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Suggest Treatment For Red Circular Spots On Foreskin And Glans Penis

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Posted on Wed, 2 Sep 2015
Question: Hello, I have a concern about some small pink / red circular spots located on the foreskin and glans. I first noticed them about 10 days ago, and they have not changed in appearance significantly since, except after the application of 1% hydrocortisone cream. This causes them to become lighter in color, and appear smaller.

The spots are most obvious after showering, which I have been doing frequently. In the two days prior to noticing the spots first appear, I did not shower, which may be significant based on my research.

After 3 days of hydrocortisone application I thought they were gone, as the ones on the foreskin were barely visible. I stopped using the cream and they returned to their original appearance. I have since purchased clotrimazole cream and have been applying it in alternation with the hydrocortisone cream.

Please let me know what you think these spots may be.

I should also mention that the spots do not itch, hurt, or have any pain whatsoever.
doctor
Answered by Dr. Matthew J. Mangat (1 hour later)
Brief Answer:
Avoid self medication.

Detailed Answer:
Hello and welcome to HCM.
As an Urologist, i should assure you, that don't worry about this.
Most likely, this appears to be an allergic type of rash, on the photographs.
The self medication you started with, is a steroid cream.
Avoid using it more than a week. Also, avoid using too much soap in the area.
If you've had intercourse with different partners, it's best to get your blood VDRL, HbsAg, HIV and sugar done.
Show an Urologist or a Dermatologist, if it persists beyond one week, after stopping
the treatment, with the reports.
You're welcome to clear any other doubts with me.
Wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (16 minutes later)
Hi Dr. Mangat,

Should I stop using both the Clotrimazole as well as the Hydrocortisone?

As an added piece of information, it first appeared about a week after an oral sex encounter with a new partner.

It also appeared to be aggravated by a recent sexual encounter, which lead to increased redness.

In your professional opinion, is it reasonable to assume that this is not an STI / STD? I would like to rule out herpes specifically. Could i possibly be one of the rare cases where it is painless? I have read conflicting reports online.

It worries me when it becomes more red / when new spots emerge. initially there was just the 3 spots, two on foreskin and the one on glans, and then the two smaller spots on the foreskin appeared.

I will follow your advice in regards to visiting a dermatologist.

Also if this post will ever be visible to others searching online, I would prefer to have my name removed from your first reply if possible.
doctor
Answered by Dr. Matthew J. Mangat (10 hours later)
Brief Answer:
Carry out tests advised and see a specialist.

Detailed Answer:
Hi again.
Kindly carry out the tests advised earlier and see a specialist, with the reports.
Avoid intercourse, till you do so.
Regarding confideniciality of this correspondence, you're advised to get in touch with the site directly.
Wish you a speedy recovery.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Matthew J. Mangat (51 minutes later)
Hello.

While I appreciate your advice, I asked several questions in my previous reply that were not answered. I would appreciate more specific feedback.

Most importantly, I would like to know whether herpes can be ruled out in your opinion.

As a reminder, I have not experienced any pain, discharge, significant change in color or size of the spots, itching, headaches / fever.

Does your previous diagnosis of allergic reaction still stand? If not, what other possible causes of this kind of irritation / rash are there?
doctor
Answered by Dr. Matthew J. Mangat (28 hours later)
Brief Answer:
Allergy and STD are probable cause.

Detailed Answer:
Hi again.
Well, an allergic reaction and STD are considered as most probable cause in your case. Hence an examination by an Urologist or Dermatologist is a must.
If you go with reports of the tests as advised earlier, the doctor will be able to advise the proper management.
Wish you well.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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Suggest Treatment For Red Circular Spots On Foreskin And Glans Penis

Brief Answer: Avoid self medication. Detailed Answer: Hello and welcome to HCM. As an Urologist, i should assure you, that don't worry about this. Most likely, this appears to be an allergic type of rash, on the photographs. The self medication you started with, is a steroid cream. Avoid using it more than a week. Also, avoid using too much soap in the area. If you've had intercourse with different partners, it's best to get your blood VDRL, HbsAg, HIV and sugar done. Show an Urologist or a Dermatologist, if it persists beyond one week, after stopping the treatment, with the reports. You're welcome to clear any other doubts with me. Wish you well.