STD Risks and Testing: Your Concerns Addressed

Sexually transmitted infections (STIs) issues?

Hello, Doctor.

1.
About two months ago, I had a small skin abrasion near the frenulum of my penis due to masturbation.
I often check the abrasion in the company restroom and touch it.
I'm wondering if it's possible that I could have contracted HIV, syphilis, or gonorrhea by touching the abrasion after touching external surfaces like restroom doorknobs or faucets.

2.
Given my behavior, do you recommend that I get a blood test?
3.
Now that two months have passed and there are no abnormalities on my penis and no symptoms of syphilis such as a hard chancre, can I be reassured that I am not infected with syphilis?
4.
Recently, I noticed 1 or 2 painful bumps on my calf that resemble sores.
Could this be a symptom of secondary syphilis, or could these bumps just be due to wearing tight pants?
5.
How long after the bumps on my calf heal can I rule out secondary syphilis symptoms?
6.
Where do rashes from secondary syphilis typically appear? I read online that the rashes are usually painless and itch-free, but the two bumps on my calf are painful when pressed.
Could they still be considered a rash?
7.
Based on my symptoms and described behaviors, do you think I need to get a blood test?
8.
If it is a syphilis rash, is it possible for there to be only one or two bumps, or would it typically cover a larger area?
9.
If it has been two months without any symptoms of gonorrhea, such as urethral discharge, can I be reassured that I am not infected with gonorrhea? Is it possible that my previous behaviors could have led to a gonorrhea infection?
10.
Is there a possibility that the behaviors described could lead to HIV infection?
11.
Is there a chance that the behaviors mentioned could lead to HPV infection? I am really worried about potentially contracting HIV, syphilis, or gonorrhea...

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

Dr. Hong Yuanbin reply Internal Medicine

1.
Such contact behaviors do not transmit HIV, syphilis, or gonorrhea.

2.
Unless there is unsafe sexual behavior, there is no need for testing.

3.
This process does not lead to syphilis infection.

4.
Based on your description, it is likely folliculitis, which is usually caused by follicular blockage and is not a sexually transmitted infection.

5.
This is not syphilis.

6.
Syphilis rashes are typically systemic and do not appear as just a few small spots.

7.
Unless there is unsafe sexual behavior, there is currently no need to worry about sexually transmitted infections.

8.
It would be systemic.

9.
Unless there is sexual intercourse, the actions you described would not lead to gonorrhea infection, and your symptoms do not resemble it.

10.
Unless there is sexual intercourse, the actions you described would not lead to HIV infection.

11.
Unless there is sexual intercourse, the actions you described would not lead to HPV infection.

Reply Date: 2019/07/10

More Info

Understanding STD Risks and Testing: Your Concerns Addressed
It's completely understandable to have concerns about sexually transmitted diseases (STDs) given your recent experiences and the nature of your inquiries. Let’s break down your questions and provide clarity on each point.

1. Risk of Infection from External Sources: The likelihood of contracting HIV, syphilis, or gonorrhea from touching a small cut on your penis after touching surfaces like restroom door handles or faucets is extremely low. These pathogens do not survive long outside the human body, and they require specific conditions to remain viable. HIV, for instance, is primarily transmitted through direct contact with infected bodily fluids, not through casual contact with surfaces.

2. Need for Blood Testing: Given your concerns and the nature of your sexual history, it is advisable to undergo testing for STDs, including HIV, syphilis, and gonorrhea. Even if you feel asymptomatic, many STDs can be present without noticeable symptoms. Regular testing is a crucial part of maintaining sexual health, especially after potential exposure.

3. Symptoms and Reassurance: The absence of symptoms like a hard chancre (a sore associated with syphilis) two months after your potential exposure is a positive sign, but it does not completely rule out infection. It’s important to remember that some STDs can take time to show symptoms. However, if you have not experienced any unusual symptoms, it is a good sign, but not definitive.

4. Concerns about Skin Lesions: The painful bumps on your lower leg could be due to various reasons, including irritation from clothing or an unrelated skin condition. While secondary syphilis can present with skin rashes, these typically do not cause pain. If the lesions persist or worsen, it would be wise to consult a healthcare provider for a proper evaluation.

5. Duration of Symptoms: If the bumps on your leg resolve without treatment, it is less likely they are related to secondary syphilis. However, if you have concerns, especially if they change in appearance or persist, seeking medical advice is prudent.

6. Characteristics of Secondary Syphilis Rash: The rash associated with secondary syphilis can appear in various locations, including the trunk, arms, and legs. It is often described as non-itchy and may not be painful. If your lesions are painful, they are less likely to be related to syphilis.

7. Testing Recommendations: Based on your sexual history and the symptoms you’ve described, it is advisable to get tested. This includes a full STD panel, which can provide peace of mind and ensure that any potential infections are identified and treated early.

8. Syphilis Rash Presentation: While syphilis rashes can vary, they typically present as widespread lesions rather than just one or two isolated bumps. However, every individual may react differently, so it’s essential to get a professional opinion if you have concerns.

9. Gonorrhea Symptoms: The absence of symptoms like urethral discharge does lower the likelihood of gonorrhea, but it does not eliminate the risk entirely. Testing remains the best way to confirm your status.

10. HIV Transmission Risk: The activities you described do not present a significant risk for HIV transmission. However, if you have concerns about potential exposure, testing is the only way to confirm your status.

11. Concern for HPV (Genital Warts): The risk of contracting HPV (which can cause genital warts) is present with any skin-to-skin contact in the genital area. If you are concerned about this, it is also worth discussing with your healthcare provider.

In summary, while your risk of contracting STDs from the described activities seems low, the best course of action is to get tested. Regular screening is a responsible practice, especially after engaging in sexual activities with multiple partners. It’s also important to communicate with any sexual partners about your concerns and testing status to ensure everyone’s health and safety. Remember, early detection and treatment are key to managing STDs effectively.

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