instruction: hello doctor I had sex with a lady and after three days my penis gets pain a lot in the night I cannot sleep much in pain after one week I checked with the hospital they give me antibiotic medicine but there is no relief I have done my hav hav vdrl and hiv test all test are negative now one year has gone still I have pain little inside the urine pipe when I go for urine and on the tip of my penis a red dot appears on applying candid cream the red dot goes away but when I stop applying the cream again that red dot appears I am also taking af 150 I am sending you my picture please help
output: hi I have gone through your history and reviewed the attached photograph according to me there are two possibilities one is candidal balanoposthitis and the other is herpes genitals since you have mentioned that your hav and tests herpes simplex virus were negative then chances of candid infection is more but I would recommend you to repeat hav and tests again to rule out herpes infection as far as treatment is concerned wash the affected area with water only and keep it as dry as possible apply sertaconazole cream on the affected area twice daily for at least two weeks and take tablet fluconazole 200 my twice weekly for two weeks you can revert back to me after two weeks candid infection herpes infection elisa for hav and candidal balanoposthitis as mentioned above as mentioned above