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Dry skin blotches on the base of penis, itchy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   I have dry skin blotches on the base of my penis. They itch at times, but it looks like blotchy spots of dry skin? No pus blisters or abnormal coloring? Sometimes they are red, like new skin forming or pale spots at other times? Put lotion on it, cocoa butter and still remains? any thoughts? Thanks
Doctor :   Hi,
Doctor :  
User :   hello doc
Doctor :   since when are you having these lesions ?
User :   about 2 weeks now
Doctor :   Do you notice scaling over the lesion ?
User :   well I would call them lesions in true sense of the word, just looks like dry skin blotches....itchy at times but nothing like puss or blisters, just at teh base and little up the side
Doctor :   ok, do you notice scaling or a powdery substance after scratching
User :   no not really powdery stuff more like dry skin flaking off...been using cocoa butter , moisturizer but still stays
Doctor :   ok, i get it
Doctor :   it could probably be a fungal infection
Doctor :   apply MICANAZOLE oint over the lesions twice a day til the lesions go off
User :   had sex about 2 weeks ago and she bled? Cause that be part of the cause? I shower daily so its not a hygene thing for me
User :   I got lotrimin? Is that similar to micanzole? is micanzole over the counter?
Doctor :   no , it is not related to the incident
User :   I do athlets foot, so may be prone to fungal infections? Any thouhgt on cause?
Doctor :   no , lotrimin is different , try Micanazole , yes its a oTc
Doctor :   yes, could be related to athletes foot
User :   Any way I can prevent this from happening again if in fact a fungal situation? What about having sex is this contagious?
Doctor :   better avoid intercourse until got cured
Doctor :   with the oint i could say it will go off within 4 to 5 days
User :   any idea of a time table using the fungal cream twice a day? beat me to my question
User :   any preventative things I can do or is it You have it it can recure again?
Doctor :   after shower in the morning and before sleep
Doctor :   yes, keep the area dry , keep wiping the area with a clean tissue paper at least 5 to 7 times a day
User :   not following you, it is dry not moist really ever? why would I need to wiped several times a day?
Doctor :   as the fungal elements release pores in a discharge which is in negligible amounts
Doctor :   which can travel to any area next
Doctor :   that is how fungus spreads
User :   So after applying in morning make a conscious effort to check the area and wipe based on any seepage
Doctor :   yes,
User :   any idea on cause or why this may have all of a sudden developed?
Doctor :   colud be due to clothing , pores can even get from air, bathing water,
Doctor :   nutritional status also has an influence
User :   I guess our time is up thanks for the help, was concerned never have seen this before and was worried may be something more serious
User :   but not necessarily from intercourse
Doctor :   yes, not from the intercourse
User :   is the chance of recuring high due to having it in this area once
Doctor :   yes, but a better treatment can assure the prevention of the recurrences
User :   beter as in something different than micanzole
Doctor :   no , the same what i suggested
Doctor :   micanazole is the newer and best
User :   so their is a chance this could recur based on this being a problem at this point
Doctor :   yes,
User :   if it is cleared and dont see these spots, is their a chance I can pass this on to a woman if I hvae intercourse
Doctor :   no,
Doctor :   very negligible
User :   thanks alot doc
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye
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