Prolonged Penile Injury: Treatment and Concerns - Urology

The foreskin abrasion has been treated for over one month?

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Dear Director Li,
Due to work commitments, I am unable to return to Taiwan for a consultation in the short term and would like to seek your professional advice.

On February 21, I engaged in sexual intercourse without lubrication, which resulted in a foreskin abrasion.
From February 25 to February 27, I applied a topical ointment called Ruankang (no improvement).
From February 28 to March 1, I used Lifu ointment (still no improvement, and the wound area gradually expanded).
From March 2 to March 11, I visited a urologist who prescribed oral Cefadroxil and topical tetracycline eye ointment.
Tests were ordered for syphilis, HIV, herpes simplex IgM, and a urinalysis.

On March 12 to March 18, I returned for a follow-up, and the doctor stated that all tests were normal.
I was prescribed oral Amoxicillin and topical Pidaifu cream.
Initially, there was only a wound on the foreskin, but this week, I started to develop a wound on the glans as well.
From March 19 to March 25, I returned for another follow-up, and the doctor continued to prescribe oral Amoxicillin and topical Pidaifu cream (slight improvement, the wound was less red).

From March 26 to April 1, during my follow-up, the doctor noted that the wound appeared somewhat dry and changed the prescription to topical Winston Bidar ointment, without prescribing any oral medication.
After using this ointment for a week, the wound worsened and became redder.
On April 2, I returned for a follow-up.
The doctor observed the worsening of the wound and suspected it might be herpes, prescribing oral Acyclovir and topical Spersin ointment.
Tests were ordered for herpes simplex IgG and Chlamydia antibodies.
Upon reviewing the ingredients of Spersin at home, I discovered that Ruankang, Lifu, Bidar, and Spersin all contain Neomycin.
Whenever I apply ointments containing this ingredient, my wound worsens.
I did not use the Spersin ointment and only took Acyclovir.

On April 5, I consulted a dermatologist.
At this point, the foreskin had retracted, and the wound was secreting a large amount of thick fluid, with pain resembling multiple cuts from a utility knife.
I informed the dermatologist about my previous treatment at the urology clinic, and he prescribed oral Doxycycline, Ibuprofen, Dexamethasone, and Strocain; administered an injection of Lincomycin; and prescribed topical Gentamicin ointment.

As of April 14 (I am currently abroad), I have been following the dermatologist's instructions for medication and topical treatment.
The secretion of thick fluid from the wound has gradually decreased, and the pain has slightly improved.
I checked the hospital's website for the blood test results from April 2: Herpes Simplex IgG: <0.5, Chlamydia Ab (TIP): 8.0 RU/ml.
I would like to ask you, Director:
1.
Both Herpes Simplex IgM and IgG are <0.5, but the urologist prescribed Acyclovir before the test results were available.
I followed the prescription for a week; what impact could this have on my body?
2.
How should I interpret the Chlamydia Ab (TIP) result of 8.0 RU/ml?
3.
Since my wound worsens whenever I apply ointments containing Neomycin, could I be allergic to this ingredient, or could there be other factors involved?
4.
After more than a month of using medications, especially topical antibiotics for such an extended period, will this affect the skin of the foreskin and glans, potentially causing thinning or other effects? Will there be any other impacts on my body?

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Anderson, 30~39 year old female. Ask Date: 2024/04/14