Following my last question 6 months ago I was  subsequently tested for stis at about 5.8 weeks post the event for chlamydia, gonorrhoea, syphilis and hiv, my partner was teased for the same stis 18 weeks post event in preparation for ivf treatment. Last week as red dot appeared near the opening of my urethra, I’m concerned that it may be a syphilis chancre or wart. It is a singular raised pink bump non painful or itchy, and has been there for a week. It appeared 7 months post event. The only other interim risk was hand genital contact once at a massage centre. My questions are.

1. What is the likelihood that the azithromycon I took just after the event suppressed the syphilis leading to a false negative on my test, and my wife testing negative 2 months after that then a chancre forming 7 months later

2. Are chancres open wet sores?

3. How likely are genital warts to appear 7 months after the fact both I and my wife are hpv vaccinated

4. What is the latest that syphilis chancres can manifest after exposure?

Thanks

No STD causes a "red dot". Almost all such things are small hemangiomas (sometimes mistakenly called blood vessel moles). They are harmless and normal; new appearance means nothing in terms of heatlh with respect to STDs or anything else. As we have previously discussed, no STDs are transmitted by hand-genital contact, and for sure this isn't either a wart or chancre. Of course if you remain concerned, you could see a doctor for confirmation, but I am confident nothing is wrong.

Those comments pretty well cover your questions, but to assure no misunderstanding:

1. The only effect antibiotics have on syphilis is to cure it. They do not suppress diagnostic testing except by curing it. For sure you do not have and never have had syphilis.

2. Yes, that's the normal appearchnce of chancres.

3. Warts show up anywhere from 2 months to years after catching the virus. Vaccination is 100% prorective against the two HPV types that cause 90% of genital warts. And as I said, based on your description, there is no chance the red bump is a wart.

4. Up to 2 months, but usually within 4-5 weeks. No matter the interval, there is no chance you have a chancre.

I hope these commetns clear things up for you. As we discussed in your three previous threads, you are obviously obsessed with STDs and fear that they can be transmitted by exposures other than intercourse. They cannot. Believe it and please stop asking! Reallly, just move on and forget those past events. You're home free.

HHH, MD