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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hard, Purplish Black Spots On Penis Head

I have the signs of syphllis hardened purplish black spots on head of penis (which is now sore) doesn t hurt to urinate but hurts to touch. And have rash on hands ,wrists shoulders and across back... I haven t had sex for about 4 months now. And the spots in penis showed up then but didn t hurt .so I just thought I had been lil ruff....a guy I had sex with tested positive for syphllis. So I am pretty sure I have it.. I am allergic to penicillin aspirin and HIV poz can u prescribe treatment for me
Wed, 6 Apr 2016
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General & Family Physician 's  Response
Hello dear
understand your concern.
You are suffering from the primary syphilis.
It is sexually transmitted disease due to trepenoma pallidium


Best treatment is penicilin
but in penicillin allergy
You can use
Tetracycline 500 mg orally four times a day after food for 14 days.
Or you can use azithromycin/doxycycline
Repeat the test and clinical examination by doctor at he end of treatment.
If symptoms does not resolves

Again go for trepenoma titre testing, clinical examination and neurological examination and for csf examination for exclusion of secondary and tertiary syphilis.

Clinical examination and syphilis testing required every six month to prevent future complication.

Use safer sex practice.
Avoid sex till you cleared from infections.
Use condoms during sex.
Hope this may help you.
Best regards
Dr. Sagar

G
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Suggest Treatment For Hard, Purplish Black Spots On Penis Head

Hello dear understand your concern. You are suffering from the primary syphilis. It is sexually transmitted disease due to trepenoma pallidium Best treatment is penicilin but in penicillin allergy You can use Tetracycline 500 mg orally four times a day after food for 14 days. Or you can use azithromycin/doxycycline Repeat the test and clinical examination by doctor at he end of treatment. If symptoms does not resolves Again go for trepenoma titre testing, clinical examination and neurological examination and for csf examination for exclusion of secondary and tertiary syphilis. Clinical examination and syphilis testing required every six month to prevent future complication. Use safer sex practice. Avoid sex till you cleared from infections. Use condoms during sex. Hope this may help you. Best regards Dr. Sagar G