Red spot - What is it?

[troy44]

Hello, and I'll start off with my history. Prior to the 2 encounters below, I didn't have any sort of sexual intercourse for 14 months straight. No prior history of anything.

Two weeks ago, I had unprotected sex with lady #1. No symptoms, bumps, or anything was noticed between the two encounters.

Then, 14 days later, I had unprotected sex with lady #2. I noticed the next morning after sex (about 6 hours or so), that I had a small red spot on my glans.

This spot is slightly raised. There is no pain, discharge, or tenderness whatsoever associated with it. My health is normal. It is somewhat hard to notice with the naked eye. It is about 0.5 cm big. The top of the skin on the spot looks like normal skin and not like little "herpes clusters" or "cauliflower warts." The affected red area appears to me to be actually under the layer of top skin on the glans.

Now, for encounter with lady#2. I did receive a hand job from her and it was very, very rough, with no lubrication. It was so rough, it hurt a bit while it was going on (the stroking of the shaft and squeezing of the glans). Even for the intercourse portion, there was no lubrication.

I went to my provider this morning and he said he is leaning on "the side of trauma." He said possibly genital warts. He said keep an eye on it to see if anything develops. I took all the STD tests today just to be on the safe side and I am expecting the results back in a fews days. I am here on the forum to get a second opinion.

Personally with doing research on Genital Warts, I thought a small spot like this showing up several hours after intercourse sounds very odd and early. But then again, it could have been with lady#1, 14 days prior but that also sounds early too.

It has now been 5 days since lady#2, and the spot is still there.

What are your thoughts? Balanitis? Genital Warts? Trauma/friction blister from rough sex?

Thank you for your time and information.

[Edward W Hook, MD]

Glad I could help. EWH

[troy44]

Dr. Hook,

Thank you for your reply and information.

-Troy

[Edward W Hook, MD]

Welcome to our Forum.  I'll be happy to comment and make some suggestions.  I doubt that the spot you have noticed is an STD of any sort.  As you point out, it really doesn't look at all like herpes and the timing is off (too soon to be herpes from partner no.2,  too late to be HSV from partner number 1).  In fact there are no STDs which would be expected to occur with this sort of timing- again, too soon to be related to your contact with partner number 2.  As for your question about warts/HPV, it turns out that, on average, it takes 4-6 months for HPV infection to cause a visible wart so that is not a meaningful possibility.

So what could this be. Like your doctor, my first suspicion is that it is related to your most recent exposure- either trauma or perhaps a reaction of some sort to a vaginal hygiene product or other substance she might have used that then caused a reaction for you.  Fungal balanitis (BTW, balanitis means inflammation of the head of the penis, nothing more and does not tell us what is causing the "balanitis") is a possibility.  In any case I would suggest the following:
1.  Don't worry, this is unlikely to be an STD.
2.  Observe it but do not repeatedly examine yourself, repeated examinations can just make the result so trauma worse.
3.  Do not put creams or lotions on it. If this is a reaction of some sort, they could make it worse.
4.  If it gets better over the next few days , don't worry about it and assume it was traumatic in origin.
5.  If it worsens or does not get better, I'd have a dermatologist take a look

Hope this information and suggestion is helpful. EWH

[troy44]

I forgot to mention that I am circumcised. Thanks again.