Sexually Transmitted Diseases/Rash on glans

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Question
Glans
Glans  
QUESTION: Hi Doctor

I had unprotected sex 6 weeks ago. A few days after sex I noticed a rash on my penis accompanied a few days later by a sore throat and inside of nose.My tonsils aren't up my throat is just extremely red .I have just felt generally unwell.

I am worried this is an Std?

Duran

ANSWER: Hello Duran,
You didn't mention any details about your recent or past sexual encounters.  Oral, anal, vaginal? With man or woman? Any fevers recently? Any recent STD tests? What type of lubricant used in recent sex? It is entirely possible that you may have an allergy or cold or other upper respiratory infection, and a skin irritation on your penis?  In other words, these all may be unrelated and just coincidental! Or they could be related to your acquiring a sexually transmitted viral infection.

Good luck!
--mark


---------- FOLLOW-UP ----------

QUESTION: Hi.

This was the first time I had sex .It was vaginal sex.I have had a very mild fever and my lips and tounge have also been a bit sore. I didn't use lube the night I did that.I was tested 5 months
Ago for his and I was fine

The girl has been tested after sex and said all they found was Hvv3,which was giving her sores around her mouth apparently.But I have not seen results so she could be lying.The worrying part is apparently she had recurrent flu before sex.

I am worried it is HIV or herpes , something viral I think? It seems like it's attacking my mucous membranes

Answer
Hello Again, Duran,
Lots of viruses can cause mild fever as well as other nonspecific signs and symptoms. Coxsackie virus sometimes causes painful ulcerations in the mouth & throat. Upper respiratory viruses similar to the flu, may cause a flu-like syndrome.

Am not sure what "his" is-- HIV??, or "Hvv3"--HHV for herpes hominus virus?  British designations of medical terms sometimes differ from American, however these may represent typos!

You didn't answer all of my previous questions.  

Good luck!
mark

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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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