Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Dermatology  (Expert Forum)
 | 
inflamed tip of penis/internal blisters/pain
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

inflamed tip of penis/internal blisters/pain

by desperate4answers2, Nov 21, 2007 07:00PM
I am a 33 year old male and I am not gay.
About 2 years ago, my girlfriend gave me HSV-1 on my penis.  The outbreak that followed was intense and miserable.  Since the time it healed, I have never since had an outbreak... or at least no symtoms.  I had no sexual contact for one year. For the last year, I have become sexually active with no symtoms or problems.
About 6 weeks ago, I had sex with a new partner w/o a condom.  2-3 days later, the tip of my penis became sensitive to pressure causing pain only at the tip (urethra opening).  No discharge noticed.  A week later, I was tested for Clamymdia, Gonorrhea and retested for HSV. All tested negitive except again HSV-1.  Shortly thereafter, I developed blisters within my urethra that were only visible by creating an opening to see inside.  Went back to doctor, used cue-tip on blister for lab.  Also negitive.  Spray pattern urination as opposed to a stream.  One time able to pop internal blister by pinching tip.
Symptoms gone for 3 weeks but have returned... not as bad as the first time.  One small white spot, slightly inflamed noted urethra opening.  No pain when urinating.  Have discomfort when ejaculating internally in urethra and tip/opening.

My doctor is out of ideas and has refered me to a disease specialist however they can't see me for a month.  My main questions are:
Any suggestions what it could be?
Could it be herpes that is suddenly recurring after all this time and only coincidentally after having sex?
If so, why would I suddenly have an internal (urethra) out-break as opposed to having another external outbreak after all this time?
Could a fungal infection cause this type of reaction (say for example she had a yeast infection)?
Alergy (allergy) to some product she use?
Bacterial not killed by a 1 time antibiotic?

by Alan Rockoff, MD, Nov 22, 2007 10:32AM
To: desperate4answers2
Any suggestions what it could be?
Yes, irritation plus herpes anxiety.  If these "blisters" inside the urethra were really herpes, the culture would have been positive.

Could it be herpes that is suddenly recurring after all this time and only coincidentally after having sex?
If it was a recurrence--and I don't think it was--then, yes, it would have been a coincidence.  But if it's anxiety, as I believe it is, then of course that's not a coincidence.

If so, why would I suddenly have an internal (urethra) out-break as opposed to having another external outbreak after all this time?
Could a fungal infection cause this type of reaction (say for example she had a yeast infection)?
No, it isn't a fungus.  I think it wasn't an internal outbreak.  I don't think it was an outbreak.

Alergy (allergy) to some product she use?
Doubt it.

Bacterial not killed by a 1 time antibiotic?
Certainly not.

I think the reason they haven't found anything is that there isn't anything to find.  You seem to be fortunate in not having many recurrences, if you've had any at all.  I suggest you use condoms and just get on with your life.  If you need counseling to help you do this, by all means get some.

Best.

Dr. Rockoff
Member Comments (6)

by larry1249, Nov 28, 2007 08:38PM
To: hey 33
it could be an yeast infliction...Go to the drug story and ask for the cream that Females use for yeast........? worth a try....

by slacker101, Nov 29, 2007 03:04AM
To: desperateforanswer4
I don't think it is herpes at all... The initial outbreak of Herpes CAN occur inside the Urethra but recurrent outbreaks don't. The spots you are seeing inside of your urethra is not herpes. If it were herpes, you would be in severe pain when you peed. You didn't mention that which suggests even more it isn't not to mention Dr. Rockoff saying that it would have been tested positive for HSV during the culture.

by slacker101, Nov 29, 2007 03:04AM
To: desperateforanswer4
I don't think it is herpes at all... The initial outbreak of Herpes CAN occur inside the Urethra but recurrent outbreaks don't. The spots you are seeing inside of your urethra is not herpes. If it were herpes, you would be in severe pain when you peed. You didn't mention that which suggests even more it isn't not to mention Dr. Rockoff saying that it would have been tested positive for HSV during the culture.

by HypochonJacq, Dec 10, 2007 12:27PM
To: desperateforanswer4
stop having unprotected sex if you are going to hav sex at all.

MANY women have diseases with no symptoms.

i had a disease once that didn't show up in a culture.

also had to take the "1-time antibiotic" which didn't clear the disease, although i wasn't having sex at all.

it could be anything.  have them get some of the liquid from the sore and do a thourough testing, get a blood test, and STOP HAVING UNPROTECTED SEX.  this will permanently decrease your worry of contracting anything, as this is what a condom is for.  and DON'T have sex with ANYONE whom you haven't had tested before intercourse, AND TEST YOURSELF before you have intercourse with ANYONE.  this way you will know that you got it from them if you contracted anything.

p.s. please give God a call.  he can help you in staying true to yourself and staying away from unprotected sex.

by moster, Dec 27, 2007 11:19PM
To: moster
Hey Guys I know your pain. I've have similar problems for 3 years pain on the tip on my penis. Long story short this is the solution I'm up to. In about a 2.5 oz bottle fill 2/3 with Listerine and the rest with vinegar ( I hear apple cider vinegar is better the regular for infection but I'm currently using regular) and add 2 drops of tea tree oil to the solution. The bottle I have has an opening just wide enough for the tip of my penis. Soak for 5min a day 4 time a day. It hasn't gone away, but I've seen the tip of my penis break up into lines right where the pain is.  I also take Kyolic Immune every day and Echinacea and Goldenseal. I'm definitely at a livable point with this.
Related discussions
Continue discussion
RSS Expert Activity
EVIDENCE-BASED APPROACH TO NEUTER S...
13 hrs ago by Arnold L Goldman, D.V.M.
HOW DO/SHOULD DOCTORS THINK ABOUT T...
13 hrs ago by Arnold L Goldman, D.V.M.
Simple tool to Assess your Risk for...
Dec 14 by Lee Kirksey, MD