Expertise Almost any question or concern about sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), gay men's health issues.
There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything.
Rather than trying to “prescreen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and conseqences of possibly “catching” something from someone who’s hotter than expected (pun intended!).
There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!
Experience Family Practice PA since 1981;
Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answer STD questions submitted to their web site.
Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.
Organizations Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.;
Wisconsin Academy of Physician Assistants;
American Society of Colposcopy and Cervical Pathology (ASCCP); Board of Directors, National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)
Publications Journal of the American Academy of Physician Assistants (JAPA)
Education/Credentials Physician Assistant Certified, since 1982;
Masters in Physician Assistant Studies;
Colposcopy Recognition Award, American Society of Colposcopy and Cervical Pathology (ASCCP);
Awards and Honors Colposcopy Recognition Award (CRA), from the American Association of Colposcopy and Cervical Pathology;
Distinguished Fellow, American Academy of Physician Assistants;
Fellow, Wisconsin Academy of Physician Assistants
Past/Present Clients Brady East STD Clinic, Milwaukee, WI
Q: I have just one question . I have a friend that stays with me , she has clymdiea , can i catch it ... A: It is very difficult to catch chlamydia from a toilet seat. Even if you sat in vaginal discharge ...
Q: It might not be anything but it seems everytime I look at my penis when peeing or masturbating, the ... A: The lower part of the tip of your penis may be slightly inflammed from rubbing against clothing or ...
Q: if an individual has undiagnosed neurosyphilis, would a blood test fta abs tppa, reveal that ... A: Syphilis is a disease that goes through somewhat predictable stages. These stages reflect not only ...
Q: My story is long, so I will try to condense. Earlier this year, I experienced vaginal pain and ... A: I don't know what an "STD Panel" is at your doctor's office or lab. These are a panel of tests ...
Q: i have involved in mutual masturbation 5 years back. i took few tests such as hiv, cbc, esr, vdrl, ... A: I don't quite know why you took such tests as a CBC, ESR, Mantoux, or hepatitis B following mutual ...
Q: I had a syphilis test done in 2002 and it came back RPR non reactive and FTA-ABS minimally reactive. ... A: I'm sorry you are so worked up over this. I think the problem is more your fear of having these ...
Q: Is trichomonis a std like gonorrhea? How is it different or the same A: Here is a link that tells you about the different diseases.http://www.knoxcountyhealth.org/std.php ...
Q: What is the risk of receiving a handjob from a prostitute? What I did was, I lay down with a naked ... A: Risk of what from a handjob?? STDs? Essentially zero. Maybe if not enough lubrication, a chaffing of ...
Q: Today as I was taking a bath I noticed on the back of my penis that there were two white very small ... A: Riley, You really shouldn't have gotten herpes from what you said but I suppose it's a slight ...
Q: I was diagnosed with syphillis back in 1996 and treated for it during it's primary stage. If I'm not ... A: There are two common screening tests for syphilis, that are almost identical, but not quite!! The ...
Q: I recently was with a friend of mine that has genital warts...we kissed and he fingered me....i also ... A: Is it possible? Yes. Is it likely, no. However, it is a good idea to look before you touch next ...
Q: As many others I am too worried by something stupid I have done. Me and my boyfriend were with ... A: Natasha, Almost nothing in life has ZERO risk, but this comes pretty darned close, with regards to ...
Q: I am a 45 year old male. A nurse told me that sometimes you could ejaculate. The discharge was part ... A: Jay, The nurse kind of said something similar-- ejaculation is usually accompanied by the ...
Q: I had discharge from my penis while I was having a bowel movement. It had the consistency of saliva ... A: Two things come to mind: Abnormal, due to a seually transmitted infecion caused by something like ...
Q: for about 6 months now i have have small red spots (but not bumps) or a little rash not on my penis ... A: I would try another doctor. A doctor should not say it MAY be a yeast infection. A doctor can do ...
Q: As many others I am too worried by something stupid I have done. Me and my boyfriend were with ... A: You mentioned that the other guy was fingering "both of us"-- you and your boyfriend? or you and ...
Q: i had indulged in mutual masturbation 6 years back after which i developed swollen scrotum and ... A: Dj, Hyperpigmentation ANYWHERE is usually, but not always, due to some mild or chronic inflammation ...
