Penis Problem

[Pleasehelp2121]

I am a 22 year old circumcised man.

In November 2011 I had a small, rash/dry skin problem develop on my penis. It started under the head of my penis. I did not think much of it, however after a month or two it had appeared on two other areas on my penis. I decided to go to the local doctor. They tested me for stds, and said confirmed I was std free. Originally they diagnosed me with indigo. After a month the problem continued to worsen. I went to my primary doctor and he gave me a different cream to try. This did not work. I then went to a sexual health expert on two occasions. He eventually suggested to just put antibiotic cream on it. This worked, after a few weeks (in may) it was finally healed. The spots did leave minimal scarring.

In November 2012, the same problem developed. This time, it has been worse. Covering more of my penis and a small portion of the head of the penis. I have feverishly been applying the same cream that worked last year to no avail.

I really do not know what to do. I feel like returning to the doctor will be pointless because of last years diagnosis. It is exactly the same thing. It's painful during sex and masturbation and sometimes itches after. My girlfriend of three years has been tested and shows no symptoms or effects from whatever I have.

Any suggestions would be greatly appreciated! Thanks.

[Bhupinder Kaur, MD]

Hello,
One of the possibilities is of any infection or balanitis. Oral course of antibiotics is needed. In addition, don’t use any cosmetics on the penis,instead use some topical antimicrobials like Bacitracin or Lotrimin. Also corticosteroids and topical immunosuppressants can be used but they are available under prescription. Taking anti inflammatory drugs like Ibuprofen under a doctor’s guidance also helps. Also retract the foreskin daily and soak in warm water to clean penis and foreskin. In case the symptoms persist then consult a urologist/dermatologist for evaluation.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Bhupinder Kaur, MD]

Hello,
Since the encounter happened one and a half years back, hence there are less chances that these can be due to STD’s. Hello,
Please elaborate the symptoms and the description of the spot in detail so that I can help you in a better way by writing about the differentials which can cause these symptoms.
Mention about the color, size, shape, associated symptoms like pain, itching, discharge etc if you have any.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.