Hi doctor,I have the first stage of syphilis. I came to know about this last month. From the past three weeks, I am under treatment and taking Doxycycline 100 mg capsule twice a day. I took this medication for 15 days. Yesterday, I had a blood test done for VDRL and my value is reactive (1:4). Also, the ulcer on my penis head has not yet healed. I was asked to apply povidone-iodine 10 % ointment on the ulcer. Should I go for Penicillin treatment?I got tested for HIV 1 and 2 tests and CMIA a month back with a value of 0.15 and before ten days, the value was 0.13. Currently, I am consulting a dermatologist. Should I switch to sexologist for syphilis treatment? Also, please suggest what diet should I follow to overcome this disease?
Hi. Please continue treatment with a dermatologist only. There is no medical degree which qualifies one to be a sexologist. Penicillin is the most definitive treatment for syphilis but get the allergy test done before taking the full treatment. Apply Mupirocin ointment twice a day on the ulcer. Continue your doctor\s treatment as he or she is examining you in-person so is the best judge for the line of management. For more information consult a HIV AIDS specialist online 