I have been have several health issues since the exposure of early august (unprotected oral). After the symptoms i commented on urethra resolved, i had 1 month of redness in my scrotum, i got worse rounds or dermatitis in the face (that is currently), a “reflux” like burning sensation at chest/back, I had a very bad conjunctivitis that is on the end of resolution right now (that oftalmologist said was viral + allergic), and yesterday appeared in my 2 hands (knuckles and top part of the wrist) a red rash. I also have a general, but mild, itching sensation on body.

I also completely ignored and forgot a exposure i had early june, as I considered it no risk: I ended up mouth kissing a high end escort.

My latest sorological tests were on early october (4 months after june exposure, 2 months after august exposure). 

I will seek help from dermatologist and gastroenterologist. But please your advice if you think this could be related to the exposures and if I should seek more tests.

Thank you.

I explained that i was concerned about the exposure, and he included sorological tests among the other tests he asked. He added a new sorology test for htlv, and now im worrier about this too. Appreciate if you can educate about this as well. Thank you

Not one of your current symptoms fits with any STD, and your test results plus doxycycline treatment make any persisting STD from that event impossible. As for your specific symptoms, no STD causes scrotal redness or facial dermatitis (syphilis causes skin rashes, but not of this sort and not after doxycycline, which is 100% curative). As your ophthalmologist advised, conjunctivitis almost always is the result of a common respiratory virus or allergy, never of STD. (With compuslive online searching, you can find mention of gonorrhea and chlamydia causing conjunctivitis, but in my 50 years in the STD business I have seen exactly 4 such cases, and none for 40+ years; and neither can follow the negative tests you had plus doxycycline treatment.) Body itching also is not an STD symptom.

As Dr. Hook advised last time, by far the most likely explantion of the various feelings you report is anxiety magnifying minor symptoms or even normal body sensations that otherwise would not be bothersome or you might not even notice. And now you have an alternate (non-STD) diagnosis from your dermatologist. I don't understand the reasoning for additional STD tests, but you can expect another round of negative results. I also don't understand testing for HTLV; it's a sexually transmissible but rarely sexually treansmitted virus that is not a possible explanation for any symptoms you have describe. You mention no gastrointestinal symptoms, so I don't understand seeing a gastroenterologist (??).

You need to get beyond the assumption or fear that every symptom you have now or in the future are related to your recent non-marital sexual exposure or to any continuing infection from that event. Trust me:  you have no infection from the non-marital events you have described, including the kissing event, which of course is zero risk for STDs.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD