Dear doctor 

I had a concern as you know I’m taking 2 types of Antibiotics these medicine will affect the result of Gheonoria,chlamidya and syphilis ?

For your information i had today body pain and my temperature is 37.3c 

My lump getting  decreased and it seems like there is a white head on top of it 

Why I’m keep thinking because i had around 20 exposure all same what I described before oral with condom and masturbate the escort girl maybe after i masturbate her some of her vaginal fluids touched my penis as there is no condom on masturbation 

Please read all my concerns with full details need to be sure 100% 

Thank you and for all doctors here that gives us the expert answers and advice 

Your penile problem is not an STD, as both your own doctors and Dr. Hook advised you. Your body pain and normal temperature have nothing to do with your sexual exposure or your penile pimple.

You could not have acquired gonorrhea or chlamydia from the exposures described. In your previous question you did not say the number of other exposures, but you did describe having many such events, and Dr. Hook took that into account. Even with as many as 20 additional exposures, if there was no intercourse and your oral exposures all were condom protected, there remains little or no chance that you acquired gonorrhea or chlamydia. Oral contact with breasts or nipples is risk free, and your penis "touching vaginal fluids" is zero risk except during intercourse. If somehow you had been infected, these antibiotics would cure it, so there is no point in being tested. Accurate testing would have to be prior to starting antibiotic treatment. Accordingly, I do not recommend gonorrhea/chlamydia testing at this time. All sexually active people should be tested from time to time for HIV and syphilis, so you could do that if you wish. But there still is no possibility that your current symptoms are due to any STD.

Anybody with multiple sexual contacts outside a permanent, monogamous relationship should be tested for syphilis and HIV from time to time, so you might consider doing that. This does not mean I believe there is any chance of a positive result:  I do not. Still, it's a common sense precaution.

Continue the antibiotics your doctor prescribed and follow any other instructions s/he might have given you. Feel free to have blood tests for HIV and syphilis if you wish. But with or without testing, you can safely continue unprotected sex with your wife. Probably would be best to wait until your penile lesion has healed, so sex doesn't irritate it -- but not because of any infection danger for your wife.

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

In your reply you said as i wish to test for hiv and syphilis and that is a routine for people having outside relationships i already stoped these outside relationships there is no more and the last was before a week are you sure 100% that I’m risk free from hiv ? 

Or need to be tested even if 0.01% ? 

I know testing for people have always outside relationships needed but i already stopped and will not have anymore outside relationship 

Thank you for your precious and valuable information 

Thanks for the thanks.