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STDs (Expert Forum)
Unusual spot
Answered by
Edward W Hook, MD - HIV Prevention, stds
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
Unusual spot
by Gladfor the help, Nov 03, 2009 08:48AM
Sir: First I would like to thank you for the valuable service you have provided. My question concerns a spot that has appeared on my right testicle. About 3 wks ago I had unprotected sex with a woman. I have no other symptoms. The spot appeared last night. It white in color and is small. It would be easier to tell you what it is not. It is not raised, not bleeding, not open or ulcerated. It does not weep or have puss. It does not have a center or any openings at all. It is not painful but it does itch. I have had itch testicles before but not recall any small spots like this. Should I be worried?
Again, thank you.
Again, thank you.
Doctor's Answer
by Edward W Hook, MD, Nov 03, 2009 09:15AM
, Nov 03, 2009 09:15AM
Welcome back to the Forum. It sounds as though the lesion you describe is not on the testicle but the scrotum. The distinction is an important one as if it is truly on the testicle (an internal structure) it should be evaluated.
If, on the other hand, it is on the scrotum, I suspect that there is little to worry about. The time interval since your last exposure is a bit long for most STDs and what you describe is typical of folliculitis of cutaneous cysts, both of which are relatively common on the scrotum. If you are concerned, my advice would be to have your doctor or the folks in your local STD Clinic take a look and make an assessment after that. As I said however, this really is not too suggestive of STD. EWH
If, on the other hand, it is on the scrotum, I suspect that there is little to worry about. The time interval since your last exposure is a bit long for most STDs and what you describe is typical of folliculitis of cutaneous cysts, both of which are relatively common on the scrotum. If you are concerned, my advice would be to have your doctor or the folks in your local STD Clinic take a look and make an assessment after that. As I said however, this really is not too suggestive of STD. EWH
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Thank you for the quick response. I, like some others here I predict, have at times either engaged in panic or guilt trips following their liasions. The patience and sound advise you provide does render a tremendous service.