Should I Be Concerned About STDs After a Massage Incident?
Am I overthinking this? Hello, I originally planned to go to a massage parlor for an oil massage today, but during the process, the therapist unexpectedly applied oil and touched my anal area and groin. They even asked if I wanted a detox, which I declined. There was no sexual ac...
Dr. Du Shixi Reply:
Hello: It should be fine, as it was only brief contact. If you have concerns or symptoms, please seek medical attention. If there are no symptoms, you can visit a urologist for a check-up in three months. Wishing you good health.[Read More] Should I Be Concerned About STDs After a Massage Incident?
Understanding Genital Herpes: Safe Practices for Sexual Activity
Herpes issues? 1. Can a person who has just recovered from genital herpes and has no lesions engage in sexual intercourse with their partner? 2. If both partners have been diagnosed with genital herpes, can they engage in unprotected sexual intercourse? 3. Does unprotected se...
Dr. Du Shixi Reply:
Hello: 1. Can I engage in sexual intercourse with my partner after recovering from genital herpes without any lesions? --> Use a condom. 2. If both partners have been diagnosed with genital herpes, can we have unprotected sex? There should be no difference regarding genital he...[Read More] Understanding Genital Herpes: Safe Practices for Sexual Activity
Small White Bump on Urethra: Causes and Concerns
A small white bump has appeared on the glans penis? Tonight, I suddenly noticed a small white bump above the right side of my urethral opening while urinating. It looks like a blister, but I don't feel any discomfort, and I haven't engaged in sexual activity. It appeare...
Dr. Du Shixi Reply:
Hello: It seems like friction is more likely the cause. You can observe it for now, but if it enlarges, becomes red, or breaks the skin, you should seek medical attention. Wishing you good health.[Read More] Small White Bump on Urethra: Causes and Concerns
Assessing STI Risks After Unprotected Oral and Vaginal Sex
Engaging in high-risk behaviors? Hello doctor, I would like to ask about my previous unprotected oral and vaginal intercourse. It has been 79 days without any symptoms (and no sexual activity during this period). Today, I tested for syphilis, HIV, chlamydia, herpes, and HPV. The ...
Dr. Du Shixi Reply:
Hello: It is generally recommended to wait for 3 months, but with advancements in technology, it is possible to test earlier. However, if any symptoms of a sexually transmitted infection occur, it is important to seek medical attention. Wishing you good health.[Read More] Assessing STI Risks After Unprotected Oral and Vaginal Sex
Understanding Recurrent Balanitis: Causes, Treatments, and Prevention
Recurrent balanitis seems to be persistent and difficult to resolve? Last October, I developed balanitis, and the doctor prescribed a steroid ointment. After using it, I saw significant improvement, but three weeks later, it turned into posthitis-balanitis (symptoms included: red...
Dr. Cai Zhuorong Reply:
If there are recurrent inflammations, circumcision may be considered.[Read More] Understanding Recurrent Balanitis: Causes, Treatments, and Prevention
Unexplained Wounds Under the Foreskin: A Urology Concern
Unidentified wound under the prepuce of the glans? The topic: I frequently experience lesions similar to acne, sometimes presenting as round wounds measuring 1-2 mm. This has been ongoing for five years. During the second year of the condition, I went to a major hospital for bloo...
Dr. Du Shixi Reply:
Hello: Such situations are not uncommon in clinical practice, but they usually occur a few times a year and resolve with treatment in 2-3 weeks. Therefore, it is generally advised to pay close attention to wound care when there is an injury, keep the area dry, ensure adequate res...[Read More] Unexplained Wounds Under the Foreskin: A Urology Concern
Understanding HSV I/II IgM Testing and Its Implications for Diagnosis
Blood screening assessment Hello Doctor, I would like to inquire about the HSV I/II IgM testing. The situation was that after engaging in sexual intercourse with my girlfriend, I did not wash for about 4-5 hours. The next day, I noticed an ulcer on the glans (without blisters). B...
