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Stange Symptoms-lost and confused

I am a 19 year old male who has been experiencing weird genital symptoms for the past two months.  I posted here about 3 weeks prior, and in that time I've seen multiple doctors and had changing symptoms, and was hoping I could get some insight into the cause of my symptoms, since there is such a long waiting list for a dermatologist appointment.  

My genital symptoms started about 24 days ago, so I thought it best to list a timeline:

12/15/09 - Had sex with a girl of unknown sexual health early in the morning.  We had sex for about two hours with a condom; however, the condom broke during sex, and I didn't notice for about 1-5 minutes before pulling out, so there was unprotected contact.  I noticed that the skin on the girl's butt was somewhat rough, and I later when I took a closer look I noticed a number of red dots, possibly acne, but not sure. Researched herpes, I don't recall the spots on her butt looking similar to herpes blisters whatsoever, just red slightly raised bumps.  She assured me she was clean. During sex I felt a burning sensation on the tip of my urethra (most likely during the time when the condom had broken).  Two hours later I checked myself and found a raised red irritation running from the bottom of the urethra opening down to the bottom of the glans.  I also had a burning sensation during urination that disappeared after a few hours after sex and never returned. Otherwise, no concerning sensations or rashes at the time.

12/17/09 - At midnight, not even two days later since sexual encounter,  I discovered I had a strange rash on the underside of my penis, an inch under the crown/glans and the size of a nickel.  The skin was slightly red and very scaly (I thought small blisters were forming, but on closer inspection it was just well-defined scaly skin).  The skin is slightly discolored, an odd combination of red and barely noticeable yellow.  The skin is bunched together and loose looking in the rash area.  Often, when I inspect myself, the rash seems to form a /\ (arrow-head) shape across the underside of my penis. Three small cuts were also there (they are tears in the skin, but I wouldn't call them ulcers- there was and has never been any puss or crusting over of these cuts, even to this day).  I recall experiencing a tingling sensation, but I believe that to be a mental symptom since it disappeared after my first doctor appointment.

I saw a doctor (who also called in her associate) on the same day (12/17/09), who inspected the rash and did not think it was herpes or any STD.  They told me to take warm baths and apply vaseline.

12/18/09 - Strange redness started to appear on testicles.  I did not make much over it, since my anxiety focused mainly on my penile rash.

12/20/09 - Saw another doctor.  Penile rash had not improved over the weekend. Doctor was convinced it was not herpes on visual inspection.

12/22/09 - Red rash on testicles worsened after use of hot tub, but had been bothering me as well prior to the hot tub.  Rash on testicles turned from simply red irritated skin to moderately intense burning and tingling, with very small but noticeable red bumps on reddened areas.  Rash on testicles spanned both testicles, but unaffected areas on the testicles were visible.

12/24/09 - Visited same doctor about red rash on testicles, plus flu-like symptoms.  Experienced a dry cough, chills (only for one day), body aches (again, only one day), disorientation, and sore throat. I felt feverish, but never had a temperature greater than 99.4 degrees.  Was tested for both mono and strep - both negative.  Blood test showed elevated inflammation response- doctor interpreted it as an upper respiratory virus.  Told that the scrotal rash was most likely irritation / dermatitis. Told to apply hydrocortisone 1% to rash on testicles.  No improvement on penile rash - in fact, the rash had gotten redder, and seemed to become more prevalent on this day and the next.

*I later returned to the doctor because my flu-like symptoms persisted for more than a week and a half, and was prescribed Amoxicillin.  Flu-symptoms disappeared completely about 3 days later after starting the antibiotic.

12/28/09 - red rash on testicles disappeared - hydrocortisone treatment seemed to help, alleviating burning sensation for the most part, and all redness left.

