Have I got syphilis?

Hi, i noticed a small raised lump on my penis a few weeks ago, with an almost linear swelling near it. It does not itch or weep, it is just there. I will try and attach some pics. I had a blood test for syphilis and HIV which came back negative on 20th Feb. I did have unprotected oral sex at the end of Feb, no penetrative took place. I have also had really bad mouth ulcers on and off for almost a year; sometimes exceptionally bad breakout (see pic) along the underside and sides of my tongue. Had many blood tests for that and all proving inconclusive - got swabbed for viral Herpes with the last break out and all came back clear.

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From the pictures, I suspect 'Thrush'! Have you tried a Canesten treatment?

Yes i have two, one blue and white called 'canesten' that i have been using for a few days and one red and white called 'canesten antifungal' which i am yet to use.

Ok - keep at those and complete the treatment.

I have just re-read your initial post. Did you not get a full STI check - including chlamydia and gonorrhea?!

Yes i had the full blood test for Syphilis and HIV and swabs (ass and throat) for gonorrhoea and I think it was a urine sample for chlamydia - all were negative, a month ago

I'm confused by the original post. You said you had unprotected oral sex (you giving or receiving or both?) and when did symptoms first appear?

There is obviously a noticeable issue in your mouth. What is your oral hygiene like - brushing/flossing and scraping the tongue with a tongue scraper? I am trying to work out whether the canker sores are unrelated and circumstantial to an otherwise obvious infection and/or relatable to the inflammation to the penis head.

I had casual unprotected oral (giving and receiving) on 25th Feb. Penis symptoms appeared 7-10 days ago. Mouth symptoms have been on and off for the past 9-12 months.

Could be entirely unrelated of course but googling symptoms of syphilis has got me a little worried, though if my blood test was negative on 20th Feb then surely the mouth symptoms must be unrelated (or could blood test results be wrong?).

My oral hygiene is very good.

Ok - Well I am not convinced by Syphilis, but is still worth another test for that now.

The penis doesn't look too bad. Has there been a sore there previously that healed?

I can't see the cheeks or back of throat in pictures either.

Go back to the clinic and repeat the same test. You should visit usual Dr for Blood tests though. You will need CBC and suggest HbA1c for blood sugar history.

Let us know how you get on with that and the Canesten, too! Try not to worry. Even if Syphilis that is entirely treatable. I suspect something less severe.

Looks like canker sores as well. Did you show your doctor these symptoms as well?

No, no previous sore there that heeled. It feels raised; see the almost white swelling line there too? Cheeks and back of throat are fine. Bloods generally for the mouth condition are all normal. I'll send off for another blood syphilis test. There is no way the blood test would come back negative by mistake, would there? As in, if you have syphilis it WILL show in your blood at all times, even if primary stage?

No, if the test was conducted correctly it should be conclusive. My issue is with the timings so worth getting checked again anyway - if only for your peace of mind.

Are you able to scrape the side of the tongue and does the leukoplakia come off with it?

I would request the doctor also conduct a EBV test.

Thanks for all your advice @RyanG85 Have been applying Canesten for a few days now and looks no different. Just had a shower and taken some more pics; still looks like a red spot that is not particularly sore but it is a little raised. I have also got the blood results; hopefully you can make sense of them. I was told they are normal with the iron / b12 one being 'borderline' but not significantly bad.

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