genital papules have me terrified

[frankgan]

I am sexually active male and have had unprotected sex with five female partners over the past year.

I know that's insane behaviour.  :-(

A few weeks ago I discovered a dark patch on the shaft of my penis.  When I looked very closely I saw about 10 to 15 tiny pinkish purplish papules.  They are different sizes, from a tiny one, the size, say, this asterisk * to larger ones about the size of this letter: o.   They are roundish, mostly clustered together with a few outliers.  

I tried the vinegar test - putting white vinegar on the area for 5-10 minutes to see if they changed white, as i have read that genital warts would do.   They did not turn white.

My temperature is normal.  I have no discomfort urinating.  

I went to a urologist who said they do not look like warts or herpes, and he prescribed some myocin? ointment, which is an anti-fungal with steroid.   But he doesn't know what it is, which makes me anxious.

I feel terribly scared and guilty and horrible.  

Can anyone tell me what it might be?

[frankgan]

frankgan here again.  I've now had a biopsy on the area and diagnozed these spots as the "bad" kind of hpv.   The kind that is associated with cervical cancer.  I am scheduled for a dermatologic surgery to remove the spots.  I've told my wife about it and that I've had unprotected sex.

She is devastated.  I am concerned for her health and mine.  And I may lose my marriage.

I am deeply ashamed and depressed.

[Dr_Aparna]

Hi,
Fungal infections and allergies are common in this area. Since herpes and warts are ruled out -both have very characteristic skin lesions which rae quite unmistakeable- this should be a minor problem which will probably settle down.

In some cases it is difficult to diagnose the exact condition just by looking at it. You can always have a biopsy done to find out the cause.

You can try the oitment you have been given and see if the lesion subsides with it. Use it for at least a week to ten days.
The steroid will help in allergy/inflammation.If it is fungal then anti-fungal mediaction should bring about a resolution.
If not then you will have to get it examined again and perhaps think of getting a biopsy done.