hello sir/madam,....I had unprotected sex with my partner few days back...after 2-3 days of the act I started having red patch wid a small round white lesion(like ulcer) on my frenulum of penis and inner part of the prepuce....plus from the next day I started having pain in my floor of the mouth plus having bleeding while brushing my teeth(after brushing when I spit I see blood but cannot find the origin of the bleed...I have not got any blood test done...I am very worried whether its an STD or something more serious like cancer or HIV.....plus the female with whom I had sex also suffered from infection wid burning sensation and pain while urinating the next day and she took third generation cephalosporin tablet and placentrex gel for 3 days which relieved her symptoms....please suggest me what should I do....thanks in advance....

Hello,

Thank you for your question. The only STD which can present within 2-3 days of contact with an infected partner is Herpes can even this usually manifests after 4 days of contact and often first presents with small blisters and burning while urinating. Hence an STD looks unlikely if your history is accurate. Your genital ulcer sounds like a bacterial infection called Impetigo and this can be transmitted sexually. HIV has virtually no symptoms for 2-4 weeks after infection when some patients experience a generalized rash and flu like symptoms (called the 'seroconversion illness'), so that is not related to your symptoms.

The oral symptoms sound unrelated and are perhaps of your anxiety around the situation.

I think you need to see a doctor as early as possible to get the possibilities I have mentioned checked out. A skin swab will be done for bacterial culture if your doctor feels this is required and if your partner was a casual contact and not your spouse then your blood will also be sent for HIV, VDRL and Herpes Serology. The best doctor to see would be a dermatologist.

Please feel free to ask if you have any queries.

•  herpes
•  partner

Patient asked followup Question: 12 years ago

thanks for your reply...I would also like to tell you that I have noticed swollen submandibular glands but no fever...is it related to my condition on prepuce....I have taken an appointment for Tuesday with a dermatologist....meanwhile I have started tab.doxycycline 100mg BD...anything else that I should do....???

Good Morning,

No the swollen submandibular glands are not related to your genital condition. I usually prefer that patients who come to see me don't take any antibiotics on their own since this complicates the picture and often makes an accurate diagnosis impossible. Still since you have to wait three days before seeing a Dermatologist you can continue the Doxycycline 100 mg BD. In addition you can apply 2% Mupirocin cream on the affected area and clean with a mild soap while bathing.

Let me know how it goes. Regards.

•  doxycycline
•  DERMATOLOGIST
•  glands

Patient asked followup Question: 12 years ago

hello sir.....thanks for your valuable advice.....I was wondering that if you have any private practice or work in any hospital in delhi I could come visit you for consultation as I myself stay in new delhi.....if its possible pls share your address and contact number...plus im scared to use any soap as im aprrehensive that the chemicals in the soap might worsen the problem...any particular soap which you will recommend.....thanks

I would recommend Medsop - it is a gentle antibacterial soap. I practice in Gurgaon but unfortunately I am not allowed to disclose my details here as per Healcon rules. However please feel free to google me and pursue an appointment from there. Regards.

•  appointment
•  medical soap
•  site rules