Penis shaft irritation, tip irriation, bumps, and perianal itch

[internetanxiety]

6 months ago, following series occurred, most likely in this order: -unprotected sex.  And I also wore a latex condom. No spermicide.
-began long runs, training for a marathon, about 2+ hours weekly, and 1-hour jogs 4 days per week.
-got an inguinal hernia (recent surgery)
Fyi - The groin area for me is usually a moist environment.

Irritation in several areas of the genital region:
Perianal – I’ve had perianal itch before.
Base of the penis shaft (side picture – irritation on follicles is hard to see; seems that the follicles are raised and look like they stick out much more than follicles on the other side)
Tip of the penis shaft.  Irritated, often looks “pursed” – red and irritated around the opening.
Scrotum – feels prickly and itchy, especially when the scrotum retracts. Same follicle issue as the base.
White spots – are these fordyce’s?

Since then, I have been to a dermatologist.  He believes it’s irritant dermatitis, and gave me:
Alcortin, which I tried for about 2 months unsuccessfully.
Hydrocortisone 1% plus Ioquindol 1%, which I tried for about 2 weeks and saw no change.  
In fact, I’d say with both creams, the base of my penis was more irritated.  No change on the tip – it always looks irritated after urination and ejaculation (see picture).  At one end of the tip, there appears to be something almost like a skin tag (you can see it in the photo) that never used to be there, and it results in my penis often having drippage after urinating or ejaculating.  That never used to happen.  Also, if I have to urinate badly, it appears to almost start to leak out.  Compounding things, the shaft has at times been red and irritated, and I don’t have a picture but I’m wondering if it’s eczema or irritation from the creams.

1 week ago, I got what looked like a pimple on the top of the shaft, at the base.  Never had one of those there.  And the other day, I got on the underside of the shaft (in photo).  Seems to be gone now, no bleeding.  
Throughout the last couple months, I’ve been consistently using Zeabsorb.  Also, I use the gentle soap Cetaphil.  

I seem to be prone to skin issues – tinea versicolor as a teenager, psoriasis on my elbows as a teenager (stress induced), potentially eczema though it’s never been diagnosed, and I fought off molluscum earlier this year for about 6 months (numerous rounds of freezing).  

What are your thoughts regarding seeing another dermatologist, another doctor type (infectious disease or urologist), trying a different med, STD ‘s or due to running/latex?  What other questions should I ask?  I am going in for an STD test, but is there anything “exotic” I should look for in the Chlamydia family or anything like Ureaplasma urealyticum?  Thanks!
http://i120.photobucket.com/albums/o172/rrraub/PB140045.jpg
http://i120.photobucket.com/albums/o172/rrraub/PB130051.jpg
http://i120.photobucket.com/albums/o172/rrraub/PB140052.jpg
http://i120.photobucket.com/albums/o172/rrraub/PB130049.jpg

[Alan Rockoff, MD]

Sorry, but when I paste those URL's in, I get, "Sorry but the page you requested was not found."

Your description actually sounds like nothing at all.  You seem to be looking way too hard at the penis and noting all kinds of bumps are color variations that are meaningless.  No creams will make redness go away, if that's the color the skin is supposed to be.

The various "skin issues" you say you're prone to have nothing to do with each other, and getting one or more means absolutely nothing about getting something else.

Please consult as many doctors as you need to convince yourself that the things you're looking at (and feeling sensations from because you're thinking about them) are unimportant and should be ignored.

And oh yes, please avoid unprotected sex.

Thanks.

Dr. Rockoff

[skaterdood]

hi I have a question to i have had these bumps on the shaft of my penis and testicles for a while now and they never really bothered me until now.

they are not growing out of porpotion but my area around there is starting to itch alot and im really scared.

i had unproteced sex about 2 weeks ago from today and i have been feeling alot of itcheness down on my testicles and i know its normal but i am really worried my symptoms are the same as the guy above me.

I am active every day and sweat alot and i usaly dont wash my cloths im wondering if this is a reaction from that or if i have something.

[kiget]

I to have a similer problem. the tip of my penis is red a irritated and sometimes the scrodom is itchy. This problem has been with me for about a year now and just will not go away. It is mainly red around the tip of my penis but after ejaculation or urination is more irritated. I've been to the doctor and checked for STD's and I have none. The doctor said that the pee hole has a flap of skin covering a little bit of the opening and it is making it build pressure and that is what is making it irritated. The doctor precribed me some cream first which did nothing then on a later visit he precribed me some pills which turned my urin blue, this also did nothing.

I've tryed waiting it out and washing my penis twice a day but nothing has worked. I know this is not a figment of my imagination.

The pain is sometimes present all day and some days you can't even feel anything but when i look at my penis the tip is still red just not as red as it is when it hurts more. This is why i've tried waiting it out cause it seems to be getting better but then it will just start hurting again and the redness will come back. I've went months without masturbation or sex but it just will not go away.

Also my genital aera is not a moist enviroment I wash everyday and even take a shower after working out. I allow time for everything to dry before I put my clothes on but nothing seems to help.

Please help!!!

[2468]

I have the same problem.  Its been 2.5 months and the head of my penis is red and irritated.  It burns all the time, and gets worse when I am active and walking around a lot.  I've been to 3 doctors and they all give me creams that don't work at all.
  
   We need some help here!