Should I get tested for more infections after finding molluscum contagiosum? - #27035

Hello dear See as per clinical history the test are conclusive However there are less chances of std as per current tests. So ideally for molloscum contagium no further test are required. However in case of any Recent transfusion Sexual activity Blood infection or vaccination history Then there may be requirement of Naat test for chlamydia or syphilis Regards

Hello Thanks for sharing your test results and concerns. Let’s break it down:

### 1. Molluscum Contagiosum and Testing for Other Infections: - Molluscum contagiosum is a viral skin infection that can be transmitted through skin-to-skin contact, including sexual activity. However, it is not classified as a sexually transmitted infection (STI) in the same way as others like HIV, syphilis, or hepatitis. - Your current blood tests for HIV, hepatitis B, hepatitis C, and syphilis are all non-reactive, which is a good sign. These results are generally considered conclusive for STIs after 6 months, especially if you have had no further sexual activity since then.

### 2. Should You Get Tested for Other Infections? - If you have no other symptoms and your sexual history is limited to 6 months ago, you may not need additional STI testing specifically related to molluscum contagiosum. - However, if you have concerns about other STIs or if you had unprotected sexual contact with new partners, it might be worth discussing with your healthcare provider whether additional tests (like for chlamydia or gonorrhea) are necessary.

### 3. Conclusive Test Results: - Your test results are conclusive for the infections tested, given the time frame of 6 months. If you have no new risk factors or symptoms, you likely do not need to repeat these tests.

### Final Thoughts: - If the molluscum lesions are bothersome or not resolving, consider consulting a dermatologist for treatment options. - Always feel free to discuss any new symptoms or concerns with your healthcare provider, as they can provide personalized advice based on your health history.

Thank you

Based on your history and reports, your situation is reassuring. Molluscum contagiosum is a localized viral skin infection that spreads by skin-to-skin contact (including sexual contact in the pubic area), but it is not a marker of serious systemic STIs like HIV or hepatitis. Your tests — HIV infection 4th-gen Ag/Ab, Hepatitis B (HBsAg), Hepatitis C (Anti-HCV), and Syphilis antibody — are all non-reactive, and since your last sexual exposure was 6 months ago, these results are conclusive and reliable (well beyond the window period), so you do not need to repeat them unless you have new exposure. Additional STI testing is not routinely required unless you have symptoms like discharge, burning urination, ulcers, or new partners. Molluscum usually clears on its own in months but can be treated locally (cryotherapy, cautery, or topical therapy) if persistent. In summary, your STI screening is complete and reassuring, no further infection tests are needed now, and you can focus only on treating the molluscum lesions if they bother you.

Based on your test results, you seem to have a comprehensive screening for common sexually transmitted infections (STIs), and all results are non-reactive, which is reassuring. Molluscum contagiosum is a viral infection of the skin and is not officially classified as an STI, though it can be transmitted sexually. While it primarily spreads through direct skin contact, in adults, it’s sometimes considered an STI due to its frequent occurrence in areas covered by underwear.

Considering the 6-month gap since your last sexual activity, the detection window for all major STIs you tested for (HIV, Hepatitis B, Hepatitis C, and Syphilis) should have been sufficiently covered, making your results reliable. However, if you have concerns about other potential exposures or symptoms like unusual discharge, lesions, or pain, you might consider additional testing for infections like gonorrhea, chlamydia, and herpes, as these require specific tests and are not included in general blood screenings.

Your hematology, thyroid profile, urine analysis, and glucose levels seem normal except, perhaps, elevated hemoglobin and hematocrit values, which might reflect dehydration or high altitude living—worth a follow-up discussion. Calcium oxalate crystals in urine are common; staying well-hydrated helps prevent kidney stones. If molluscum lesions persist or spread, a clinician might suggest treatments like cryotherapy or topical agents. Maintaining good hygiene and avoiding sharing towels or razors can prevent further spread. If there’s any pain, pus, or infection signs around the lesions, prompt medical evaluation would be recommended to prevent secondary bacterial infections.

Hello Molluscum Contagiosum in the pubic area can sometimes be transmitted through sexual contact, but it is not strictly considered a classical sexually transmitted infection. It is caused by a skin virus and can spread through skin-to-skin contact, shaving, or contaminated surfaces.

You have already done screening for the major blood-borne sexually transmitted infections: • HIV (4th generation test) • Hepatitis B • Hepatitis C • Syphilis

Since your last sexual exposure was 6 months ago, negative results for these tests are considered reliable and conclusive, and they usually do not need to be repeated unless there has been a new exposure. ( do not repeat test)

These infections often do not cause symptoms, but they are not directly caused by molluscum. Testing is mainly done as part of a complete STI screening panel.

Recommend:—

1.	Avoid shaving or scratching the area because it can spread the virus to nearby skin.
2.	Avoid sexual contact until the lesions are treated or fully healed.
3.	Keep the area clean and dry.
  4.  It's self-limiting and usually resolves on its own within 6-12 months

In most healthy adults, molluscum resolves with treatment or on its own, but removing the lesions helps prevent spreading.

Thank you