Sexually Transmitted Diseases/Hiv,herpes

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Question
Rash
Rash  
Base of penile
Base of penile  
QUESTION: I had unprotected oral sex about 3 weeks ago. These little zits or pimple looking things have developed at the base of my pene.i had some before but i feel like more have come after the oral sex.i tried to pop one but blood came out of it.they do not itch or hurt.I also have some rash or like 2 bumps on my lower stomach below my belly button i scratched them and now looks like rash/sore,but i also have some in my upper stomach and leg.i run a lot and spend a lot of time in the wilderness.But i am worried because i have never had anything like this aroumd my penile area around the pubic area like the bumps i have now.the penile shaft and penile head are clear of this no bumps or sores at all. But i will say a couple of weeks before this rash came on the penile head that itched a bit but i believe it was when i used a a harsh soap called dial on the area. Should i be worried what do you think it might be?

ANSWER: Hello Abd,
The bumps at the base of your penis represent plugged oil glands and hair bumps from cutting the hair with a razor blade  (rather than an electric "buzz" shaver). The abdominal rash is far different. It is NOT related to STDs, however may be related to methicillin resistant staph aureus (MRSA).  You need a culture from a doctor's office to determine exactly what the causative germ is and then what the best therapy may be.

Good luck!
--mark

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Penile head
Penile head  

Abdomen and base of penile
Abdomen and base of pe  
QUESTION: Doctor mark thanks for the answer and also thanks beforehand for this response.About 2 days ago i have developed this red rash in the penile head, it feels like is sore and sting when i touch it only when i touch it otber then that it doesnt hurt or sting.the base of the penile bumps have not cured and are still itchy i found a tick like animal or chigger wich i killed that i believe have peobably been creating the bumps.also i have been reading about herpes and other stds and the rash in my abdomen or lower stomach look like the sores in pictures of stds should i be aware that i might have and std?I havnt had sex or any type of sexual relationship since the oral sex about a month ago.

Answer
Hello Again, Abd,
You didn't mention what general area you live, and where you may have been to get the bug bites.  Some parts of the world have insects with bites that can cause systemic diseases, like Lyme disease caused by certain deer ticks, for instance.

I can tell you that what you don't have is an STD. However, I am unable to tell you what it is, because you need someone to examine you properly and ask you the right questions to narrow down the list of potential problems.  Previous answer still applies!

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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