Some Stinging on Penis after encounters

[Bombo505050]

Hey doc

2 weeks ago today I was out, had to much to drink and payed girl for sex (i work abroad a lot...eastern european country). I had sex with girl with condom on all the time i remember pretty well.
The next night I went to meet a girl I had spoke to a few times before. I had sex 2 times with the girl, on both occasions I wore condom for all penetration. I did give her some brief oral, and she me, both unprotected. She was not prostitute.

Next morning I woke with stingying/itchy feeling at end of penis. A few days later. it was there still, so I started thinking about possibilities and went to pharmacy and took 1g (4 pills) doze of Azithromycin just in case. 4-5 days later looking at possibiliteis of it being STD, i bought and took 400g tablet Cefixime (for potential gono) of and started 2 x 100mg Doxycycline for 7 days. The 7th day of doxy is tomorow...and its still there just as bad. I have been feeling pretty crap this week but im sure its the doxy that making me a bit nauseas/sickly.

I have had no discharge from penis that I have seen and it is not sore when i pee, but have a constant stingyness arround that area. After I pee, it can be stingy in that area and when I check there maybe some drips of urine thats came out after peeing irritating it.Now when pullback foreskin and look underneath the head there looks like a little redness that I dont think is meant to there, like its irritated/inflamed a liitle, just where the line on the skin underneath  meets the head. There is also a few very small white dots right under the head..but from reading other posts I think this is normal. The stinging/irritation is also made worse by masturbating.

So im hoping its no STD, and would think that the medication I have taken would have cleared it up if it was any common one....and maybe the weekend of drinking/sex/masturbation has irritated the skin especially as I dont ever wear condoms with partner at home.

Would really like to hear your thoughts.

Thanks.

[Edward W Hook, MD]

The only thing one can do, if they have latex allergy is to avoid latex.  Fortunately, there are now highly effective polyurethane condoms available which can be used if you are allergic to latex.

One can find out if they are allergic to latex by putting on a condom and leaving it in place for 10 mintues withour having sex.  then remove it.  If there is no reaction by the next 6-8 hours, then you are not allergic.  EWH

[Bombo505050]

i meant to ask also...you metioned latex allergy. What can be done about this?

[Bombo505050]

Thanks for the answers

[Edward W Hook, MD]

Chaffing will respond to simply keeping the area clean and dry.  Creams may actually slow healing.

Yeast can appear as red bumps and the appearance of irritation. Most of us have yeast on our skin that we are unaware of which then can "take off" when conditions are right, i.e. antibiotics, chaffing etc.  On rare occasions yeast can occur related to the presence of infection in a sexual partner but it is not particularly common.  

You are correct, in addition to the fact that your description that does not make herpes or syphilis too much of a concern, the use of a condom reduces your risk for these problems as well.

EWH

[Bombo505050]

thanks for quick answer!
from what you said, Can you anser this...

If its chaffing...would anything help this heal..creams etc?

Can you cath yeast infection from another person? Would condom not help stop this? I thought yeast infection would give visual presence...white stuff etc. My personal cleanliness is pretty good I think...and I havent seen anything like this visually.

would syphilis/herpes start so soon after exposure..even though you siad it was unlikely. Condom should have helped prevent this.

I will have a doctor check when i get home.

Thanks

[Edward W Hook, MD]

Welcome to our Forum. I have several comments which I hope will be helpful to you.

First, the discomfort that you experienced soon after sex was unlikely to be an STD. There are no STDs that cause symptoms within 24 hours of exposure and it is quite unusual to have symptoms even within two days of exposure.  On the other hand, latex allergy is becoming an increasing problem and may be contributing to your difficulties.  Up to 9% of persons repeatedly exposed to latex (such as condoms) can develop local irriatation (this has become a big problem in the medical profession).  Alternatively, perhaps you simply developed local irriation (chaffing) following multiple exposures over a relatively short, two day period.

Your subsequent problems are unlikely to be an STD but are suggestive of a yeast infection.  These can present with a local irritation and stinging and redness is common as part of this.  In addition yeast infections are also somewhat more common among uncircumcised men.  Finally use of antibiotics (you have taken several) can also predispose to yeast infection.

While there are a few other processes which can mimic yeast infections (syphils/herpes) in your situation, they are most unlikely.  My advice however is that it would be in your best interest to have an experienced clinician take a look.  If it is a yeast infection this is easily treated.

I hope this comment is helpful. EWH