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Mollecusum? Herpes? Other?
29 y/o, straight Male. 2 mo ago unprotected oral and had protected intercourse with a female I didn’t know (potential high-risk partner). Since then four red, raised, pimple-looking bumps developed on/around genitalia, each developing after the previous receded, one after the other. None painful or itchy.
The 1st was on underside of penis shaft: small (1-2mm), protruded, red, pimple-like. Bled when squeezed, disappeared within weeks. 2nd was on lower abdomen along waistline: 3-4mm, otherwise similar to the 1st. When popped, thick yellow substance was released, followed by blood. Disappeared within weeks. 3rd nearly identical to 2nd, also on waistline. It bled (no yellow) when popped. Over a few weeks it has faded and rescinded but still slightly visible & noticeable to touch. 4th on top side of penis shaft, nearly identical to 1st. Has not been popped/squeezed. Possible dimple and/or hair in center?
Likely unrelated- I have had anal pain/itching. This long precedes the sexual contact, but has become more constant over the last 2 months. Pain is worse after BM, but can linger multiple hrs, sometimes all day. Nothing visible I am aware of on/around anus. No blood noticed in BM.
History
mollecusum contagiosum 8 years ago. Treated within 8 mo with repeated freezing treatment. Was isolated to pubic region (not on genitalia)
Anal fissure dx 10 yrs ago. Anal pain has come and gone since, but has been fairly constant last 2 mo.
FYIs
Shaved/trim public region around time of sexual contact.
Have always had excessive sweating (hands, feet, folliculitis, occasional body pimples).
Thank you so much for your help!
The 1st was on underside of penis shaft: small (1-2mm), protruded, red, pimple-like. Bled when squeezed, disappeared within weeks. 2nd was on lower abdomen along waistline: 3-4mm, otherwise similar to the 1st. When popped, thick yellow substance was released, followed by blood. Disappeared within weeks. 3rd nearly identical to 2nd, also on waistline. It bled (no yellow) when popped. Over a few weeks it has faded and rescinded but still slightly visible & noticeable to touch. 4th on top side of penis shaft, nearly identical to 1st. Has not been popped/squeezed. Possible dimple and/or hair in center?
Likely unrelated- I have had anal pain/itching. This long precedes the sexual contact, but has become more constant over the last 2 months. Pain is worse after BM, but can linger multiple hrs, sometimes all day. Nothing visible I am aware of on/around anus. No blood noticed in BM.
History
mollecusum contagiosum 8 years ago. Treated within 8 mo with repeated freezing treatment. Was isolated to pubic region (not on genitalia)
Anal fissure dx 10 yrs ago. Anal pain has come and gone since, but has been fairly constant last 2 mo.
FYIs
Shaved/trim public region around time of sexual contact.
Have always had excessive sweating (hands, feet, folliculitis, occasional body pimples).
Thank you so much for your help!
MEDICAL PROFESSIONAL
Welcome to the STD forum.
First and perhaps most important from an STD standpoint, there is virtually no chance these skin lesions are due to herpes. HSV doesn't cause a smattering of lesions so widespread (from penis to waist and elsewhere) spread out over a couple of weeks; or lesions with thick pus.
Molluscum contagiosum also is unlikely. People are believed to be immune after an initial infection. If your diagnosis of 8 years ago was correct, then MC is very unlikely this time, probably impossible. Also, expessing MC lesions yields a hard white core, not yellow pus.
Both from your description and by exclusion of HSV and MC, most likely you have a nonsexually acquired superficial skin infection, i.e. folliculitis (or furunculosis, which is the same thing but with larger lesions), probably due to staph or strep. Most likely it has nothing to do with your sexual encounter 2 months ago.
I suggest you try excellent hygiene: lather with an antibacterial soap 2-3 times a day, dry well, and keep the area dry by wearing loose clothing (boxer shorts, not jockey), and sprinkle talc or cornstarch in your underwear. If the problem continues despite these measures, see your primary care provider, preferably when you have a fresh lesion (and before you squeeze or manipulate it). An antibiotic ointment or even antibiotic by mouth might be necessary.
I hope this helps. Best wishes-- HHH, MD
First and perhaps most important from an STD standpoint, there is virtually no chance these skin lesions are due to herpes. HSV doesn't cause a smattering of lesions so widespread (from penis to waist and elsewhere) spread out over a couple of weeks; or lesions with thick pus.
Molluscum contagiosum also is unlikely. People are believed to be immune after an initial infection. If your diagnosis of 8 years ago was correct, then MC is very unlikely this time, probably impossible. Also, expessing MC lesions yields a hard white core, not yellow pus.
Both from your description and by exclusion of HSV and MC, most likely you have a nonsexually acquired superficial skin infection, i.e. folliculitis (or furunculosis, which is the same thing but with larger lesions), probably due to staph or strep. Most likely it has nothing to do with your sexual encounter 2 months ago.
I suggest you try excellent hygiene: lather with an antibacterial soap 2-3 times a day, dry well, and keep the area dry by wearing loose clothing (boxer shorts, not jockey), and sprinkle talc or cornstarch in your underwear. If the problem continues despite these measures, see your primary care provider, preferably when you have a fresh lesion (and before you squeeze or manipulate it). An antibiotic ointment or even antibiotic by mouth might be necessary.
I hope this helps. Best wishes-- HHH, MD
Thank you so much. I really appreciate it.
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
