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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Unprotected Sex. Pain On Penis Tip, Dots On Glans. Reason? Took Doxycycline, Bumps Inside Lips. Side Effect?

Hi. So I had unprotected sex last saturday with a girl who swears up and down she is clean. She says she was tested 2 months ago and has no infections and had not had sex between that time and when we did it. However I have a pain inside the tip of my penis around the urthrea. It does NOT hurt to pee. For a few days it was the only symptom I had. However I have been EXTREMELY anxious and worried and stressed about what it could be. I had a urinalysis (the one where they use a strip) and confirmed it isn't bacterial because my urine was clean. I didn't show any other symptoms at the time that I had an STD. There is this little white line of barely visible dots on my glans near the tip, but the doctor said it was probably a vein or something that comes and goes with blood pressure. However the pain didn't go away. I was given doxycycline hyclate yesterday and took two pills (1 at around 2 pm and one at 7).

Now, I was still very stressed but a little relieved, hoping this medicine would help. But later I looked in the mirror and saw a little bump on my lip. I panicked. I don't know for sure if it was a side effect of the drugs so I called a doctor. I found another bump inside my on the back of the bottom lips too. I sent the doctor a picture and he said they looked viral. (Oh ****). So I was worried it was herpes and I don't know for sure what the thing on my glans is for sure (Despite assurances from the nurse), so I was worried it was early symptoms for genital herpes (I pray to God that it isn't!). The picture I emailed him was blurry so he couldn't tell me anything for that. The doctor told me to stop taking the Doxycycline Hyclate and prescribed to me Valacyclovir (4 tablets. 2 every 12 hours) and Azithromycin 250mg tavlets and the instructions were to take all 4 in one dose.

After taking the medication I felt sick and had 2 trips to the bathroom with diarhea. No burning pain in urine still. Anyway The blisters/bumps are still here and I am worried sick that I might have not just mouth herpes but genital too. If I could post pictures or send them to a doctor here I would. Please help me.

Is it stress causing these bums in my mouth? Is it the Doxycycline? Both? ANd could my penis tip pain be from friction burn from unlubed sex?
Wed, 4 Sep 2013
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General & Family Physician 's  Response
hi
thanks for your question.
based on description you have given and my experience.
you have herpes infection, viral.
diarrhea is side effect of azithromycin.
your immunity must be depressed that is why you have blisters.
I would recommend you use acyclovir cream in addition and continue with valacyclovir for one week, you can stop azithromycin.
hope I answered your question, will be happy to help you.
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Had Unprotected Sex. Pain On Penis Tip, Dots On Glans. Reason? Took Doxycycline, Bumps Inside Lips. Side Effect?

hi thanks for your question. based on description you have given and my experience. you have herpes infection, viral. diarrhea is side effect of azithromycin. your immunity must be depressed that is why you have blisters. I would recommend you use acyclovir cream in addition and continue with valacyclovir for one week, you can stop azithromycin. hope I answered your question, will be happy to help you.