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Is Itching Under The Glans Penis 2 Months Post Exposure A Sign Of STD?
Question: Hello, I'm a 36 yo male. I had unprotected oral sex and protected vaginal sex with a woman two months ago. No symptoms till a week ago. I'm circumcised but the area right under the head of my penis is very itchy. And looks inflamed. Two days ago the base of my penis started to it's as well. No blisters or fluid filled lesions. Not painful at all. The skin may be raised and red in the areas of the itch. At 4 weeks out from the one night stand I had a std panel done for. Clymidia,gonorrhea ,syphilis, herpes igg type specific blood test. All the hepatitis and hiv. All came back negative. At 7.5 weeks out from the exposure of the one night started I reported the herpes 1 and 2 igg test and it returned negative again. What could this be?? Am I out of the woods for a std?
Brief Answer:
Please see the detailed answer below.
Detailed Answer:
Hello,
It is a good news that you have negative result for all these STDs. Related to your concern and based on your history, the protected vaginal sex and unprotected oral sex and the test results, I think that there is no risk for HIV and STI and this could be just a male genital yeast (candidiasis).
I suggest you use an anti-fungal cream (Clotrimazole) treatment (as you have done) but for 10 days-14 days. Please don't interrupt the treatment till the end even if seems to get worse.
Risk factors that make candidiasis more likely include antibiotics use, cortico-steroids, immuno-suppression, diabetes, poor hygiene and using too many cleansing products.
Genital candidiasis is not considered to be a sexually transmitted infection. Although sexual transmission of Candida can occur during vaginal intercourse but in your case (protected vaginal sex),it is excluded as a possibility.
I hope my answer helps you. Feel free to ask me further questions.
Regards,
Dr. Monika Dede
Infectious Diseases Specialist
Please see the detailed answer below.
Detailed Answer:
Hello,
It is a good news that you have negative result for all these STDs. Related to your concern and based on your history, the protected vaginal sex and unprotected oral sex and the test results, I think that there is no risk for HIV and STI and this could be just a male genital yeast (candidiasis).
I suggest you use an anti-fungal cream (Clotrimazole) treatment (as you have done) but for 10 days-14 days. Please don't interrupt the treatment till the end even if seems to get worse.
Risk factors that make candidiasis more likely include antibiotics use, cortico-steroids, immuno-suppression, diabetes, poor hygiene and using too many cleansing products.
Genital candidiasis is not considered to be a sexually transmitted infection. Although sexual transmission of Candida can occur during vaginal intercourse but in your case (protected vaginal sex),it is excluded as a possibility.
I hope my answer helps you. Feel free to ask me further questions.
Regards,
Dr. Monika Dede
Infectious Diseases Specialist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Ive talked to a doctor about this and he felt it was unlikly that its a yest infection due to the fact that i am circumcised. Like i stated i tryed using Lotrimn Ultra (butenafine hydrochloride 1%) for a few days and it seemed to get worse and spread down the shaft of my penis to the base. The doctor told me to stop using it becuse it didnt think it had anything to do with a fungal infection. But not testing was done at that time to see. Would that other anti funfal treatment you recomended work better? And how would i apply it and how often.
Also with my std testing and you thinking I have zero risk of this being a std. am i out of the woods of this becoming a std with the testing i have had done? Ive attached a copy of the 3 test results from the lab. The last one was 7.5 weeks after the possibly exposure (protected vaginal/ unprotected reciving oral sex). On 2/19/2017
Also with my std testing and you thinking I have zero risk of this being a std. am i out of the woods of this becoming a std with the testing i have had done? Ive attached a copy of the 3 test results from the lab. The last one was 7.5 weeks after the possibly exposure (protected vaginal/ unprotected reciving oral sex). On 2/19/2017
Brief Answer:
Please see the detailed answer below.
Detailed Answer:
Hello,
I have seen carefully the attached document and based on this I think that there is no risk for HIV and STI. So, I emphasize again that this situation could be just genital yeast.
Yes, your doctor is right, accordingly being circumcised has a low risk of getting genital yeast but this does not exclude the definite possibility.
You should know that being uncircumcised is a major risk factor, as the area under the foreskin can be a breeding ground for candida but you also put yourself at risk even if you are circumcised and don’t bathe regularly or properly clean your genitals.
Furthermore, other risk factors include prolonged use of antibiotics, as well as having diabetes or being obese. I suggest Clotrimazole or Miconazole cream for 7-10 days (2 times per day).
Oral Fluconazole (Diflucan) and a hydrocortisone cream may be advised in serious infections, such as those that have developed into a potentially serious condition called balanitis.
I hope my answer helps you. I wish you a quick recovery.
Regards,
Dr. Monika Dede
Infectious Diseases Specialist
Please see the detailed answer below.
Detailed Answer:
Hello,
I have seen carefully the attached document and based on this I think that there is no risk for HIV and STI. So, I emphasize again that this situation could be just genital yeast.
Yes, your doctor is right, accordingly being circumcised has a low risk of getting genital yeast but this does not exclude the definite possibility.
You should know that being uncircumcised is a major risk factor, as the area under the foreskin can be a breeding ground for candida but you also put yourself at risk even if you are circumcised and don’t bathe regularly or properly clean your genitals.
Furthermore, other risk factors include prolonged use of antibiotics, as well as having diabetes or being obese. I suggest Clotrimazole or Miconazole cream for 7-10 days (2 times per day).
Oral Fluconazole (Diflucan) and a hydrocortisone cream may be advised in serious infections, such as those that have developed into a potentially serious condition called balanitis.
I hope my answer helps you. I wish you a quick recovery.
Regards,
Dr. Monika Dede
Infectious Diseases Specialist
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
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