Concerns About Urological Symptoms: What Tests Should I Consider?

I'm really worried that I have..?

Last summer, I had sexual intercourse with an online friend.
A year later, I recently noticed a red patch on my left hand (I'm not sure if it's a rash), which resembles early symptoms of HIV, but I don't have any symptoms like a cold or cough.
Should I go to the hospital for a blood test, a urine test, or see a dermatologist?

matty, 20~29 year old female. Ask Date: 2006/05/21

Dr. Pan Zhenqin reply Urology

Symptoms of secondary syphilis include a rash on the body, particularly on the palms of the hands and soles of the feet.
The symptoms you described may be generalized skin redness or a rash, or they could be indicative of secondary syphilis.
It is recommended that you consult a urologist for an examination or undergo a blood test for confirmation.

Reply Date: 2006/05/21

More Info

When it comes to concerns about urological symptoms and potential sexually transmitted infections (STIs), it's important to approach the situation with a clear understanding of the necessary steps for diagnosis and treatment. Based on your description, you have experienced a skin rash on your left hand, which you are concerned may be related to a past sexual encounter. Here’s how to proceed:
1. Understanding Symptoms: The rash you describe could be due to a variety of causes, including allergic reactions, infections, or other dermatological conditions. While some STIs can manifest with skin symptoms, they often present with additional signs such as fever, malaise, or specific genital symptoms. The absence of respiratory symptoms like cough or fever makes it less likely to be an acute viral infection like HIV, which typically has a more systemic presentation.

2. Testing Options: Given your concerns, it is advisable to consult a healthcare provider who can guide you through the appropriate testing. Here are the tests you might consider:
- Blood Tests: These are essential for diagnosing many STIs, including HIV, syphilis, and hepatitis. A comprehensive STI panel can provide a clearer picture of your sexual health.

- Urine Tests: These are commonly used to test for certain STIs, such as chlamydia and gonorrhea. If you have any urinary symptoms (like burning during urination or unusual discharge), a urine test would be particularly relevant.

- Dermatological Evaluation: If the rash persists or worsens, seeing a dermatologist would be beneficial. They can assess the rash directly and may perform a skin biopsy or other tests if necessary.

3. Consulting the Right Specialist: Depending on your symptoms, you may start with a primary care physician or a urologist. They can evaluate your symptoms and recommend the appropriate tests. If the rash is your primary concern, a dermatologist may be the best first step. However, if you have any urinary symptoms or concerns about STIs, a visit to a urologist or an STI clinic would be appropriate.

4. Importance of Early Testing: If you are concerned about potential exposure to STIs, it is crucial to get tested as soon as possible. Early detection can lead to more effective treatment and reduce the risk of complications. Many STIs can be asymptomatic, so regular testing is recommended for sexually active individuals, especially if you have had unprotected sex.

5. Mental Health Considerations: It's also important to address any anxiety or stress related to your symptoms or past sexual encounters. Mental health plays a significant role in overall well-being, and discussing your concerns with a healthcare provider can help alleviate some of that stress.

In summary, the best course of action is to seek medical advice promptly. A healthcare provider can guide you through the necessary tests and help you understand the results. Remember, being proactive about your health is key, and there is no shame in seeking help for concerns related to sexual health or any other symptoms you may be experiencing.

Similar Q&A

Understanding Urinary Issues: Symptoms and Testing Recommendations

Hello, Doctor. 1. Last Friday afternoon, I suddenly felt an itch and a strong urge to urinate, but I didn't have much urine. However, I haven't experienced these symptoms in the past few days. What could this be? 2. It has been two years since my last sexual encounte...

Dr. Li Xinyi reply Urology
The symptoms you described could potentially be a urinary tract infection, neuropathic pain, or the passage of small stones. Based on your description, it seems you are particularly concerned about persistent urethritis, which is certainly a possibility. However, it is advisable ...

Understanding Urinary Symptoms: Concerns About Cancer and Treatment Options

Hello Dr. Chen, I have a few questions I would like to ask. I apologize for the lengthy message. 1: A few months ago, I started experiencing symptoms of frequent urination and incomplete voiding, but there is no hematuria. Occasionally, I feel a slight pain in my lower body (I&...

Dr. Chen Xiuyi reply Urology
Hello: 1. The causes of frequent urination, if symptoms have improved and tests are normal, may still be psychological factors. 2. For cancer screening, prostate cancer can be assessed with a PSA test. For bladder cancer, a cystoscopy or urine cytology is generally required. P...

Understanding Urinary Issues: Symptoms, Concerns, and What to Expect

Doctor, I've been experiencing some unusual changes with my urination lately. It feels like I have to exert more effort, and it's not as smooth as it used to be. I've also been urinating more frequently, and shortly after finishing, I feel the urge to go again. How...

Dr. Liu Jianting reply Urology
Is it that serious? You should see a urologist at the hospital to get a urine test done, and at the same time, discuss your concerns with the doctor.

Understanding Prostate Symptoms: Insights and Concerns for Young Men

Thank you, Dr. Hsu, for your response to my first question. I have concerns about my prostate due to the following main symptoms: 1. Frequent urination: I've had this since childhood. In August, during a diagnosis of hypertension, I underwent a "24-hour urine test,&qu...

Dr. Xu Weikai reply Urology
Ahan: Hello, benign prostatic hyperplasia or enlargement generally occurs after the age of 60. As for prostatitis, it can occur in any male. Regarding masturbation, Western medicine believes that as long as one is healthy, there is no need for special restrictions. Of course, Tra...