Q: i had indulged in mutual masturbation 6 years back after which i developed swollen scrotum and ... A: Dj, Unless you have an allergy to goats or goat spit, or if the goat just ate something like a ...
Q: i just wanted to ask you..erm...last year my partner had sex with someone else when we split for ... A: 1) PID, if treated properly, does go away. However, chronic inflammation may cause scarring of the ...
Q: yesterday a lesbian prostitute gave me an extraordinary and long lasting blow-job for more than 15 ... A: I don't recommend you or anyone to have sex, oral or regular outside of marriage. So many diseases ...
Q: yesterday a lesbian prostitute gave me an extraordinary and long lasting blow-job for more than 15 ... A: It seems unlikely that a LESBIAN prostitute would want to give a man a blow job, PERIOD! By ...
Q: I think I may have caught pinworms from my little brother. I'm 17 and planning to go to the doctor ... A: Pinworms are nasty little pests; since they tend to be more active at night when you sleep, it is ...
Q: Can herpies become hiv or aids. What can be the worst affect from herpes I was told that everyone ... A: Herpes is a separate sexually transmitted disease. It is different from HIV or AIDS. You can do an ...
Q: i had indulged in mutual masturbation 6 years back after which i developed swollen scrotum and ... A: None of these activities would be sufficient to cause you such a reaction from a sexually ...
Q: My girlfriend may have chlamydia, she was exposed during a sexual encounter before. All we have ... A: Your girlfriend's chlamydia probably involved her cervix. Since chlamydia can only be spread from ...
Q: I am a 26 years homosexual old male and knowing the risk of contracting myriad of STD, I hardly ... A: a) The warts may be gone, but the cause of warts are human papillomavirus (HPV), which may still be ...
Q: my name is jack and im 14 years old and i have these small white-ish dots on my testicle sack and ... A: Yes, what you describes is a normal characteristic of skin down there. They may be "fordice spots" ...
Q: Mark, thanks for swift respond to my earlier question. Just to make sure you understand, ... A: Jose, The symptoms you mention are not related to having oral sex. However, as I stated before, ...
Q: please help! i recently found a raised brownish/redish pimple/cyst on my vaginal lip( not interior). ... A: You may have had a friction induced "blood blister." It is NOT related to infections, ingrown hair, ...
Q: In mid of August I received oral sex from a female, 2-3 weeks later a got diarhea for 3days and ... A: Oral sex, even if it transmitted a sexually transmitted infection, would not cause abdominal ...
Q: Hey my question is..me and my boyfriend had sexual intercourse then when finished we noticed some ... A: It could be due to a sexually transmitted disease, but it may be due to just a traumatic injury to ...
Q: in the past 2 days a load of little red dots have appeared on the top of my penis some bigger than ... A: You really need to go to a doctor and get a checkup. You could have a sexually transmitted disease ...
Q: hi am 14 and i jack off can u get any diseases of that and my email is from myspace A: You cannot get any infections or diseases from jacking off. You may suffer a scratch or scrape from ...
Q: Hey John, I'm 14, and about a week and a half ago I lost my virginity (unprotected) to my ... A: It is never recommended to have unprotected sex. It is never recommended to TRUST ANYONE's word of ...
Q: this is a very odd situation, because i have been married for a year and a half now and my wife and ... A: It is NOT likely that the bumps you have are due to warts (human papillomavirus) or herpes. The red ...
Q: I was recently diagnosed with chlumydia and my docter perscribed me 1 dose of azithromycin. After ... A: he should have treated you for both gonorrhea and chlamydia. He should have also tested you for all ...
Q: I have a question I was hoping you could help me with. I noticed small white clusters around my ... A: it is unusual for hemorrhoidal scars to present without any prior surgical intervention. Without ...
Q: I am wajid 18 years old single male. when i do urine at the middle or at the last of my urine some ... A: "Pus" cells in your urine are always due to an infection and inflammation, possibly a sexually ...
Q: For the past week or so, my bikini line has been extremely itchy. I shave down there, but I've never ... A: It sounds like you developed a bit of shaving irritation, that might allow skin germs to infect the ...
Q: My 3 year old daughter picked up a condom on the train and was waving it around and playing with it. ... A: Karen, The chances of her contracting something from this is small. Maybe it was not used and if it ...
