Sexually Transmitted Diseases/afraid whether its hiv or an std


I had an encounter with a pros last month .during the time of intercourse the condom got slipped and as a result the vaginal fluids could have get in contact with the foreskin of penis but the top side of penis was protected and i changed the same in 20 i have something like an yeastbor balantitis infection inside ma this a sign of hiv..

ANSWER: Hello Steve,
The most common cause of balanitis is in fact a skin infection with yeast or other skin fungus. This by itself, is not a sign of HIV. It generally takes years for untreated HIV to show any dermatologic signs or symptoms. Use a topical antifungal, such as terbinefine (Lamisil), tolnaftate (Tinactin), or miconazole (Micatin).  These medication generic (Brand) names may be different in your area.

Good luck!

---------- FOLLOW-UP ----------

white spots
white spots  

lesion which appeared first.
lesion which appeared  
Here attached is the photo.what does this resemble to and the lesion which u can see from the back side of the penis appeared pain no the small whitish spots seem appearing..used miconazole but of no help

Hello Again, Steve,
Too much information is missing for me to make an educated guess. The underside photo looks like a healing lesion that may or may not be related to yeast or another skin fungus, resistant to miconazole; or healing syphilitic chancre, herpes,  or some other traumatic benign skin injury that will eventually heal up.  One other consideration, on the top (dorsal) part of the penis, are several whitish areas that may reflect HPV infection.

One approach is wait and see; another is schedule a dermatology appointment.

Good luck!

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. 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 “pre-screen” 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 consequences 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!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered 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.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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