I have a painless, almost colorless, flat lesion on the foreskin area of my penis. The area in total is about the size of a pencil eraser though the shape is not uniform. The edge is only very slightly raised and the sore seems almost slightly recessed, like a fissure. When I pull the skin tight it is difficult to see, but I can see the outline and the sore itself seems to reflect light more (it is NOT filled with fluid, or noticably different in color). When I relax the skin the sore is almost impossible to see but is slightly more red than the surrounding tissue.
I saw a dermotologist yesterday (4 days after discovery of the lesion) who said it was probably a "striae" but DID prescribe me hydrocortisone 2.5% cream. Derm said to use the ointment for 2 weeks, and if nothing changed it was probably just a striae that would be there for good.
I dont want to be paranoid, but at the same time do want to be thorough and responsible. My last sexual incounter was vaginal and unprotected on Sept 23rd. (almost 3 months ago) It was a one night stand and she was only my second partner lifetime.
I understand a painless fissure would be an atypical presentation of herpes, and I also understand that I should have experienced a primary outbreak before now if herpes was indeed the culprit.
My question is 1- how probable is it that I had a primary outbreak without noticing, but would get a recurrance in the form of a totally painless fissure on the forskin just below the head of the penis? 2-Should I avoid sexual contact (oral, hand jobs, ect) until I have waited a couple of weeks? 3-If this is a recurrance how long before I should see the fissure dissappear? I think about a week? and lastly, 4-Should I even be second guessing the derm? The only reason I am is because she prescribed the ointment even though it wont help if the fissure is in fact a striae. I guess I dont feel as confident in her diagnosis becuase of that.
Thanks for the help!