Question 1

I've been dealing with a kind of mild to medium pain in my testicles and I don't have any other symptoms. The doctor checked me out and mentioned something about slight epididymitis and put me on levofloxacin antibiotics. It's been about 10 days on the meds, but I'm not really seeing any change. Any idea why it's not improving? How long does it normally take for epididymitis to get better, and do you think trying a different antibiotic might help? I'm a bit worried and would appreciate some guidance.

Accepted Answer

Continue same treatment.

Question 2

I'm a bit worried because my foreskin seems longer than usual. It fully covers the penis even when I'm fully erect. Can you advise on what this might mean or if there's something I should be doing about it?

Accepted Answer

A painless lump on your inner thigh can be concerning.

_Possible Causes_

1. _Lymph node enlargement_: Could be due to infection, inflammation, or other conditions.
2. _Cyst or abscess_: A fluid-filled lump that may require drainage.
3. _Lipoma or fatty tumor_: A benign growth composed of fat cells.
4. _Other possibilities_: Ingrown hair, skin tag, or a vascular anomaly.

_Consult a_

1. _Primary Care Physician (PCP)_: Start with your PCP for an initial evaluation and guidance.
2. _Dermatologist_: If your PCP suspects a skin-related issue, they may refer you to a dermatologist.
3. _Surgeon or General Physician_: Depending on the diagnosis, you may need to consult a surgeon or general physician for further evaluation and treatment.

_What to Expect During Consultation_

1. _Physical examination_: The doctor will examine the lump and surrounding area.
2. _Medical history_: Share your medical history, including any previous conditions or surgeries.
3. _Imaging tests_: The doctor may order imaging tests (e.g., ultrasound, MRI) to determine the lump's composition and size.

Question 3

I'm really concerned about this swelling in my meatus. It's a dark blue color with some red dots. I've been seeing a surgeon for a while, and initially, they prescribed ciprofloxacin and some fungal medicine, but nothing has changed. I even tried more antibiotics, but it's been two weeks and still no improvement. My urine routine, culture, and ultrasound results all came back normal. What could be going on?

Accepted Answer

Reliable HIV testing after 6 years.

The 4th generation CMIA (Chemiluminescent Microparticle Immunoassay) antigen and antibody test is highly accurate.

Interpretation:

1. _Non-reactive result_: Indicates no detectable HIV antibodies or p24 antigens.
2. _6-year window period_: Well beyond the recommended 3-6 month window for HIV testing after exposure.

Nasal steroids:

1. _Unlikely to cause false negatives_: Steroids are not known to interfere with HIV tests.

You can be reasonably confident in your HIV-negative status. However, consider:

1. _Other STIs_: Get tested for other sexually transmitted infections (STIs) if you haven't already.
2. _Future risks_: Continue practicing safe sex and get regular HIV tests if you're sexually active.

Consult your doctor or an HIV specialist for personalized guidance and confirmation.

More Urology Health Queries

I'm a bit worried because my foreskin seems longer than usual. It fully covers the penis even when I'm fully erect. Can you advise on what this might mean or if there's something I should be doing about it?

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