Sexually Transmitted Diseases/Herpes from Asian Massage

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Question
Mark, frequented several asian massage parlor over the past year with HE on some. The most recent was Dec 21. I have Furnucoliosis (spelling) on my lower extremities for the past few years. I've had tearing of the penis, as I also masterbate a lot with and without lotion. No intercourse just HE the last time. I though I had a split my glands a few week ago, now there is a small mark on the underside of my glands with no pus nor discharge. No pain urinating or itching but low pain in groin.I had a 8 series STD test today. I think I have Herpes. Am I infected or could this be related to my other condition? I also have Vitiligo.

Answer
Hello Robert,
It is very very UNLIKELY that you would get a new herpes infection from a hand job or other sex at a  massage parlor, unless there was unprotected (no condom) mouth to dick or dick to ass contact. You haven't provided enough information for me to offer an educated guess. You could have prostatitis or a skin fungal infection, or a host of other things. You had STD testing, but I have no idea what an "8 series" STD test is. It probably is a panel of tests unique to your doctor, clinic, or hospital. It would be good for you to know exactly what those 8 tests are! Tests can be blood or swab, antibody or antigen, quantitative, qualitative, etc. Some tests are excellent, some are poor, and some may have no clinical correlation to your symptoms or the potential consequences of having something that is untreated.

The good news is that you have vitiligo, which does not affect sex or performance, but just increases your chance for severe sunburn and skin cancer with prolonged sun exposure to the affected areas. So avoid naked exposure to prolonged intense overhead sun!!

Uncircumcised penises seem to be more vulnerable to such splitting and irritation.

Sorry I can't be of more assistance.

Good luck!
--mark  

Sexually Transmitted Diseases

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Mark P. Behar

Expertise

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!

Experience

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.

Organizations
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)

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

Education/Credentials
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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