Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Question Title: Recurring STD problem

Forum: The Urology Forum
Topic: Urinary Tract Infections

I'm hoping that you can answer a few questions regarding STD's that thus far I have not been able to get answered. I'm a male 27 years old, and while attending college, I came in contact with someone who had genital herpes. I developed an outbreak about 1 week later. The outbreak disappeared and never returned. However, over the years I developed dead skin and white dry patches around my gentials which I recently found out was Condyloma (flat warts). Before I was properly diagnosed with Condyloma, I noticed the dry patches but was not sure what it was. As a result, I infected a few people but the symptoms that
they experienced more resemble the herpes outbreak (small red pimples around the genitals).
Even stranger, I now use condoms 99% of the time but the 1% of the time that I don't, both me and my partner develop a bacterial infection. This strange bacterial infection has been happening to me (with each new partner) since the first herpes outbreak. I have been in and out of the STD clinic countless times and I have been cleared of syphillis, gonhorrea, and HIV.
An acidic topical solution was subscribed for me to eliminate the flat warts and they are now gone, but the dry skin recurs. My doctor (by telephone consultation) suggests that it may be a fungal infection. I have applied a fungal cream but it doesn't appear to do any good.
I would appreciate it if you could offer me some advice and/or
treatment suggestions.

-------------------------------------
Dear John
Thanks for your questions.
I have no new suggestions for you except chlamydia is also an STD which you did not mention you have been screened for and or treated. It is important for you and your partners to get treated at the same time else you will keep passing the bacterial infections back and forth. I would continue to use latex condoms 100% of the time and inform your new partners propectively of your STD history. Your female partners exposed to the wart virus are at risk for cervical carcinoma and need to have strict yearly pap smear follow-up. Warts can also be found inside the urethra of men as well as inside the vagina/ cervix of women . This area is very difficult to treat. Your lesions can return anytime in the future when your stressed. As for your dry /dead skin we can not make diagnosis over the internet because we can not exam you. If your doctor is not sure what the lesion is or how to treat it you may request the second opinion of a dermatologist.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.

This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: STDs, herpes, venerial warts, condyloma, sexually transmitted diseases


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