Dr. Basti Bharatesh Devendra
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had oral sex three months before. I had a molluscum and got it removed, and the doctor said it was STD. Since then, I have kept testing for STD panels. For the last three months, I have had no physical contact. My first STD profile test was one month back, which was the 8th week after contact in which all reports came negative except HSV 1/2 IgM came equivocal, and I was asked to get retested after 12 days, and I got tested ten days back where HSV 1/2 IgM and IgG came negative. So again, I tested for STD Profile all reports came negative. Again, I tested for Chlamydia and Gonorrhoea PCR, where Gonorrhoea was positive. The doctor treated me for ten days, and an injection of Monocef 250 mg and Azithromycin 1000 mg single dose, and Doxycycline 100mg for ten days were given.
Again, after the 20th week of contact, all my reports are negative, including HIV P24 Antigen and HSV. I have redness on the penis tip and a pin-like sensation on the penis but no itching or burning during the urine. Pain in the underarm, eyeball pain, and mild pain in the groin. Are my test at the 20th week reliable, and can I be free-thinking that I am not exposed to HSV or HIV? I have attached a picture of my penis and the latest test report, which I had 20th weeks after exposure. I am really afraid I have not had any physical relationship with my wife as I am afraid that I will pass the infection to her.
Please help me with your suggestion.
Hi,
Welcome to icliniq.com.
Thank you for your query. The HIV (human immunodeficiency virus) antibodies test is negative after three months of exposure. It is conclusive you are free from HIV, provided there is no further risk of exposure. HSV (herpes simplex virus) is negative. Therefore, you can lead an everyday life with your wife. The redness may be due to irritation or friction, or fungal infection. Avoid irritation or friction, or harsh soap or solutions. Wash twice daily with warm water twice daily. Wear loose cotton innerwear with adequate ventilation.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
The main concern is the joint pains and pain in my underarms, and eye pain. Do you suggest I have an HSV PCR test? My wife complained, saying she had a rash and itching on her thigh, and I was afraid that I had passed the infection. Because when I tested for Chlamydia IgG with a blood sample, it came negative, and when I tried for Chlamydia PCR with a urine sample, it came positive. So the major question is, will it be the same with HSV, and am I free from STD. It has been really scary, sir, and my professional and personal life is getting disturbed. Thank you.
Hi,
Welcome back to icliniq.com.
Thank you for the follow-up query. You can test for it if you want. The rash may be due to some other cause like fungal infection too. The joint pains are also non-specific.
Regards.
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Dermatology
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