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STDs (Expert Forum)
Is my doctor correct?
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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Is my doctor correct?
by ebro, Feb 09, 2007 12:00AM
I have had experienced a pain and burning sensation directly under the head of my uncircumcised penis for months now- it varies in intensity but is more or less constant, particularly after stimulation. i had a herpeselct test in august, + for 1, - for 2. What i am concerned about is that 3 days after brief, traumatic unprotected sex with a female who claims to be free of disease, i developed a small, red sore like area in the same spot under the head. it was quite painful and the pain lasted for a month. immediatly next to (and kind of bisecting) this spot is a group of flat, white areas that are painless and have remained unchanged for months. the sore has faded a bit over the last two months, but not envolved. 1 day after protected sex with the same person a month later, the pain began again, and the sore became more visible i went to a urologist several times, most recently about 3 weeks after the sore had appeared- it was still present but not as red. he examned me a for minutes and diagnosed me as having lichen planus. he did not want to give me steroidal cream because he claimed my penis was very dry. when i asked him if he thought it was herpes, he said defintely not. i got a new herpeselct test 2 days ago and should know the results soon. my questions:1. Does this sound like herpes? Previous neg test, non clustered apperance, no blisters, long term symptoms)2. Can lichen planus actually cause a sore like this? It seems to be most painful/prevelant after stimulation. Thank you so much for your time and advice.
Doctor's Answer
by H. Hunter Handsfield, M.D., Feb 09, 2007 12:00AM
, Feb 09, 2007 12:00AM
From monkeyflower's comment below, it seems you're doctor shopping (or internet shopping) for alternate opinions. I don't understand why; you have been reassured by a physician--who probably is pretty knowledgeable--that you don't have herpes or any other STD. From your description, that also is my opinion.
To answer your specific questions: 1) You describe no symptoms that suggest herpes. 2) I don't think of lichen planus causing open sores, but I'm not a dermatologist, so I cannot say for certain. Any inflammatory condition, no matter the cause, will be most painful and otherwise obvious after being massaged or rubbed. So I suggest you stop massaging or rubbing it.
If you're not confident in the advice from your urologist, see a dermatologist. In any case, stop trying to figure this out by online opinion. That approach will never give clear answers.
HHH, MD
To answer your specific questions: 1) You describe no symptoms that suggest herpes. 2) I don't think of lichen planus causing open sores, but I'm not a dermatologist, so I cannot say for certain. Any inflammatory condition, no matter the cause, will be most painful and otherwise obvious after being massaged or rubbed. So I suggest you stop massaging or rubbing it.
If you're not confident in the advice from your urologist, see a dermatologist. In any case, stop trying to figure this out by online opinion. That approach will never give clear answers.
HHH, MD
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HHH, MD
grace
Thanks for the comment. I'm deeply flattered to be in such good company!