Dr. Du Shixi Reply:
Hello: HSV causes skin blisters, painful lesions, and testing may need to be done in 1-2 weeks. It typically does not occur so quickly after sexual activity. Currently, take good care of the wounds, and be sure to rest and maintain proper nutrition. Wishing you good health.[Read More] Understanding HSV I/II IgM Testing and Its Implications for Diagnosis
Understanding Low Testosterone: Symptoms and Treatment Options
Hypogonadism Hello, doctor. I am 26 years old and have never had armpit hair. My penis is 4 cm when flaccid and only 10 cm when erect. My Adam's apple is not prominent, and I am 179 cm tall. I only started having acne at the age of 24, and I have never experienced morning er...
Dr. Du Shixi Reply:
Hello: You can start with an examination; if the results are normal, keep in mind that development and morning erections vary from person to person. It may be beneficial to enhance exercise and diet. If there is a deficiency in male hormones, further investigation into the underl...[Read More] Understanding Low Testosterone: Symptoms and Treatment Options
Can You Transmit HPV Without Symptoms? Understanding the Risks
I am not sure if I can transmit genital warts to my partner? Hello, doctor. I previously asked you about HPV testing, and now I would like to know more about the situation regarding sexual activity that occurred eight months ago. I'm not sure if I have the wart virus, and du...
Dr. Du Shixi Reply:
Hello: It's unclear whether there is a virus; I can only say that if there is a virus, it is possible, but the likelihood is much lower than having a lesion. Wishing you good health.[Read More] Can You Transmit HPV Without Symptoms? Understanding the Risks
Understanding and Preventing Urinary Tract Infections: Key Insights
Urinary tract infection (UTI) Hello Doctor, I have been troubled by recurrent urinary tract infections (UTIs) lately (I do not have a partner and do not engage in sexual activities, only occasionally do it myself). After recently recovering, I have some questions: (1) What are th...
Dr. Du Shixi Reply:
Hello: Generally, young males who have not engaged in sexual activity but experience recurrent inflammation should be evaluated for underlying causes. After treatment, a follow-up visit for a urine test is necessary to confirm resolution; it is important not to skip follow-ups ju...[Read More] Understanding and Preventing Urinary Tract Infections: Key Insights
Understanding Recurrent Balanitis: Causes, Treatments, and Care Tips
Treatment of balanitis and phimosis? I apologize for the inconvenience, but I would like to consult a physician regarding balanitis and posthitis. First, in mid-October 2023, I experienced inflammation of the glans, with symptoms primarily consisting of pain. After visiting a doc...
Dr. Du Shixi Reply:
Hello: If you have been taking care of your skin as described, you may need to consider your lifestyle, diet, rest, and sleep. Wearing loose-fitting underwear and being mindful of sexual activity can also help. Additionally, it is important to consider whether family members have...[Read More] Understanding Recurrent Balanitis: Causes, Treatments, and Care Tips
Understanding Prostatitis: Symptoms, Diagnosis, and Treatment Options
Prostatitis Hello, doctor. A while ago, I went to a clinic because I was experiencing pain during urination. The physician, after listening to my symptoms, asked me to undergo a urinalysis. Later, the doctor mentioned that I showed signs of inflammation and suggested that I might...
Dr. Li Xinyi Reply:
I apologize for my late response. If there has been no risky sexual behavior, then there is no need to consider sexually transmitted infections. However, some patients may deceive their physicians, which is why some doctors may recommend starting empirical therapy directly. This ...[Read More] Understanding Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding and Managing Glans Peeling: Causes and Treatments
Peeling of the glans penis? Hello doctor, about a month and a half ago, I noticed that the skin on my glans was peeling. The following Saturday, I visited a urologist, who suggested that the peeling was likely caused by eczema and prescribed me a topical corticosteroid cream. Aft...
Dr. Du Shixi Reply:
Hello: It is recommended to use the ointment for an additional week. Avoid showers, and limit the intake of spicy and irritating foods. Do not use soap or body wash; make sure to dry off thoroughly after getting wet. Wear loose-fitting underwear, and use protection during sexual ...[Read More] Understanding and Managing Glans Peeling: Causes and Treatments
Understanding Herpes: Can You Have Sex with Positive HSV-1 Antibodies?
