[Question #6761] Could I still have some sort of STD!?

13 months ago
Almost 3 months ago after sex with a new partner for the first time, Mainly oral & only a brief maybe - minute intercourse exposure (unprotected) the hand job was very Rough & painful I had to ask her to stop. I noticed I had two red patches on my penis head, if I can recall I noticed it that same day or the very next day. Looked very similar to “balanitis” google images. 8 or 9 days after I got an at home STD test for chlamydia & gonorrhea, sent it off to the lab and results came back negative. Never had any discharge. Still feeling discomfort, my new partner went to the clinic and she was tested for HIV 1 & 2, Syphillis, Chlamydia, Gonorrhea, Hep B & Hep C. All came back negative. Feeling unsure of my “at home” test I went to the doctor and got tested for chlamydia, gonorrhea & trich again came back negative. Two months go by and I finally see a doc about my redness she diagnosed it as a penile yeast infection by inspecting it, she prescribed fluconazole & within the first day I feel relief and redness goes down, as days go by almost ALL redness is gone, it’s almost un noticeable. While it was going down I thought I was seeing tiny red bumps and was very concerned as was my partner, so she goes back to the clinic to test again, HIV, Syphillis, Hep b & C & this time tested for HSV 1 & 2.(this is 2 months after) Once again everything came back negative. I spoke to a dermatologist who advised the “tiny red bumps” I thought I was seeing we’re actually tiny blood vessels not bumps at all and this is normal but vessels become more prominent if there’s inflammation or infection, in my case a yeast infection. She said that it looks normal and almost completely healed. Mild inflammation but it looks normal. The redness is almost completely gone and unnoticeable, I’m still using antifungal ointments and cleaning daily.  I still feel irritation but very subtle. My question is, can I rule out stds at this point since everything was pretty much tested? Most were tested twice! 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
13 months ago
Welcome. Thanks for your confidence in our services.

Wow. I have to wonder whether you go through all this much testing, exams, and worry every time you have a new sex partner. You seriously overreacted. With all the reassuring exams you have had, and your multiple negative tests, you can be sure you have no STD. As for the appearance of your penis. direct exam by a health care provider is much more conclusive than anything that can be done by a dsitant forum, no matter how expert, when we cannot examine you. Since the eoctor says your penis "looks normal and almost completely healed", you can be sure you have no STD and never did. Do your best to move on with no further worries.

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

HHH, MD
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13 months ago
Thank you for your response.

No I do not worry or go through this much testing Ever, I’m just really concerned because I’ve never had this happen EVER & the fact that it’s  the first & only time with a new partner makes it even worse. the first doctor just looked at it and said it looks like a yeast infection or eczema rash and that was pretty much it. I didn’t feel too confident in the assessment but I did respond to the fluconazole (at least I think I did). I mentioned that partner got tested for HSV 1 & 2 10 weeks after our encounter, I didn’t mention that it was an igm test not an igg, I’ve read a lot about how un reliable the igm test can be, not sure why the clinic would still test someone with something unreliable. I have noticed some redness at the opening of my urethra, I’m concerned with the unreliable test that this could be HSV Or HPV. Not sure if it’s just from rubbing on the inside of my clothing through out the day, I’ve never checked myself More in my life that these last 3 months. I recently got back with my original partner of 8 years and am very concerned for her health and have been avoiding sex at every turn it’s very stressful and anxiety filled. What are the chances I got HSV 2 from this one brief encounter & does it take 3 and a half months to develop? I have no sores or fluid filled blisters at all.  Just irritation. Does any of this sound like any type of STD?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
13 months ago
Thanks for the additional information, but it doesn't change my judgment or advice. The HSV IgM problem is with false posiitve results, but a negative result is reliable and makes it very unlikely your partner had herpes. And your symptoms are not at all typical for genital herpes. HPV doesn't cause inflammation (redness, irritaiton, etc) and does not mimic yeast balanitis. (Neither does herpes.) I remain confident you have no STD or anything else from that event that you can transmit to your regular partner.---
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13 months ago
Thank you for the reassurance Dr. Handsfield!

Due to the concern of the mild irritation and redness at opening of urethra, my final question would be, could this be NGU? I’ve never had discharge (that I’ve noticed) I do not have burning or pain urinating , just redness and irritation that has lasted 3 and a half months. I’m guessing my chlamydia, gonorrhea & trich test  could prove it isn’t regular urethritis right? Would NGU go away on its own within these 3 months  Or do you think the irritation is part of the yeast infection the doctor originally diagnosed with & all this is anxiety driven.... 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
13 months ago
The main symptom of NGU is discharge, which you don't mention and your doctor apparently did not observe when examining you. And indeed NGU, if you had it, probably would have resolved on its own within 3 months. And NGU not due to chlamydia has never been shown to cause disease of any kind in affected men's femaile partners. Do your best to move on without further worry, examination or testing!

That completes the two follow-up exchanges included with each question and so ends this thread. i hope the discussion has been helpful.
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