Sexually Transmitted Diseases/Possiblr std?

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Question
Hello Mark, good day to you.

1. What are the possible causes for numbness in scrotum? I recently felt it 4-5 days ago, and also there's been a mild pain in testicle, but it goes away with ibuprofen. I don't have any discharge from penis, and also no pain or burning during urination.

2. What is swollen lymph nodes in the groin look alike? How to self diagnose for it? I feel a little pain in my right groin area, but the doctor that diagnose me before said it is possibly from edema cause there's kinda swelling due to intramuscular injection. And im still worried about it.

3. I have a yeast infection under my scrotum for 3 months now and it started to heal, but I'm still worried if it might be undiagnosed herpes coz its kinda take a long time to heal. I dont see any bumps or blisters around it, just a dry peeling skin and itchy before this. Also responded well to terbinafine cream.  Is it still possible if this might be herpes?

Thanks for your reply and God bless you.

Answer
Hello Mr. Nash,
You didn't really provide me with enough information about yourself-- your age, your sexual orientation and activity, your exercise status and bicycle use, etc.

Numbness in the scrotum is usually due to pressure on the perineal nerve, but anything wrong in the testicles, penis, scrotum, anus, prostate may be responsible for such numbness. Riding a bicycle with a bad seat can do it!!

Swollen glands (lymph nodes) may be noticed under the jaw and in the neck, under the armpits, in the groin, and other places. You may feel a tender bump that is somewhat deeper than a skin pimple or abscess. Infection in the skin anywhere, can cause a swollen and painful lymph node in a nearby or adjacent area. Certain STDs such as syphilis may also cause swollen lymph nodes (known as "buboes").

I do not know what you mean that swollen lymph nodes may be caused by edema (which is swelling) from an intramuscular injection. This is unlikely. If you developed an infection from an injection, than a deep tissue infection such as cellulitis, may cause swollen lymph nodes.

Herpes does not last for 3 months continuously. The yeast infection that you have, may not have been treated correctly with the medication you used; several skin fungal infections are resistant to typically prescribed medications, although terbenifine is usally very good.

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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