Sexually Transmitted Diseases/is it STD ?



Hi , I'm 30 male , i had unprotected sex with another guy like a month ago and i notice these last week, I don't know what to do ?
am I having herps or STD , HIV ?
what kind of physician should i ask ? should i go to ER?

Hi Sam,
Sorry it took so long to get back to you. It is hard to say exactly what you have, but it could be herpes or syphilis. HIV does not usually show up initially in this fashion, however you could have a co-infection with HIV and one of the others.  You haven't provided enough information about your history of sexual contact and STDs, past medical history, current medications for other conditions, exposure to cosmetics, chemicals, other symptoms like fever, etc.

You need a health care provider who is knowledgeable about STDs and will order the right tests as well as provide you with effective medication. And notify your partners over the last month to do the same, even if they presumably have no noticeable symptoms or signs.

If the sores are PAINFUL, than it is more likely to be related to herpes; if they are PAINLESS, than more apt to be syphilis. Other conditions can cause these problems as well. I think it is safe to say to absolutely NOT have sex with anyone until it is diagnosed and treated effectively, and to do so as soon as possible, although the condition looks worse than it actually represents. What I mean, is that with effective treatment, everything should get back to normal.

Good luck!  Please let me know what you ultimately learn?


Sexually Transmitted Diseases

All Answers

Answers by Expert:

Ask Experts


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

©2017 All rights reserved.