pimply spots and rash

hi..im very depressed..plz help me.dont know wat to do.i had sex with a sex worker it was my first time in life 6months back.its wasnt properly  a sex i had with her.i wore 2condoms..and it lasted for 3mins only. i did not evaculated my sperms in her vagina.i removed condoms and mastrubated with my hand.after 2 months i got a small circular rash on my penis head..it stayed for 2 days and went..after a month it came back a gain this time i had small pimply spot red spot..it was not hurt nor anything..i went to doc he told me its coz of heat and gv me antibiotics..but it still did not help..later i went to another doc he told me to hv blood test..but i dnt understd how can i get any skin infection when i used condoms can it be coz it touched the condom which might hv her fluids which is causing me this problem/or is it hiv which im infected with..i did have any illness nor any boby pains or fever..only this one issue can u gv me any solution for it....plzzzz

[BhumikaMD]

Hi,

This could be - pearly penile papules, balanitis, folliculitis or fordyce spots. You would need to consult your doctor for a confirmed diagnosis.

'Pearly penile papules are multiple, small (about 1-3mm) papules running around the circumference of the crown of the glans (glands) penis. They typically develop in men aged 20 to 40, and around 10 per cent of all men are affected. They may be mistaken for warts, are not infectious and require no treatment.'

'Fordyce spots are small (1-5mm) bright red or purple papules that can appear on the glans (glands), shaft or scrotum and usually affect younger men. They may occur as a solitary lesion, but frequently appear in crops of 50 to 100. They are painless and not itchy, but may cause embarrassment because of their appearance, or a fear that they might be sexually transmitted. '

It could be balanitis too. Balanitis is inflammation of the glans (glands) penis. Lack of aeration and irritation because of smegma and discharge surrounding the glans (glands) penis causes inflammation and edema.More common in uncircumcised males.

It  is usually caused by poor hygiene in uncircumcised men. The inflammation can be due to infection, harsh soaps, or failure to properly rinse soap off while bathing.
One common organism associated with balanitis is a yeast known as Candida albicans.  Balanitis may occur because of excessive growth of Candida, due to moisture and warmth under the foreskin.

It can be treated by applying Miconazole, an anti-fungal medication.Most cases of balanitis can be controlled with medicated creams and good hygiene.


Let us know if you need any further information.

Post us about what your doctor advises.

Regards.