Herpes issues? I would like to inquire about my blood test results: 1. Herpes Simplex Virus Type 1 (HSV-1) IgG complement fixation antibody result is 1.79 (Positive). 2. Herpes Simplex Virus IgM antibody (HSV 1+2) result is <0.50 (Negative). I currently have no symptoms and wo...
Dr. Du Shixi Reply:
Hello: It's hard to say. If you're worried about transmitting it to others, it's better to take precautions. Wishing you good health.[Read More] Understanding Herpes: Can You Have Sex with Positive HSV-1 Antibodies?
Understanding HIV Risks: Can You Get Infected Without Full Penetration?
If the virus does not enter the body, can one become infected with HIV? 1. About three to four days ago, I engaged in unprotected sexual intercourse, but I only rubbed a little on the outside before ejaculating, with just the tip of the penis entering slightly. Is there a risk of...
Dr. Du Shixi Reply:
Hello: 1. About three to four days ago, I engaged in unprotected sexual intercourse, but I only rubbed a little bit at the moment of ejaculation, with just the tip of the penis entering slightly. Is there a risk of contracting HIV? I have already started taking PrEP (pre-exposure...[Read More] Understanding HIV Risks: Can You Get Infected Without Full Penetration?
Recurring Bacterial Infections in Semen: Causes and Solutions
Semen culture consistently shows different types of bacteria? Hello Doctor: Over the past year, I have experienced burning during urination, itching of the penis, and perineal pain. After seeing a doctor and undergoing semen culture, bacteria were found. After taking antibiotics,...
Dr. Xu Wencang Reply:
Please have the physician evaluate the treatment of chronic prostatitis with a course of antibiotics over a period of time.[Read More] Recurring Bacterial Infections in Semen: Causes and Solutions
Should You See a Urologist or Dermatologist for Glans Ulcer Issues?
Glans issues The glans appears ulcerated (without sexual activity). Should I definitely see a urologist, or can I consult a dermatologist? The nearest urology clinic is a large hospital that is at least an hour's drive from my home.
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Should You See a Urologist or Dermatologist for Glans Ulcer Issues?
Understanding HSV1 Genital Herpes: Causes, Risks, and Management
Genital infection with HSV-1 herpes: issues and subsequent care? Hello Doctor, today is January 7th. I started seeing doctors about 10 days ago, initially thinking it was a recurrence of common balanitis. I had blood tests for HIV, syphilis, HSV-1, and HSV-2. The results showed t...
Dr. Du Shixi Reply:
Hello: 1. Can circumcision reduce the recurrence rate of HSV-1 in the genital area? --> If cleanliness is maintained, surgery is not necessary. 2. Was this recurrence due to my sexual partner having an active oral herpes outbreak at that time? --> Not necessarily, as you ...[Read More] Understanding HSV1 Genital Herpes: Causes, Risks, and Management
Is Frictional Anal Contact Without Penetration a Risk for STDs?
Is it possible to transmit sexually transmitted infections (STIs) if one partner rubs against the anus without penetration? Hello, Dr. Du. I (male) engaged in sexual activity with another male, during which he restrained me and rubbed his penis around my anal area without using a...
Dr. Du Shixi Reply:
Hello: We need to check for any bodily fluid contact, but of course, it is much less than sexual intercourse. It depends on health status.[Read More] Is Frictional Anal Contact Without Penetration a Risk for STDs?
Managing Post-Procedure Pain After Electrosurgery for Genital Warts
Post-operative care after electrosurgery for cauliflower ear? Hello doctor, I was diagnosed with a genital wart infection at the vaginal opening and underwent electrosurgery immediately. It has been 3 months since the procedure, and there has been no recurrence. I have been using...
Dr. Du Shixi Reply:
Hello: Please refrain from sexual activity for the time being. Wishing you good health.[Read More] Managing Post-Procedure Pain After Electrosurgery for Genital Warts