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Suggest Treatment For Sore And Pearly Penile Papules

Posted on Mon, 22 Sep 2014

Question: I had sex with XXXXXXX street based sex worker on three month ago...i used condom for both oral and vaginal sex..but during vaginal sex my condom came out I didn't realise at what point condom came out I continued sex even I didn't realise that I insert my penis in her vagina or I was continued in frottage but I think I was engaged in frottage sex for few minutes...when she pull me and incest me to sex in anal..then I saw that condom is not in my penis but hanging on her vagina....after two days of incident some ringworm occur on my penis,pearly penile papules and one small sore were also their...then I used antifungal cream and they dissapear but now currently small sore and pearly penile has Still from since that date...does it is a sign of HIV or it is a std??what chances of hiv through this incident.??.i m worried..i go to the hiv test few days ago and report is awaited..i attach photo of sore and pearly penile papules...plz suggest answer about this incident....my body also goes down and muscles weaker now....does these are the symptoms of hiv or std????

Answered by Dr. Vivek Chail (47 minutes later)

Brief Answer:
HIV risk is 0.11 percent

Detailed Answer:
Hi XXXXXXX,
Thanks for writing in to us.

I have read through your query in detail.
The following are the incidents which have occurred with you.

1. Oral sex with condom
2. Vaginal (insertive) sex with condom which remained in her vagina
3. Frottage
4. Insertive anal sex (without condom)

In the above situations, the risks for transmission of HIV per act is the following
1. It is low (less than 1 in 10000)
2. It stands at 4 in 10000
3. Negligible
4. This is 11 in 10000

So we see the maximum risk is 0.11 percent. Practically you need not worry but getting testing done is important for peace of mind.

Regarding pearly penis papule, one in 5 men may have it and this is not a worrisome condition. Please do not attempt to scratch them as it can cause infection and scarring.

Ringworm is a chronic infection and please try to maintain genital hygiene and wash your genitals with warm water twice daily and wipe completely dry. You may wear loose cotton innerwear to avoid sweat formation.

There are many sexually transmitted STDs like herpes, Syphilis, hepatitis B and you can get tested for these as well. However, the pictures do not indicate any STD as such.

The muscular weakness might be due to stress related anxiety. Please get tested fearlessly as the events you describe have a HIV infection rate of 0.11 percent.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (11 minutes later)

sir my percent chance of free from hiv is???i m worried because of sore..this sore has never occur before this incident...from your opinion does it is a sign of any std or hiv??

after i saw the condom slip out and hanging on her vagina...i stopped sex and not insert in her anal....

Answered by Dr. Vivek Chail (3 hours later)

Brief Answer:
You are 99.96 percent HIV free

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

If there was no anal sex and only condom was seen hanging out of her vagina then the risk is about 4 in 10000 which is 0.04 percent

So you are 99.96 percent HIV free.

About the sore lump, I like to know from when you are seeing it and what is the increase in size. It is necessary to know if you have pain in it or itching is present. Most likely it looks like a sebaceous cyst which is a harmless condition.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (11 hours later)

Sir I have sent a clear photo of cyst..I don't know what is this..sir plz see this pic...I don't know when it appear but few days ago I saw this...it is painless...does it is related to HIV or any std????

Does cyst is related to std or HIV???this cyst are painless and itch free...I don't know what this is...sir suggest me answer...I m worried about this incident...

Answered by Dr. Vivek Chail (5 hours later)

Brief Answer:
Looks like lymph channel enlargement

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

Please do not worry. Its more likely to be a lymph channel which has accumulated little fluid. This can happen after vigorous sex or masturbation. Please avoid sex or masturbation for 15 days and allow it to heal.

if it is present even after 2 to 4 weeks or is increasing in size then you should consult an urologist. This is not a STD and there is no need to panic.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (2 hours later)

Sir I was searching in many site that lymph node enlargement is a symptom of HIV...does it represent a sign of HIV which I sent in photo..I m very worried..what represent photo a chance of HIV??or std????from these incident and photo I sent u what chance of HIV and std from your opinion...

Sir plz reply I m waiting for your answer

Answered by Dr. Vivek Chail (2 hours later)

Brief Answer:
Not connected to HIV

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

I understand your anxiety and want to clarify that a lymph node is different from a possible lymph collection in the area seen in the picture. This is usually due to rough sex or forceful masturbation. It is not related to STD or HIV.

There is no chance of HIV from the problem seen in the picture so you may relax.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (18 hours later)

My HIV test result comes out..it is non reactive...does 3 month HIV test result is conclusive...or I have to go for another test including all std and HIV..

Plz sir suggest me answer...

Answered by Dr. Vivek Chail (3 hours later)

Brief Answer:
97 percent patients test positive in 3 months

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

Research on the diagnosis of HIV has been done extensively. Ninety seven percent will develop antibodies in the first 3 months following the time of their infection. In very rare cases, it can take up to 6 months to develop antibodies to HIV.

You may choose to get another test after completing 6 months for peace of mind.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (10 minutes later)

Ok sir I will test again in next three month but sir I have one query..the picture I have sent u does this picture represent any std...does i need to test all std also....

Answered by Dr. Vivek Chail (32 minutes later)

Brief Answer:
Please find details below

Detailed Answer:
Hi XXXXXXX,
Thanks for writing in to us.

