I have inflammation of the glans, but the doctor keeps insisting that I undergo some expensive out-of-pocket tests. I have questions about this?
Hello Dr.
Hsu,
Recently, I have been experiencing inflammation of the glans for about a week, so I went to a clinic for an examination.
The doctor mentioned that I have phimosis and asked if I wanted to undergo a circumcision.
When I declined, he suggested that I should get tested for conditions like HPV, herpes, and other infections, which would cost around 5,000 NTD.
I questioned him, saying that I only have inflammation, right? He agreed but insisted that it would be best to conduct some tests for peace of mind, as inflammation lasting a week without improvement is not ideal.
He also mentioned that I could just receive injections and topical treatments, and if that worked, we could leave it at that.
However, he advised me not to skimp on these small expenses.
My concern is that even if these viruses are detected, I currently have no symptoms.
How would he treat me then? Additionally, I found some medical information indicating that even if someone has HPV, they may not necessarily show symptoms (warts in other body areas are also caused by HPV, just different strains).
Furthermore, even if I do have a virus, the strains could vary, and I am unsure which strains correspond to which body parts.
Given this, is there really a need for any vaccine treatments? It feels like I am being tricked into paying for unnecessary tests, as the information I have gathered suggests that if I test positive for a virus but have no symptoms, I might just be set up for a vaccine expense of around 12,000 NTD.
Could you please help clarify my doubts? Thank you.
kEVIN, 30~39 year old female. Ask Date: 2014/11/06
Dr. Xu Weikai reply Urology
Kevin: Hello, sometimes inflammation of the glans needs to be evaluated for the presence of other sexually transmitted infections, especially if it lasts more than 1-2 weeks.
Testing is only a reference; whether medication is needed depends on the clinical judgment of the physician regarding the patient.
Some viral carriers do not cause damage and do not require treatment.
Certain viral infections cannot be cured.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.
Reply Date: 2014/11/06
More Info
Understanding the situation regarding your inflamed glans and the proposed tests can indeed be confusing, especially when it comes to the necessity and implications of such tests. Let's break down the key points to clarify your concerns.
Firstly, the inflammation you are experiencing on the glans (the head of the penis) could be due to various reasons, including irritation, infection, or a condition related to the foreskin, such as phimosis (tight foreskin). The physician's suggestion to consider circumcision may stem from the belief that a longer foreskin can contribute to recurrent infections or inflammation. However, this is a personal choice and should be made based on your comfort and the severity of your symptoms.
Regarding the tests your doctor recommended, which include checks for sexually transmitted infections (STIs) such as HPV (the virus that can cause genital warts), herpes, and others, it's important to understand their purpose. The doctor likely suggested these tests to rule out any underlying infections that could be contributing to your symptoms. While it may seem excessive, especially if you do not have other symptoms, these tests can provide peace of mind and help ensure that no serious conditions are overlooked.
You mentioned that you have done some research and found that having the HPV virus does not necessarily mean you will exhibit symptoms. This is correct; many people carry the virus without any visible signs. HPV is quite common, and while some strains can lead to warts or even cancer, others may not cause any issues at all. The decision to undergo testing for HPV or other STIs should be based on your sexual history, risk factors, and the advice of your healthcare provider.
If you do test positive for an STI, the treatment will depend on the specific infection. For example, if you have a strain of HPV that causes warts, there are various treatment options available, including topical treatments, cryotherapy, or surgical removal. If you test positive for herpes, antiviral medications can help manage outbreaks. However, if you are asymptomatic, the approach may be more about monitoring rather than immediate treatment.
As for the vaccines you mentioned, such as the HPV vaccine, it is generally recommended for individuals who are at risk of contracting the virus, particularly before they become sexually active. If you are already infected with a strain of HPV, the vaccine will not treat the existing infection but may protect against other strains. The decision to get vaccinated should be discussed with your healthcare provider, who can provide guidance based on your specific situation.
In conclusion, while the costs associated with these tests and potential treatments may seem high, they can provide valuable information about your health. It is essential to have an open dialogue with your healthcare provider about your concerns, the necessity of the tests, and the implications of any results. If you feel uncertain about the recommendations, seeking a second opinion from another healthcare professional can also be beneficial. Ultimately, your health and comfort should be the priority, and you should feel empowered to make informed decisions regarding your care.
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