Question: I'm currently living in Costa Rica and so my options of health care are pretty limited, especially with the language barrier and my remote location from any nearby hospital. Anyway, over the past few days I've noticed a mild discomfort around the tip of my penis. I would describe it as a warmth that is more apparent after urinating or ejaculating. The first symptom that arose my concern was a small red bump on the tip of the penis about five days ago. It was very faint, not sore and has since gone away. Since then it has just been the discomfort, between a 1-2 pain level. At first I thought I was just being paranoid as my girlfriend was visiting and we were having unprotected sex several times a day, often un-lubricated, thinking perhaps it was from the friction. We had also had sex in the ocean the day prior to noticing anything strange so my other thought was that it was from the salt water. As far as my sexual history, prior to my girlfriend visiting over the past two weeks, I had unprotected sex about five weeks beforehand. It has been these two partners over the past six months. One I can account for their sexual history, the other I cannot, however neither did or have alerted me of any known sexual diseases. Of course, I'm hoping that this is sensation I'm feeling is unrelated to an STD and I plan to get tested as soon as I can find a laboratory here in Costa Rica but any knowledge that you're able to pass on would help ease my mind until then. Thank you.

Hi Dr. XXXXXXX

Thank you for your prompt reply and thorough questions. Please see below my answers to each question respectively.

There are no esicle /ulcer/sore over the genital areas. The small bump once descried has since gone away completely.

I have no fever/malaise /systemic complaints.

I haven't really felt any swollen glands in groin region. Is there a way to check or is something that I would definitely feel?

I have no past history of herpes any other genital lesions/STD apart from one encounter of chlamydia a few years back.

There are no visible lesions over the genital area.

Please let me know if I can help with any additional questions. Again, I really appreciate your expertise in the subject matter and I will update you if anything changes between now and your response.