12/30/09 - Noticed strange prickling sensations on scrotum, only when walking around.  When inspected no redness was found.  Penile rash still prevalent- three same cuts still present.  Strange new symptom on top side of penis- on left upper side of the penis, about half an inch down from the head, there appeared slight reddening of the skin.  Occasionally, very very small white spots appeared in this area (like a pin sized whitehead) that came and went overnight.  This has happened at least twice, with the white spots present at night, but not in the morning. The skin in this area is more sensitive than surrounding areas.  All the skin in this area is loose and wrinkly, which is not like the other healthier patches of skin on my penis.

1/2/10 - Visited doctor once more.  Redness had returned to scrotum, with slight if not noticeable burning.  Penile rash still present.  

1/9/10 - Visited doctor regarding allergies to amoxicillin.  Told the doctor that 24 days had passed and the penile rash was still present.  Received Gonorrhea and Chlamydia urine test (waiting on results to this day).  

As you can see, I'm very confused as to what I'm experiencing.  I have never had any visible blisters, ulcers, or anything that could be popped or scrapped (which makes it impossible to get a swab culture for testing HSV).
The penile rash has never hurt, itched, or burned - however, upon touch with a finger it is raw and more sensitive than surrounding skin.  Rash on testicles still persists to this day, although it has been improving over the course of the past 5 days (less red, considerably less prickling sensation when walking).  

Summary of symtpoms:
1) Red, scaly, loose skin and bunched rash on the underside of penis.  Has lasted for at least 24-25 days with slight changes in appearance.  Cuts / Tears in the skin within the rash have no healed since day one (no scaling, scabbing, puss, blood, or anything from these cuts).

2) Red burning rash on testicles, improves with hydrocortisone.  First appearance lasted about 4-6 days, followed by 2-3 days with no symptoms, then rash returned and has been once again improving with hydrocortisone
treatment

3) Slight red, bumpy and sensitive area of skin on top left shaft of penis.  On two occasions I noticed small white spots that rapidly came and went within a day.  Skin in this area is noticeably more bumpy and loose/wrinkly.

4) Strange reddening of top part of the crown.  No blisters, nothing with fluid or that could be popped - but noticeably red spots.  On close inspection today, two spots on the crown had a strange and slightly noticeable orange/yellowish tinge to them.

5) Strange red, slightly raised areas on head of penis.  Upon inspection of penis head when erect, when I squeezed blood into the head of the penis, I noticed at least a dozen of small red patches spaced around the head of the penis randomly.  These have been present for a number of weeks, but barely visible when not erect (only very slight redness).  

When erect, I cannot see the main rash on the bottom side of the penis, but I can spot the cuts.

I'm sorry for the long post, but I have been in a state of extreme anxiety for the past month with little to no answers.  I've been told by my doctor that since the rash has persisted for nearly a month, it is unlikely to be genital herpes.  Also, a rash that comes and goes with treatment of a topical steroid is certainly not herpes.  However, do any of these symptoms sound similar to herpes or any other STD?

Thank you so much for your advice!

81 Responses
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Avatar universal
Yup, about 3 weeks left of school.  Can't promise my grades will be up to par, since I've been a bit distracted and unmotivated this semester.  But it happens :-p.  

I'll be making a an appointment with a dermatologist in the coming weeks to get this checked out, get a second opinion on whether or not this is recurrent yeast infection, and possibly get more of a thorough medical opinion on these irritation spots.

Thanks for your input, its always so helpful!
Helpful - 0
101028 tn?1419603004
could be yeast. could be an eczema type issue.

if it looked like warts, I'm sure the derm doc would've said so since it would've been a chance for them to remove them and make an extra buck or two from you.

almost done with school?  grades in the range of which I would approve?

grace
Helpful - 0
Avatar universal
Hey all,

I'm back!  I had a question for you grace; past couple of weeks, since I stopped posting, I have been relatively symptom free.  I still have some remaining spots of irritation (bottom middle of shaft, and top middle of shaft).  These spots are stubborn and have been there for at least 4 months, although they seem to have improved a bit over time.  As you know I got tested at 11 weeks and was HSV 1 and 2 free, so whatever it was/is isn't herpes.  I also saw my dermatologist about two weeks ago for a follow up exam, and she said she saw nothing of concern.  I wondered if the spots of irritation may be mild genital warts, but she saw nothing of concern and said that although she couldn't test to confirm, I had no symptoms that indicated HPV.

