Sexually Transmitted Diseases/Foreskin Sore

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Hello Mark,

First of all, thank you for your time regarding my concern.

Well, my concern is that I recieved oral sex from a girl less than a week ago. After the act, I washed myself and my genitals in the shower (I only use water for inside of the foreskin most of the time. I sometimes wash it with soap. I try not to put too much chemical products in there.)

The day later, everything was fine, I had no signs of any sores or bad stuff. I masturbated later that day with no lube. (I never really needed it for that)

Then, the day after, (2 days after the act) When I was about to masturbate again, I noticed 2 small sores that reminds me of tiny ulcers inside my foreskin. (See attached pictures)

They become a bit wet when it is "closed" under the foreskin. They are sensitive when I touch them but they do not hurt at all. They are occsionnally itching for a few seconds then stops. I can even wash them in the shower with water without any pain. I do not have any other symptoms. I don't have any pain or burn sensations in the genital area.

Because of this, I somewhat went into Panic mode because I was sure to have contracted something. I searched online various STDs and Infections of what I could have and I am worried that I may a Herpes symptom.

I usually tend not to worry about these things. I had couple tiny sores from masturbating here and there but I think that they were mostly caused by the lack of lube as I tend to be intense at times when helping myself.

But I am really worried about this one. If it is bad then I think I should manage to know ASAP.  I am 23 from Canada. If any lights can be opened on this, I would really appreciate it.

Once again, thank you for your time.

Alex

Answer
Hello Alex,
The only sore that usually occurs in such a time frame related to when you last had sex may in fact be herpes simplex, type 1 or 2, friction from rubbing too hard without lubricant, or possibly a skin infection from a  fungal infection such as yeast (this last choice is least likely). Syphilis, another STD is something to consider, but usually has an indurated, painless sore. If your partner had a fever blister or cold sore on the mouth a few days before or a few days after your sexual episode, than that is most likely.  A DNA based herpes test (swab of lesion, not blood test) would tell you as long as the sore is still there. Acyclovir or valacyclovir are the two commonly used pill medications that will help get rid of the lesion more quickly, but it will go away by itself.  

Hope this helps. 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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