Hi,
Thanks for writing to us.
From what you have described, it seems either you might be developing petechial rash or flushing reaction.
Petechial rash presents itself as tiny pin point red or bluish red spots and develop due to rupture of capillaries and extravasation of blood due to pressure exertion. These may develop during orgasm and persist for few days to a week.
Flushing too presents as reddish areas over trunk chest face etc and persist for few minutes after orgasm to two to three hours.
I do not think your problem has anything to do with hormones.
If its a petechial rash, one can get platelet counts, clotting time, bleeding time , prothrombin time done to rule out any clotting abnormality. Similarly such rashes can occur due to infections, medicine use like blood thinners etc. So underlying cause if any should be ruled out. Petechial rash due to pressure exertion( sneezing, coughing, vomit, defecation or orgasm) is practically harmless and just denotes fragility of capillaries.

Flushing is just due to increased blood flow in the area if occurrence and is a normal physiological response.

I would be in better position to assist if you could elaborate about your rash like if they persist for few hours or days or if they are associated with any symptom like itching burning etc.

Hoping to hear from you soon.
Take care.

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Hi,
The elaborate description of the lesion seems to prove one thing- it neither appears to be flushing or petechiae!.
It sounds like a boil( furuncle) or acne lesion.
A furuncle is a bacterial infection of hair follicle characterised by a red tender elevated bump which may develop a pus point in centre
Acne has a hormonal etiology and is characterised by red elevated bumps or pustular lesions.
Both of these might heal with post inflammatory hyperpigmentation

Dermatology is completely a visual field and hence a clinical examination of the concerned area is required to reach a particular diagnosis i would request you to either XXXXXXX a dermatologist or Upload an image of the lesion on this site so that I can help you out in suggesting a probable diagnosis.
Whenever you develop such lesions, I would advise you to do warm water compresses of the lesion and apply an antibiotic cream like nadifloxacin . If required a course of oral antibiotic like doxycycline can be taken for a week or two to reduce these spots
Also wash your hands frequently with an antibacterial soap specially after an intercourse.

The dark marks that they leave can be tackled by application of pigmentation reducer creams containing hydroquinone or Kojic acid or tretinoin.

Hope that helps.
Should there be any other doubt, I would be thereto assist you.
Take care.

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Hi,
Thanks for writing back.
I have seen the images attached and you have nothing but acne! Acne is due to hormonal cause and androgens( testosterone) are implicated for the same. It is quite common in males. It has nothing to do with increased sexual activity and might just be a co incidental finding.
Acne can recur after stopping treatment.
Your acne is of mild grade and application of creams are sufficient enough to help.
I can also notice slight redness over face. If local application of anti acne creams have made your skin red,dry or irritated, I would advise you to stop their application for a while and apply a mild moisturiser like cetaphil moisturising lotion to soothe skin. Once skin is normal you may begin with these
1) use a salicylic acid based face wash( neutrogena or saslic from cipla) twice in a day
2) apply clindamycin gel twice in a day and adapalene gel once in night only over acne lesions. You may use a tooth pick for the purpose. Never apply too much cream or rub the cream as it can lead to irritation dryness etc. if you get pustular lesions, nadifloxacin cream has good results
3) avoid sun exposure and use a sunscreen when out in sun. I would not advise solarium or sun beds right now. Once your acne is under control and pigmentation marks are gone, you may consider going for same.
4) do not use chlorhexidine to wash face. Steaming once in a week is enough. Do not scrub your face often
5) if you have blackheads get them extracted regularly as these are precursor lesions for acne.
6) use a Kojic acid based cream or hydroquinone cream to treat post acne dark or red marks.
7) chemical peels with salicylic acid can be taken to reduce acne as well as marks. However with peels strict sun protection is required
8) do not apply any oily cream over face and do not go with regular face massages as these can induce acne
9) I do not think you require a course of oral antibiotics, however if not much response is seen with creams alone oral doxycycline or azithromycin can be taken.

Hopefully your acne lesions would subside in two weeks time but pigmentation marks would take time to go.

Hope that helps. Should there be any other doubt feel free to write back.

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Hi,
1)From the images uploaded, I feel that you skin looks slightly red and irritated. You can use la roche posay product. There is no need to use two product together. Once the irritation is gone, start the medicines.
2) adapalene has caused irritation of your skin, to treat the same just moisturise the area. However if the redness persists use a mild steroid cream like hydrocortisone cream to reduce redness
3) you can use mac products to hide acne but make it a point those products are not cream based or comedogenic.

Hope that answers your query. Should there be any doubt feel free to write back. I will be available for follow up
Take care


PS should there be no other query, we may close the discussion.

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