Tonight, however, I've noticed that on my scrotum I have the all too familiar symptoms of small red, scaly, shiny dots that are closely spaced.  This only covers a small area on the bottom left of my scrotum.  I have no symptoms (no itching, burning, tingling, or sensation when walking), but I noticed that this skin is redder than the surrounding skin.  Do you think it could be the same yeast infection from before?  I haven't had sex since the incident in December.  I just wanted to know, is it likely/possible that the yeast infection could return?  I applied ketoconazole for about about 6-8 weeks after I was originally diagnosed, and I haven't shown any symptoms up until now.  

Just wondering.  Kinda frustrated that the yeast infection could come back.  Do you think it could be because of warming temperatures, which I'm assuming makes my genital region moist for extended periods of time?

Also, regarding these spots of irritation.  Both areas are discolored (slightly redder / yellower) than surround areas of skin, and slightly more sensitive to the touch.  These areas have a great deal more wrinkles in the skin.  Meaning, the skin in this area is wavy and forms many ridges and valleys when not erect.  I'm just trying to understand what could cause this.  The dermatologist said it was irritation / scars, and it would improve with time.  But more than 4 months have passed, and I'm an impatient person :-p.  

And one last question: if one were to have genital warts, would the warts become less visible when erect?  The skin in the irritated areas looks normal when erect, only wavy / wrinkly when not erect.

Sorry for the long post, and thank you so much for your help!
Helpful - 0
1174003 tn?1308160819
same leap.  I got on aim didn't see you on.  
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Avatar universal
Thanks MG.  Keep in touch man, I haven't heard from you in a while.
Helpful - 0
1174003 tn?1308160819
Clogged pore maybe from the condom?  Just shooting a guess.  Hope all is well Leap.
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Avatar universal
top
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Avatar universal
Hey all,

Just had a question.  Since I've gotten my results I've totally called off the 'crotch watch', and resumed my sex life.  Recently, I've resumed masturbating about twice a week.  Yesterday, I did so for about...30 minutes or so.  Tonight, I noticed a single, relatively small bump/pimple that is oval in shape, and practically white all over.  I'm not concerned its Herpes or any STD, but I'm wondering if this pimple like bump is a result of masturbation?  I never used to get these pimples before.  I used a condom instead of tissues.  Oh, and the bump is completely painless.  It appears to also be in the same place as other pimples that have appeared before in the past (during my whole yeast infection symptom stage).  Any thoughts?

Thank you!
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Avatar universal
I sure will.  Believe me, I won't forget you guys
Helpful - 0
101028 tn?1419603004
I hope you continue to check in periodically to help others in the same boat you were in dear - let them know that really it isn't all herpes and to keep pursuing further work ups :)  

grace
Helpful - 0
Avatar universal
Yeah, its a great feeling.  Although I still have some irritation going on, I know no for a fact it is not Herpes nor any other STD, and as such it can be treated / cured, and will not plague me for the rest of my life.  I finally feel normal again :-D.

Again, thank you so much for your help, this has been an incredible resource and I can't imagine how I could have made it through the past three months without it.

Thanks.
Helpful - 0
101028 tn?1419603004
can I say I told you so? he he he

Glad you have the actual results now though so you can finally put it all to rest and move on :)

grace
Helpful - 0
1174003 tn?1308160819
Leap,

Wow!  I am extremely glad and thrilled.  I know that this was bothering you and that you have been able to prove you are negative.  Go out tonight and celebrate or wait until friday.  

Oh and for once I am happy to say this "I told you so!".  I will get that beer out to you tonight.  Just give me the address lol.

