Dermatology Expert Forum
Rash on penis glans(glands)
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Rash on penis glans(glands)

It started as a red spot on the bottom of my penis. (the beginning of Sept.) The complete list of my symptoms: burning during urination, red rash on glans (glands) from the opening to the base of the head - a diamond shape, and inflamation (inflammation) under the foreskin. The meatus looks a puffy. With erection, you can see tiny white bumps -not blisters, that do not  hurt.

I got tested for all STD's. HSV-1 came back positive, however this was no shock. (I'll get little white bumps on my lips that go away with Abreva)

I started by going to my General Physician. He placed me on Doxy for 10 days citing Urethritis. When I asked about the possibility of yeast, he said he doesn't really agree that it occurs in men.

I went back to my GP and over several visits I was given the following creams: Nystatin and Triamcinolone, clotrimazole and betamethasone. These had minimal effect. He sent me to see a Dermatologist. The derm thought that it could be Yeast. She said that the Doxy could have made it worse. She gave me 7 days of Diflucan. I noticed that I did experience less burning and the color/rash seemed to look a little better. After the last pill, I noticed that the burning has come back. My girlfriend went to her ObGYN and was diagnosed with a yeast infection. She showed the picture of my penis and she was certain it was yeast telling me to use the cream that she was giving my girlfriend. I've tried this cream for the last week, and while the color looks a little better, I don't see anything dramatic. If it's working, it's working very slowly. My Derm has now wants to treat me for Eczema, however it doesn't make sense to me given the burning during urination. She wants me to start taking ProTopic.

There is still burning during urination, the light rash on my penis that still has little bumps what can only be seen when erect or when you catch them in the light, and the penis actually feels like it has a fever. (it feels hot. If it gets pressed, it feels warm on the inside of the urethra.)
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1318109_tn?1292888573
Welcome to the Dermatology Expert Forum!

The burning during urination, penile redness, edema, warmth and sensitivity are all prominent symptoms of urethritis. In addition, you might have been experiencing release of certain discharge (mucus- to pus-like).

There are several microorganisms that could be the cause of infection. Therefore, it is recommended to get tested on the following pathogens as soon as possible: Neisseria gonorrheae, Chlamidia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum, Trichomonas vaginalis. Based on the results, appropriate therapy should be prescribed by your physician.

Good news is that all of these infections can be treated successfully.

If you would like to get detailed information about infections listed above, visit the website http://www.cdc.gov/std/.

Wishing You Optimal Health,
Dr  Jasmina Jankicevic
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I've been completely tested for any std. I used the yeast cream that they have my gf and it had a slight effect. Some color came back and the tiny bumps went started going away. The dermatologist told me to use the protopic and it made it a lot worse. the bumps came bck and the redness. Worse. The burning eased but I guess that's due to the anti inflaatory part me the ointment. does this sound possible of yeast? she has been confirmed to have yeast and the meds aren't helping her. she also tested std free
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1318109_tn?1292888573
Dear JamesM627,

It is possible that you have a fungal/yeast infection. It would be best to make a proper diagnosis by doing a skin culture. It is recommended to discontinue use of topical medications for at least several days prior to it (7 days would be even better). That way, false negative results are avoided in high percentage.

In regards to pain and burning during urination, a urinary tract infection should be investigated. A urine culture (with antibiogram) should be ordered with a urinalysis.

Wishing You Optimal Health,
Dr Jasmina Jankicevic
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Dr Jankicevic,

Thank you for all of your help. My Derm referred me to the experts at the Medical program at USC, but they really didn't provide much insight. He spoke of the possibility of it being Seborrheic Dermatitis and placed me on Locoid and CeraVe for a week. At the very bottom of the shaft there is a section of dry skin that just flaked off. The foreskin is still inflammed the meatus is a little as well. My GP took a Urine sample last visit and said everything looked normal. (My Urologist said the same thing in Sept.)

He also told me the raised bumps on the glans (glands) were normal and only raised due to whatever is causing the inflammation.

When I asked about doing a culture, they said theere was really nothing to culture. Should I be more demanding? It's obvious this isn't going away on it's own. I don't really think it's a traditional STD due to the longevity we're dealing with. Can I be wrong? This all started after an encounter. Could it be some type of fungi/bacteria that is just completely stubborn?

I'm just getting frustrated and no one wants to do any test other than the blood work/swab. I'm wanting something to be tested biopsy or something. What should I ask to be done?
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