Urology Concerns: Questions About Skin Lesions and STDs

Q: Urology Concerns: Questions About Skin Lesions and STDs

Hello： 1. Yes. 2-5. A medical examination is required; we cannot provide such opinions without an examination. 6. Is it possible for a secondary syphilis rash to consist of only 1 or 2 lesions and be painful when pressed? Typically, where do syphilis rashes ap

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Hello Doctor, I am the person who recently had a skin tear near the penile frenulum due to masturbation and is concerned about potential contamination from touching external surfaces like bathroom doorknobs or faucets.
I would like to ask a few questions:
1.
When you mentioned symptoms like rashes, blisters, bumps, skin tears, or purulent discharge from the urethra, are you referring to these symptoms appearing in the genital area during examination?
2.
I have recently noticed what seems to be acne on my calves.
It doesn’t seem like a sexually transmitted infection (STI) rash because it hurts when pressed, and it feels like it might be due to wearing tight pants.
Would this be considered a symptom of an STI?
3.
Given that I have painful acne on my calves, do you think my situation does not warrant a blood test for STIs?
4.
After how long should the acne on my calves heal to rule out secondary syphilis symptoms?
5.
Since I have been closely monitoring my genital area for changes since the skin tear, and there have been no abnormalities or ulcerations, can I rule out the possibility of syphilis?
6.
Is it possible for secondary syphilis rashes to appear as only one or two lesions that are painful when pressed? Where do syphilis rashes typically appear?
7.
Are syphilis rash symptoms usually painless and itch-free? Would they not hurt or itch even when touched?
8.
Is there a possibility of contracting gonorrhea from the behaviors mentioned above?
9.
Since it has been two months since the skin tear and I have not experienced any symptoms of gonorrhea, can I rule out the possibility of a gonorrhea infection?
10.
What are the symptoms of gonorrhea? Are the symptoms usually pronounced?

Niming, 20~29 year old female. Ask Date: 2019/07/10

Dr. Du Shixi reply Urology

Hello: 1.
Yes.
2-5.
A medical examination is required; we cannot provide such opinions without an examination.
6.
Is it possible for a secondary syphilis rash to consist of only 1 or 2 lesions and be painful when pressed? Typically, where do syphilis rashes appear? -- Syphilis can present variably; blood tests are needed for diagnosis, and rashes can occur on the body and genital areas.
7.
Are the symptoms of syphilis rashes usually painless and itch-free? Is it true that they do not hurt or itch even when touched? -- Generally, they are not very painful, but since there are lesions, it is unlikely to be completely painless.
8.
Is it possible to contract gonorrhea from the behaviors mentioned above? --> Transmission typically occurs through sexual activity.
9.
Since it has been 2 months since the skin lesion appeared and there seem to be no symptoms of gonorrhea, can we rule out the possibility of gonorrhea infection? -- Without an examination, I cannot say for certain.
10.
What are the symptoms of gonorrhea? Are the symptoms usually obvious? -- Typically, there may be purulent discharge from the urethra.
Wishing you good health.

Reply Date: 2019/07/10

More Info

When it comes to concerns about skin lesions and potential sexually transmitted diseases (STDs), it's essential to approach the situation with a clear understanding of the symptoms and their implications. Let's address your questions one by one, while also providing some context and medical knowledge related to your concerns.

1. Symptoms of Concern: When a doctor mentions symptoms like rashes, blisters, bumps, or skin breakdown in the genital area, they are indeed referring to lesions that appear on or around the genitals. These could indicate various conditions, including infections or STDs. If you notice any of these symptoms, it is crucial to seek medical evaluation.

2. Leg Lesions: The lesions you describe on your lower leg, which you believe are due to irritation from tight clothing, are unlikely to be STD-related. Conditions like folliculitis or acne can occur in areas that are prone to friction and sweat. However, if these lesions persist or worsen, it would be wise to consult a healthcare provider for a proper diagnosis.

3. Blood Tests for STDs: Given that your leg lesions seem unrelated to your genital area, it is generally unnecessary to undergo blood tests for STDs based solely on those symptoms. However, if you have concerns about potential exposure to STDs, discussing this with a healthcare provider is advisable.

4. Exclusion of Syphilis: If your leg lesions heal without any other symptoms appearing, it may help to alleviate concerns about secondary syphilis. However, syphilis can present in various ways, and it is essential to monitor for any new symptoms.

5. Monitoring Genital Health: If you have been observing your genital area for changes and have not noticed any abnormalities such as hard lumps or ulcerations, this is a positive sign. However, syphilis can sometimes present without obvious symptoms, so if you have concerns, a medical evaluation is warranted.

6. Secondary Syphilis Rash: The rash associated with secondary syphilis can vary widely. It may not always be painful or itchy, and it can appear as a few spots or widespread lesions. Typically, these rashes are not localized to one area but can be found on the trunk, arms, and legs.

7. Characteristics of Syphilis Rash: The rash associated with syphilis is often described as non-itchy and may not cause discomfort upon touch. However, individual responses can vary.

8. Risk of Gonorrhea: Engaging in activities that may involve contact with bodily fluids can pose a risk for gonorrhea and other STDs. If you have concerns about exposure, it is best to consult a healthcare provider.

9. Exclusion of Gonorrhea: If two months have passed without any symptoms of gonorrhea, such as painful urination or discharge, it may reduce the likelihood of infection. However, some individuals may be asymptomatic, so testing is the only way to confirm.

10. Gonorrhea Symptoms: Symptoms of gonorrhea can include painful urination, abnormal discharge from the penis or vagina, and in some cases, pain during intercourse. Symptoms can be quite pronounced, but some individuals may not exhibit noticeable signs.

In summary, while your concerns are valid, many of the symptoms you describe may not be indicative of STDs. However, it is crucial to consult a healthcare provider for a thorough examination and appropriate testing if you have any doubts or if symptoms develop. Regular check-ups and open communication with your healthcare provider can help ensure your sexual health and overall well-being.

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