Congrats again!
Helpful - 0
Avatar universal
Got my test results today.  I am 100% negative for both HSV-1 and HSV-2.  
The test results were shown to me, but I saw no numbers, only NEGATIVE.  It was a type specific IgG test.  Regardless, I am negative, and I can finally put to rest the fear of having Genital Herpes.  Grace, thank you so much for your help, it really has helped me get through the past three months.  I will be sure to recommend this site to my friends, if they ever run into such a misfortune.  I cannot thank you enough.  Hopefully this will be the last you'll hear from me :-p.  Then again, I may be back with a few questions regarding contact dermatitis, etc...  I'll try not to bug you again :-D.

MG: I'll take you up on that beer, bud.

Thanks again...

Helpful - 0
Avatar universal
Aquaphor it is!

Thanks again
Helpful - 0
101028 tn?1419603004
I"m a fan of aquaphor myself for the genital area. zinc oxide also works but it's think and white which can look a little goofy when folks see you naked.  

grace
Helpful - 0
Avatar universal
I haven't had a moisturizer recommended by a derm, no.  Do you have any suggestions as to which brand I should use?
Helpful - 0
101028 tn?1419603004
if the skin seems dry and irritated by all means apply the moisturizer again. you are using one the derm recommended right?

grace
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Avatar universal
By the way, I had a question: at this point, can I resume applying moisturizer to the penis everyday?  I don't want to re-catch any yeast by providing moisture, etc...

Thanks!
Helpful - 0
Avatar universal
Hey Grace,

Got tested today.  Should hear back next Wednesday.  I'll be sure to post the results.

Thanks again!
Helpful - 0
101028 tn?1419603004
these sound normal to me. show them to the derm doc when you are there for peace of mind.


grace
Helpful - 0
Avatar universal
Ah!  Great to hear I have the green light.  I'll make an appointment to get the blood test done tomorrow, or at least sometime this week.  

Also, before I ask this next question, let me apologize for the liquid-crazy that is about to pour out of my mouth, in a sense.  Alright, here goes:
I am aware of what I believe is called Sebaceous Glands, which are benign bumps on the base / shaft of the penis.  I am also aware that hair follicles can sometimes have gland-like appearance on the base / shaft of the penis.  I was just wondering: on the base of my penis, there are at least 1.5 dozen little bumps.  They are mainly located on the base (where penis and scrotum meet), and on the underside and both sides of the lower shaft.  Now, most of these bumps / glands have hair growing out of them.  Meaning, for most of these bumps, there is a single hair growing out of the center.  I'm assuming these are hair follicles.  However, there are a few of these bumps that do not have hair, or at least no visible amount of hair, growing or sticking out of them.  These bumps are identical in appearance of the other bumps except for the hair, and are located in / amongst the other bumps.  I'm guessing these are just sebaceous glands and/or other hair follicles that simply do not have hair growing out of them?  What concerns me is I haven't shaved down there since November, which begs the question of where the hairs are?  I'm not terribly well informed on HPV, and not sure if genital warts can occur in this area.  To my recollection I've had these bumps with hairs since as long as I've inspected myself, and most definitely before.  What concerns me is that I don't recall having bumps with no hairs.  I guess my question is, is this worth seeing a doctor about, or am I just answering my own question?  How does HPV present in males?  Are there any other symptoms?  And I suppose finally, do genital warts come and go, or do they stay until surgically removed / treated?

Again, sorry.  Over-reactive imagination.

Best Regards, and thanks again for helping!
Helpful - 0
101028 tn?1419603004
they won't test for a contact dermatitis. it's typically just a visual exam based on how the rash looks.  

yes you could test now if you wanted for peace of mind.

grace
Helpful - 0
Avatar universal
I'll call the dermatologist's office tomorrow, ask about testing for contact dermatitis.  Today also marks the first day I'm off the yeast infection cream on my scrotum.  Feeling a bit insecure about what will happen :-p.  Really hopeful that the rash down there is gone for good, it'd be nice not to have to make my daily routine around medication applications.  

Also, this is week 11.  Do you think its reasonable that I get tested now?  I know I could wait for week 12, but I'm feeling a bit impatient.  If it really makes a difference, I will wait though.  What are your thoughts?

And thanks for the kind words MG

Thanks again
Helpful - 0
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