A seemingly contagious strange illness?
Hello, Doctor: During my middle school years, possibly due to puberty, I once rubbed my genitalia against the bathtub.
A few weeks later, I started to feel itching on my glans, which led me to touch it (resulting in masturbation).
I thought I had a sexually transmitted infection (STI).
It wasn't until college that I consulted a doctor.
I underwent testing for all common STIs (such as HPV, syphilis, gonorrhea, HIV, etc.) and visited dermatology, infectious diseases, and urology specialists.
I had blood tests and urinalysis, and everything came back normal.
However, I still experience itching on my glans.
About a month ago, I went to a major hospital for another check-up, and again, everything was fine.
I have had sexual intercourse once with a condom, and I did not kiss my partner (who I met online).
I have another concern: I feel that this strange condition might be contagious (I boldly speculate it could be a rare disease).
I believe this condition could be transmitted through saliva, causing discomfort in others' genital areas.
Is it possible that there are viruses or bacteria in my saliva, or could I have warts in my mouth (which makes my throat feel itchy)? This issue has troubled me for a long time, and I cannot find the cause (I only asked some friends, and they said it was all in my head).
The point is, this condition seems to be contagious (very infectious).
I say this because during my school years, classmates mentioned that I had a disease or that they felt itchy because of me.
I am very good to my friends, but I believe 99% of what they said is true.
This has made me reluctant to talk to anyone (for fear of transmitting something) and has severely affected my confidence.
This issue has troubled me for a long time, and I cannot find the cause, which has made me afraid to date!
So, Doctor, can you tell me if there are such cases in the world, or if this is impossible? You might think I am just being ridiculous or that I am crazy or perverted, but I genuinely believe I have a contagious disease! I want to survive in this society, so I am begging you for help—please provide me with a plan for further treatment.
Can I go to the hospital and have my saliva tested for any infectious bacteria or viruses?
I apologize for the length of this message, and I appreciate you taking the time to read it.
I hope you can help me resolve this issue! I would be extremely grateful!
reborn, 20~29 year old female. Ask Date: 2011/11/23
Dr. Xu Weikai reply Urology
Reborn: Hello, I am not sure if the disease you described exists; I personally have not seen or heard of it.
However, the chances of contracting an infection from rubbing against a bathtub are low.
As for whether saliva can transmit infections, I am uncertain.
However, everyone's saliva contains various bacteria, which differ from person to person, so culturing saliva is not particularly meaningful.
I recommend cleaning the glans daily, but the cleaning method is somewhat specific: 1.
Use cold water, not hot water.
2.
Do not use soap, body wash, or any cleaning products.
3.
Purchase a jar of petroleum jelly from a pharmacy; after washing the glans, dry it and immediately apply a thick layer of petroleum jelly.
4.
Continue this for 1-2 weeks, and it should help resolve the issue.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2011/11/23
More Info
It sounds like you are experiencing a lot of distress regarding your symptoms and concerns about potential contagiousness. First and foremost, it’s important to understand that many urological symptoms, such as itching or discomfort in the genital area, can arise from a variety of non-contagious causes. Let's break down your concerns and provide some clarity.
Understanding Your Symptoms
1. Itching and Discomfort: The itching you describe could be due to several factors, including:
- Irritation: This could be caused by soaps, detergents, or other irritants that come into contact with the genital area.
- Fungal Infections: Conditions like yeast infections can cause itching and discomfort.
- Dermatological Issues: Skin conditions such as eczema or psoriasis can also affect the genital area.
- Allergic Reactions: Allergies to certain materials (like latex in condoms) can lead to localized itching.
2. Sexually Transmitted Infections (STIs): You mentioned that you have been tested for various STIs, and all results came back negative. This is reassuring, as many STIs can cause similar symptoms. However, some infections may not show up immediately on tests, so it’s always good to follow up with your healthcare provider if symptoms persist.
3. Psychological Factors: Anxiety and stress can manifest physically, leading to symptoms such as itching or discomfort. If you are worried about having a contagious condition, this anxiety can exacerbate your symptoms.
Contagiousness of Symptoms
Regarding your concern about contagiousness, it’s crucial to clarify that most urological symptoms, particularly those that are not linked to an identifiable infection, are not contagious. For example, conditions like eczema or irritation from products are not transmissible.
- Transmission of STIs: STIs are typically transmitted through sexual contact, and while some can be transmitted through oral sex, the likelihood of transmission through saliva alone is very low for most STIs. If you have been tested and found negative for STIs, it is unlikely that you are carrying a contagious infection.
- Viral Infections: Certain viral infections, like herpes, can be transmitted through skin-to-skin contact, but again, if you have been tested and found negative, this should alleviate your concerns.
Seeking Further Help
1. Consult a Specialist: If your symptoms persist, consider seeing a urologist or dermatologist who specializes in genital issues. They can provide a thorough examination and may suggest treatments or further testing.
2. Psychological Support: Given the anxiety you are experiencing, it might be beneficial to speak with a mental health professional. They can help you address your fears and provide coping strategies.
3. Testing Saliva: While testing your saliva for bacteria or viruses is not a common practice for diagnosing urological symptoms, if you have specific concerns about oral health or potential transmission, discussing this with your healthcare provider can help determine the best course of action.
Conclusion
It’s understandable to feel anxious about your symptoms and their potential implications. However, based on the information provided, it seems unlikely that you have a contagious condition. Focus on seeking appropriate medical advice and support to address both your physical symptoms and any psychological distress. Remember, you are not alone in this, and there are professionals who can help you navigate these concerns.
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