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STDs  (Expert Forum)
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penile irritation
Answered by
University of Washington Seattle - WA
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.

penile irritation

by concerned2, Mar 28, 2005 12:00AM
Thanks I am concerned about penile irritation that occurred.  On wednesday I had vaginal sex with my wife.  The following saturday I received unprotected oral sex with someone i didnt know prior to ejaculation he masturbated me pretty viorously.  On sunday night going into monday morning I noticed some dry scaly places below the head of my penis that extended to the back.  I became alarmed and went to the std clinic who tested me for everything except herpes. The NP stated that the area looked like irritation rather than herpes, and suggested that it may have been a yeast infection.  I used clotrimazole 2% for 3 days. It offers some relief but the area is still irritated i check it often and may be contributing to the irritation.  There are no raised bumps or lesions, no sores or vesicles.  However a silvery, dry patch occurs. some times after i urinate the excess dribble causes some irritation. The pain is more like a raw irritating pain.  could you please help me?

by H. Hunter Handsfield, M.D., Mar 28, 2005 12:00AM
I don't think I can help very much.  As I have said many times on this forum, a verbal description can't match an actual exam by a health care provider, and I really can't compete with the diagnosis you already have had.  In any case, clotrimazole cream won't help; that's an antifungal cream, and there is nothing in your description that suggests a fungal infection.

My main advice is to see what happens over the next few days, and return to the clinic if the problem persists.  Or, of course, if symptoms recur, in which case a blood test for HSV infection might be indicated.  (See numerous other threads about the proper kind of herpes blood test to request.)  In any case, stop using the clotrimazole.

Best wishes--  HHH, MD
Member Comments (3)

by concerned2, Mar 28, 2005 12:00AM
sorry,  i meant the irritation is below the head of the penis and wraps around the left side of the penis and the back of it.
there are no scabs or vesicles should i try more things or should i wait it out. also are there accurate early detection herpes tests?

by H. Hunter Handsfield, M.D., Mar 28, 2005 12:00AM
Sounds even less like herpes than before.  The HerpeSelect blood test usually becomes positive by 4-6 weeks, but sometimes takes up to 3 months.

HHH, MD
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