Unusual spot

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.  

[Edward W Hook, MD]

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

[Gladfor the help]

Sir:

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.