Urological Concerns: Is It an STD or Infection?

Q: Urological Concerns: Is It an STD or Infection?

Lin： Hello, it's difficult to make a judgment. <br>However, it is advisable to repeat tests for HIV, syphilis, etc., as there may be a so-called window period. <br>Additionally, I recommend visiting a nearby medical facility for a definitive diagnosis. <br>If there are any unclea

Concern about sexually transmitted infections (STIs)

Hello, doctor.
Last July, I had a risky sexual encounter.
Two weeks later, I noticed some redness and one or two suspected blisters on my genital area.
After seeing a doctor and applying medication, the surface healed, but I noticed that the area was still noticeably painful and would hurt more when pressed.
Since I have had a circumcision, this pain is located on the skin exposed after the procedure (not all of the area is affected).
When I touch it, I feel a warm, painful sensation (perhaps a burning sensation).
I went to a testing facility to check for sexually transmitted infections (STIs), and all results were normal.
After two weeks, the condition improved, but that area of skin continues to be painful whenever pressure is applied.
The other side is completely fine and has remained so.
In January and again in the past few days, I have experienced a similar eczema-like condition in the same area (the doctor said it doesn't resemble a typical STI and is likely eczema).
I would like to ask: could this be an STI, or is it possible that it is some kind of infection? What tests can be done? I have already been tested for HIV, syphilis, herpes types 1 and 2, chlamydia (both blood and DNA tests), and gonorrhea DNA testing.

Lin, 30~39 year old female. Ask Date: 2012/03/19

Dr. Xu Weikai reply Urology

Lin: Hello, it's difficult to make a judgment.
However, it is advisable to repeat tests for HIV, syphilis, etc., as there may be a so-called window period.
Additionally, I recommend visiting a nearby medical facility for a definitive diagnosis.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is essential to seek medical care at a healthcare institution.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/03/19

More Info

Based on your detailed description of symptoms and medical history, it seems that you are experiencing a complex situation that may involve both an infection and possibly a dermatological condition. Let's break down your concerns and provide some clarity regarding your symptoms and potential diagnoses.

Understanding Your Symptoms
1. Redness and Blisters: The appearance of redness and blisters on the genital area after a risky sexual encounter raises concerns about sexually transmitted infections (STIs). However, since you mentioned that the lesions improved with topical treatment and did not persist, this could indicate a non-specific irritation or dermatitis rather than a classic STI.

2. Persistent Pain: The ongoing pain in the area, especially when pressure is applied, suggests that there may be an underlying issue that needs to be addressed. This could be due to inflammation, nerve irritation, or even a localized infection that may not have been fully resolved.

3. Skin Changes: The development of eczema-like symptoms (as described by your doctor) could be a reaction to irritation, friction, or an allergic response. Conditions like contact dermatitis can occur in sensitive areas and may not necessarily be linked to an STI.

Diagnostic Considerations
Given your history of risky behavior and the symptoms you are experiencing, it is essential to consider a few diagnostic steps:
1. Repeat STI Testing: Although you have tested negative for several STIs, it may be prudent to repeat tests for common STIs, especially if symptoms persist. This includes testing for herpes simplex virus (HSV), human papillomavirus (HPV), and possibly a more comprehensive panel for other STIs.

2. Dermatological Evaluation: Since your symptoms resemble eczema or dermatitis, consulting a dermatologist may provide insights into whether this is a skin condition rather than an infection. A skin biopsy or patch testing could help identify any allergic reactions or specific skin conditions.

3. Urinalysis and Culture: If there are any urinary symptoms (e.g., burning during urination, increased frequency), a urinalysis and culture can help rule out a urinary tract infection (UTI) or other urological issues.

Treatment Options
1. Topical Treatments: If the condition is indeed eczema or dermatitis, topical corticosteroids or emollients may help reduce inflammation and soothe the skin.

2. Pain Management: Over-the-counter pain relievers can help manage discomfort. If the pain persists, a healthcare provider may consider prescribing stronger medications or investigating further for potential nerve involvement.

3. Avoid Irritants: It is crucial to avoid any known irritants, including certain soaps, lotions, or fabrics that may exacerbate your symptoms.

Conclusion
In summary, while your symptoms could potentially relate to an STI, they may also represent a non-infectious dermatological condition. It is essential to follow up with healthcare providers for further evaluation and testing. Keeping an open line of communication with your healthcare team will ensure that you receive the most appropriate care tailored to your specific situation. If symptoms persist or worsen, do not hesitate to seek immediate medical attention.

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