Good to know that you might consider doing HIV tests after 6 months again for peace of mind.

The picture does not indicate any particular STD. You can get STD tests done if never tested earlier. STD is not a single disease condition and once a screening of the main STDs is normal then it is rarely required to be repeated unless you have any risk of contracting an STD.

Some of the STDs like herpes is very highly transmitted and even kissing can transmit such diseases. So please keep in mind before you indulge in high promiscuity sexual behavior next time.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (22 hours later)

Sir does frottage sex is risky for std???my HIV test result is non reactive after 3month of exposer...HIV test result include std test also???i m worried sir...what chances of std after 3month of HIV test result non reactive????..worried by lymph collection enlargement...does it represent std..very panic sir..

3month of exposer report...

Sir plz suggest me answer..

Answered by Dr. Vivek Chail (5 hours later)

Brief Answer:
Please attach copy of test report

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

Frottage is risky for STDs like Herpes, Syphilis and Human papilloma virus.

HIV test usually is a specific test and does not include STD testing. However you can attach your test report so that I can confirm if other tests were also done at the same time.

If you are not having any symptoms of a STD then most likely you did not get one.

Lymph collection is very small and might be due to rough sex or masturbation. Please wait for 15 days before masturbation.

Waiting for update on test report.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (3 hours later)

Sir I have attach my HIV test report...sir after my exposer ringworm occur on two days then I apply antifungal cream and they dissappear pearly penile also occur and now few days I found lymph collection enlargement..I don't know whether this collection occur after exposer..now worried sir..other than these no symptoms occur..my 3month HIV test result non reactive..what risk of std????

Plz sir suggest me answer...I m very worried..

Answered by Dr. Vivek Chail (9 hours later)

Brief Answer:
Please find details below

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

I have seen your report and it says that there is no HIV infection dated July 2014. It is also mentioned that you may get a retest done 3 months from last date of testing. Please get this done. Do no be worried as this is only for confirmation and peace of mind.

STD tests have not been done on you and you can get it done if you wish. The possible lymph collection is different from a lymph node enlargement and please do not confuse these two things. Lymph collection is usually not related to STD infections. Risk of STD is always there after any sexual encounter including protected vaginal or oral sex. Always better to get tested for STDs and take treatment should you have any infection.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (16 minutes later)

Actually sir my exposer date was 14april so I tested in 14july 3month of exposer...sir in report Their is mention of retest in 3month that is means that they suspect of any infection from 1st test??sir from your opinion tell me...what risk of my std during these incident...and also risk in retest result??

Answered by Dr. Vivek Chail (3 hours later)

Brief Answer:
Very less risk after 6 months

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

Since suspected exposure was on 14 April 2014, please get another test on 14 October 2014 for complete confirmation.

Risk of STD is less because you had protected oral sex and during vaginal sex, the condom got stuck when taking the penis out. So this means both your bodies were in close contact with kissing and hugging. This can transmit STDs and hence I asked you to get tested for STDs also.

There is no risk from retest, it is only to doubly make sure you do not have HIV infection. There is less than 0.01 percent chance that you will test positive.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (25 hours later)

Sir yesterday I had tested for std..report is awaited..I m very worried..please tell me how many percent chances of std free from that incidence...plz sir

Sir I waiting for your reply..plz describe what percent chances of std free...I have no symptoms other then which I described u earlier...

Reply me sir....

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
You might be up to 80 % risk free from STDs

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

I understand your anxiety and want to discuss your situation in detail even if you do not have symptoms.
The common STDs you can get are

1. Chlamydia: This causes symptoms in only 50% of infected men.
2. Genital Herpes: Few have clinical symptoms after 15 days but many people have no symptoms
3. Genital warts: Symptoms can appear after 3 months but can take up to a year
4. Gonorrhoea: About 10% of men with gonorrhoea have no obvious symptoms
5. Pubic lice: It can take five days to several weeks after getting pubic lice for symptoms to appear.
6. Syphilis: The first signs of syphilis can appear 10 days to three months after you become infected
&. Hepatitis B and C: may take weeks to months

So you may see that these are many conditions which can be transmitted during sex.

I think you are having more than 75 to 80 % chances of being risk free.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (5 hours later)

Sir my std test report turns non reactive...sir all std test are based on blood test..does I need to go for other test???

Answered by Dr. Vivek Chail (10 hours later)

Brief Answer:
Please attach STD report

Detailed Answer:
Hi XXXXXXX,
Thanks for writing back with an update.

I confirm that most tests for STDs are blood tests. It is important to know what tests you have taken. Can you please attach the report so that you we can discuss if you require any more tests.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (3 days later)

Sir I have tested in diagnostic centre they tested my blood test for vdrl test..does vdrl cover many std test..do I need more std test

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
Other tests available if symptoms appear

Detailed Answer:
Hi XXXXXXX ,
Thanks for writing back with an update.

VDRL tests for syphilis antibodies. There are other diseases which need to be ruled out usually when symptoms appear.

Some of the other tests included under STD testing are
Tests for Chlamydia and Gonorrhea through swab or urine test.
Test for Genital herpes(no symptoms) using blood
HPV (genital warts) only when symptomatic
Hepatitis B and C are also optional blood tests.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

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