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Do I need further STI testing after molluscum contagiosum?
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Sexual Health & Wellness
Question #27029
181 days ago
354

Do I need further STI testing after molluscum contagiosum?

Vijay

I have molluscum contagiosum near my pubic area. My last sexual activity was 6 months ago. I got my blood tests done, and the results are mentioned below. Apart from these tests, should I get tested for any other infections because of the molluscum? Are these test results conclusive for STIs after 6 months, or do I need to repeat them again? HIV (4th Gen Ag/Ab Combo) Result: 0.190 (Non-Reactive) Reference: <1.00 = Non-Reactive HBsAg (Hepatitis B Surface Antigen) Result: 0.270 (Non-Reactive) Reference: <1.00 = Non-Reactive Anti-HCV (Hepatitis C Antibody) Result: 0.100 (Non-Reactive) Reference: <1.00 = Non-Reactive Syphilis Antibody Result: Non-Reactive Total WBC Count: 6560 cells/cumm (Normal range: 4000–10000) Differential Count: Neutrophils: 65.10% (40–70%) Lymphocytes: 28.10% (20–45%) Eosinophils: 1.70% (1–7%) Monocytes: 5.00% (2–7%) Basophils: 0.10% (0–1%) Hemoglobin: 17.1 g/dL (Reference: 13.0–17.0) PCV: 49.8% (40–54%) RBC Count: 5.70 million/cu mm (4.5–5.5) MCV: 87.4 fL (83–101) MCH: 30.0 (27–32) MCHC: 34.4 (31.5–34.5) Platelet Count: 232,000 cells/cumm (150,000–410,000) Random Blood Glucose: 86.80 mg/dL (80–120) THYROID PROFILE T3: 1.30 ng/ml (0.80–2.00) T4: 8.95 µg/dl (5.10–14.10) TSH: 3.000 µIU/ml (0.270–5.350) URINE ROUTINE Colour: Yellow Specific Gravity: 1.015 (Ref: 1.016–1.022) pH: 5.0 (4.8–7.4) Protein: Not Present Glucose: Not Present Bilirubin: Not Present Urobilinogen: Normal Ketones: Not Present Nitrites: Negative Leucocytes: 2–3 /hpf RBCs: Not Present Epithelial Cells: 1–2 /hpf Casts: Not Present Crystals: Calcium Oxalate Present

Have you noticed any new symptoms or changes since your last test?:

- No, no changes

Have you had any sexual partners since your last sexual activity 6 months ago?:

- No, no partners

Are you experiencing any discomfort or pain in the affected area?:

- No discomfort
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Doctors' responses

Hello sir No these tests are sufficient and are conclusive for atleast 6 months No need to repeat them They are suggestive of the clear diagnosis of molloscum contagium Also as per my clinical experience no need for another tests Regards

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Hello

No — with negative HIV (4th gen), hepatitis B, hepatitis C, and syphilis tests 6 months after your last exposure, those results are considered conclusive. You do not need to repeat them if there has been no new risk.

Molluscum contagiosum itself does not automatically mean another STI is present. It can spread through skin contact alone.

Optional (not mandatory) screening — only if never done or if you want full coverage: •Chlamydia and gonorrhea (urine PCR test) •Hepatitis B immunity check (anti-HBs) if vaccination status unknown

Otherwise, based on your history and timing, no further STI testing is required unless new partners or symptoms appear.

I trust this helps Thank you Take care

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Your test results suggest that you’ve thoroughly covered the common STIs with the tests typically recommended. Molluscum contagiosum, while often presenting in the pubic area, is not specifically a sexually transmitted infection like those you were tested for. It can be transmitted through direct skin-to-skin contact, which may occur during sexual activity, but it can also spread through non-sexual contact. Your test results for HIV, Hepatitis B, Hepatitis C, and syphilis being non-reactive after six months from your last sexual encounter are reassuring, as they typically suggest that there was no transmission of these infections during that time frame.

However, it’s important to consider other STIs that might not be disclosed via blood tests alone. You might want to assess for infections like chlamydia and gonorrhea, which are typically diagnosed using urine tests or swabs rather than blood tests. Since molluscum can appear in areas related to sexual contact, comprehensive STI testing can be wise depending on your sexual history or any persistent symptoms that might suggest other STIs.

If you haven’t already, discussing with a healthcare provider any specific symptoms you’re experiencing, recent sexual practices, or any concerns can guide further testing if necessary. Additional testing or repeating tests might not be necessary for the infections you’ve already screened negative for, unless new risk factors have emerged or your healthcare provider advises otherwise based on clinical evaluation. Overall, ensure regular check-ups, consider using protection in future sexual encounters to minimize risks, and remain observant for any new symptoms or changes to seek advice accordingly.

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