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Your counselors were very knowledgeable, and kind. It helped me through a very emotional and stressful time in my life. I had Herpes Testing performed through your service, and the service I received before - during and after my testing helped me move forward with my life. Thank you...

Client in Germantown, TN

  
     

 

 

Ask Dr.Gian

Ask Dr. Gian - New Mail now on...  THE BLOG

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From:
To: Dr.Gian
Subject: genital warts

Dr. Gian,

Just recently I found a few small genital warts on the shaft of my penis. I went to a urologist for some prostate pain and had him diagnose those as well. He was not 100% sure that this is what I had, but he did prescribe some cream to be applied directly to the warts for the 3 days on/ 4 days off treatment. I am on round one of the treatment and it appears to be working. A couple few questions for you:

I am recently divorced and would eventually like to date and have kids. How do I best ensure that I don’t transmit the HPV virus for a pregnancy? While the virus does not go away, it is less virulent when there are no warts present? In other words, is it ever safe to have unprotected sex with a new monogamous partner again?
Have you ever recommended the various herbal remedies that claim to rid your body of both the warts and HPV..such as Goodbye Wart? How effective do you think these really are?

I have had no other systems of any other STDs...no pain, no discharges, no fevers,sweats, weight loss, etc. Would you still recommend a full panel test?


Hi,

HPV cells become part of you once you get them. In man this is not a major problem ad exception for the cosmetics of the warts themselves. The cream used is Aldara which is indicated for the treatment of warts/condyloma acuminata in the external genital and in the area around the anus in individuals 12 years and older. It is quite effective although I personally have more experience and I have preferred more Condylox 0.5% solution especially for larger warts. The usual length of a treatment is about a month and, at times, one may need a second cycle of treatment.

You may be aware that is now available a vaccine to prevent HPV infections in young women, Gardasil, and is the only vaccine that may help guard against diseases that are caused by human papillomavirus (HPV) Types 6, 11, 16, and 18, the one associated with cervical cancer.

There are some herbal extract which are immune modulators and immune-response modifiers with high concentration of polyphenolic compounds (strong antioxidant) and I do not hesitate to recommend those in addition to other modalities of immune strengthening such as good nutrition in general, exercise and peace of mind.

I certainly would recommend a full, comprehensive panel of STD test using the time of exposure as the criterion upon which to base your choice.

In good health

Dr. Gian

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From: Anonymous
To: Dr.gian
Subject: Herpes

Dr Gian,

Hello, I am a 22 year old female who is feeling quite scared at the moment. I have what feels like a cut, or small sore on the outer labia of my vagina and am afraid that it's Herpes. I have been with the same boyfriend for a little over a year now, with neither of us having outside partners, and we have both previously tested negative for the STI. Logically, I don't see how I could have gotten Herpes so long ago, evading blood tests, and then showing up a year later, but since I have been feeling run down and sick lately, and I take sexual health seriously, I am quite anxious. I first noticed it the morning after having particularly rough sex, and was considering the possibility of the sore being just an aggravated cut or scrape. I plan on getting to a doctor as soon as possible, but today is a Sunday and tomorrow is a holiday. Is there any advice you could give me to ease my mind until then??

Thank you very much,

Hi,

If Herpes is the question you should try to get a culture right away when the ulcer is still fresh. The chances of a false negative, however, are high (over 50%). Serology (blood test for antibodies) is the best choice for you. Ask for IgG type specific antibodies and remember that they may appear in one's blood anywhere from 2 weeks (a minority) to 3 months. Otherwise you need to retest if negative. This issue of time is valid also for the test you did before. The possibility you mention, however, cannot be excluded.

Wish you well

Dr. Gian

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From: Anonymous
To: Dr.gian
Subject: Exposure

Hello

I went to Las Vegas and got drunk and did the most stupid thing a person of my age and stature could do. I am very worried now with reason. I am married and have a very loving and understanding wife. I cannot tell you how helpless it feels. I would like to know what tests should be done at this time. It would have been nice if someone could of reminded me that when this is done it not only affects your life but the life of everyone around you and of the things that you can get.
I recently had prostatitis and was treated for a month with sulfa drugs.
I had an uncomfortable feeling in my penis the next day. I would also take a cranberry and acidolphys herb for symptoms from prostatitis.
I went to the hospital and they took a sample for Chlamydia, and Herpes. They gave me 500 Mg Levaguin 1 tablet and Doxycylene 100 mg 2 x day for 7 days. I am lost. This is nothing you can fix or undo. This may have very well ruined my life. People should know this.

I didn't know what to do. I see on the STD Web side you have special panels.
What should I get? I also see that there is a panel for after 4 months. If I come out of this with nothing or something that is treatable it would be a blessing from god. I am such an ASS. I have a business and know a lot of people in this area. My wife doesn't want me to communicate to our local physician.
What is the best course to take?

Thank You I'm Lost

Hi,

Let me tell you few biological reasons as to why people are willing to forgive a mistake which is always an afterwards, and not in the moment, realization. The reasons are that, although we always talk about a firm, undisputed reality over there, independent of us, we all know that in truth we cannot trust our perceptions 100%. This, at least is true for me. In addition to that, we are historical being since we change our biology moment by moment and so as we encounter a new experience we change and are never the same. And to top this off we, especially men, are blind to our emotions and, when we are willing to suspend our rationalizations, we can see that what happens is ultimately happening in our biology. Emotions, invariably and unknowingly, always guide our actions.

OK I said it..... nothing new for you since I see that you have already acknowledged the "mistake" .
Now, in practical terms, if your sexual encounter occurred just recently, days or 1-3 weeks ago, I would suggest the complete recent exposure panel with a retest only for HIV, Hepatitis and Herpes 4-12 weeks later. If all is negative then you can close the case which, not only brought forward your commitments, but also gave you an opportunity to put a correction for a newer you..

Be well.

Dr. Gian

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From: anonymous
To: dr.gian
Subject: Help please

Good Evening Dr Gian

I have a problem and it is getting me down.I had flu last week and i got my tablets, after my tablets were finished i got a burning and itchy feeling by my vagina.

My husband went to the chemist and got me the yeast infection cream I started using that but does not seem to take the itchy burning away. this morning when I got back from town I went to the toilet to discover that my vagina is swollen and itchy, painful and burning.

I looked closer and it had tiny spots on the vagina it looked like a scab that came of (its usely wet) but mine isn't it is dry but painful. on my lips I have spots it looks like pimples but they are itchy. Is this STD or Bacterial infection?

I can sleep at night as it is really sore please help me

(I know my partner hasn't been anywhere because he is always by my side)

Please reply soon

Please keep me anonymous

Regards

My dear,

I think you should get tested for Herpes 1 and Herpes 2 antibodies and repeat the test in 3 months if you are negative. Your symptoms are highly suggestive (almost a textbook description) of a Herpes Genitalis infection and you also should see a Doctor if things do not improve. Treatment is available and is very effective. Discuss this with your husband and have him tested too.

Stay well

Dr. Gian

Please remember that the purpose of these conversations with Dr. Gian is that of information and education only, and that STDWeB.com, its staff and Dr. Gian are not engaged through this forum in rendering legal or medical advice or professional services. The information provided is of the general type only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a health or legal problem, you should consult your own health care provider or your attorney

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