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

Do Dark Spots On Penis Head After Risky Sexual Intercourse Suggest STD?

Posted on Sat, 9 May 2015

Question: Hello Doctors. I had a high risk encounter with a sex worker in Panama bout 3 month ago. im not sure what we did I was very drunk and don't remember exactly what we did if anything i might have gone down on her but I'm not sure. I got an STD panel done that had HEP B and C HIV Antibody blood test RPR for Syphilis HSV1 HSV 2 Chlamydiae and Gonorrhea all were non detectied or non reactive accept the hep C which had a 0.02 titter. I got tested again at two months for HEP B and C which had a titter of 0.01 Had a 4th gen. antigen antibody 1/2 HIV test non reactive and RPR for Syphilis with confirmatory non reactive . Over this time period i have been very stressed iv lost almost 30 pounds in the last 3 months, I developed trush at about 4 weeks after the encounter and around the same time had a small dry dark mole on my penis which has faded, and in the past couple of days 2 pin head dark spots on the head of my penis. i haven't noticed any cancer sore on my penis or in or around my mouth. I haven't felt sick accept for two days after the encounter on the boat i work on it was rough seas and i had nite sweats that nite for a couple of hours and got pain in the left side of my pelvis that lasted a few days, I get motion sickness bad. I haven't had and fevers or diarrhea or vomiting or Nausea. I have psoriasis and it cleared up on my hand about a month after the encounter . 1 can I trust my test results at 8 weeks? 2, can all the symptoms I've had be from stress? My Stress level has been to the point of Suicidal. Any thing will help. Thanks so much.

Answered by Dr. Shoaib Khan (1 hour later)

Brief Answer:
You are a healthy male free of STDs, you have nothing to worry about

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. After going through all the details in your query, I can truly see that you are extremely stressed sir, and so I would really like to help relieve you of your stress.

1. Yes you can trust your test results at 8 weeks. 8 weeks is more than enough for all the above mentioned STDs to return a positive result if at all they were present and as your results have returned a negative result, I would say you are STD-free.

Not only this, most of the STDs should have been detected during the earlier tests itself (except for HIV), and as the earlier and later tests all reported non-reactive/negative results; this means you do not have any of these STDs for sure sir. You can trust the tests and my words

2. Yes of course. You seem to have gotten really stressed, and your symptoms can easily be caused due to stress, and I hope my response helps you to relax.

3. You are a healthy male, and I would urge you to enjoy life (safely) and stop wasting time worrying over things that are not present

I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shoaib Khan (34 minutes later)

Thanks for the reply. You just see so many people that 3 and 6 months is conclusive, make's you wonder. and as far as the dark colored wart on my penis could that just be HPV and can stress cause Thrush on the tunge and to lose 30 pounds in 3 months.

Answered by Dr. Shoaib Khan (13 minutes later)

Brief Answer:
Would recommend HIV DUO test and check on HPV

Detailed Answer:
Hello once again sir.

Most of the STDs as I mentioned sir, should provide conclusive results at 2 months; except HIV. HIV can also provide conclusive results much earlier (e.g. HIV DUO TEST can have 98% accuracy when conducted on the 28th day from sexual contact).

The dark coloured wart should be looked into sir, and yes it could be due to HPV and as you have not tested for HPV (I think), you will have to get that looked into.

No sir, stress cannot cause the wart to appear on your penis or thrush; but it can cause you to lose weight.

Oral thrush/candidiasis is caused due to:

+Diabetes
+If your sexual partner had a vaginal yeast infection and you provided her with oral sex
+Weakened immune system due to lack of nutrition is a possibility
+HIV

In conclusion, I would recommend two tests sir:

1. HIV DUO TEST
2. Check on HPV

I hope you find my response helpful sir. Please feel free to write back to me for any further clarifications, I am here to help.

Best wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shoaib Khan (14 minutes later)

So i should take another HIV duo test. and as far as the RPR syphillis test is that conclusive, and the HEP C test that had a 0.02 at 2 weeks and a 0.01 titter at 2months what does that say about me and Hep C. and do you have any comments on the left side pelvic pain i had, i didnt mention that i have had three red bloody stools that were from the inside not the outside of my sphincter like a himeroid not sure the spelling on that. thanks

Answered by Dr. Shoaib Khan (40 minutes later)

Brief Answer:
Will need an ultrasound of pelvis and colonoscopy sir

Detailed Answer:
Hi sir.

Have you taken a HIV DUO test before? If yes, and if it was taken after 28 days from the exposure then you need not take it again. But if you have not taken it, or if you took it before 28 days from the exposure, then you should take it again.

All the other tests are fine sir, and you seem to be perfectly fine, do not worry.

The left side pelvic pain may or may not be associated with any STDs sir. We may require an abdominal and pelvic ultrasound examination, and a colonoscopy to check on the cause for the bleed per anus.

Best wishes sir.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar