligible, because saliva is a very inefficient media for transmission.

But my best advice will be to always do safest sex, if you are really soo much concerned about HIV diseases.

Please do not hesitate to ask me any questions or queries you still have, I am here to help you till you have reached satisfaction. Have a nice day.
Above answer was peer-reviewed by : Dr. Prasad
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Dear Dr. Srinivasan

Name - Nitin

Age - 36

I have had recurring problem of red spots (isloated) on my penis head for 3-4 years. I have consulted many docs with varied diagnosis.

I was single then and made to believe it was fungal, it comes on its own and have been getting treated accordingly by a dermatologist.

Recently i got married and again recurringly had red infection on my penis. Along with this, my wife also developed infecion and was put under Gynea treatment, again for fungal infection and Fas Kit prescribed to both along with aplication of fungal infection creams. For the reason not transfering infection bw me and wife, we have stopped having intercourse (unprotected) however my wife was ok but I kept developing these red spots/ infection.

However on repeated occurances we consulted a different dermatologist and he suggested Herpes but blood test reports ruled out. However he insisted that indeed it is Herpes and sometimes the medical reports do not show the same. I was put on Famtrax 250 for 1 week along with application of topical anti-biotic(fusidic acid cream). The red spots kept going and coming but doc clamed it is Herpes geting cured and that takes time to cure as in past i have been exposed to steriod in form of anti-fungal creams. Post a week of Famtrax, i was put on antialergic and anti-biotic cream for a week.

the red spots have gone but now there is recurring white spots (small pimple types) which come and go. On showing to doc, he said its miliaria of penis and common and due to non drying of the area. I was asked to take urine test (culture and routine) and culture cam normal. Routine test pointed to some epidrmal cells (UT infection, I have mild recurring burning sensationtoo) and doc asked me to take Disodium Hydrogen Citrate (Alkasol) for a week. I am currently on Alkasol and Antialergic.

But the white spots are coming and going everyday still. I am not sure if im cured yet but doc says im fully cured but the white spots can be ignored and i can have unprotected sex with my wife.

Problem is i want to start a family soon but am confused due to various diagnosis. I do not want to pass on to my wife and abstain from sex.

Please suggest cure for white spots.

i wll be very greatful.



Kind regards

Nitin

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