slight pain in my groin

im a 23 year old circumsised male and about a year and a half ago i had protected sex after the first few strokes the condom popped i immedietly pulled out then had unprotected oral sex then about six months later i started to notice a slight tingle almost a pinch at the tip of my penis but im not sure if it has always been there and i feel it every 15 to 20 minutes or so upon further examination i also noticed the inside of my penis directly at the tip was a bit red and irritated ( can't recall if it has always been there or not)and sometimes after masturbation and sometimes when idle the lips of my penis( i don't know the correct term) swell up just a bit on either side sometimes at the sametime sometimes individualy but there is never any discharge,puss,or ozz and it never last long and if i rub it a little it goes back down its been about 7 months since i noticed this and it has never stoped happening since. i got every std test except herpes beacuse the clinic didn't issue the test i'm negative on all fronts and  they took a culture test for the hiv test ...if it were herpes would there be anyway for them to know through the other test?...what could this be?

[Kevin Pho, MD]

Infection would be a leading possibility.  I agree with the tests for STDs.  If herpes is a concern, blood tests or smear test of any open lesions can be considered.  

I would also consider prostatitis - which can evaluated with a digital rectal exam, prostatic massage, or transrectal ultrasound.  

Surface conditions like dermatitis or fungal infections can be considered as well.

If infection has been ruled out, anatomical causes of the discomfort can be evaluated with a cystoscopy.

These options can be discussed with your urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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