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Tears and dots on the penis, itching, had protected sex. What could it be?

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Practicing since : 1998
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Hello doctors:

I am an uncircumcised 23 year old male and have been noticing tears on the tip of my foreskin. I want to say that I first noticed it when I had rough sex with my girlfriend. I've only had limited number of sexual partners (like 2) and the most current being my girlfriend. It reminded me the times when I felt that burning sensation after I masturbate back when I was a teen. It's been I've read a lot of comments on the internet regarding tears on the foreskin, but I still have a lot of questions in the tears I have been getting. First thing is, people say that their tears are horizontal, but I noticed I had multiple vertical tears that line up next to each other. I don't really feel that burning sensation (only when I pee and my pee hits the wound and it burns!) but it is itching (but my guess is because the wound is trying to heal?) I have restrained myself from retracting the skin back, leaving only enough room to pee without splashing everywhere. As far as I see it, there isn't white scaling on the rim of the foreskin, only some times when I have an erection or skin is too dry. There are little dots (1mm about) around the base of my penis and some on the scrotum. I read that it isn't something to worry about, probably just pearly penile papules or fordyce spots. I'd like to get back and not worry about this anymore because it is affecting our sex life (but not our relationship per se). Thank you so much.

I do have to mention (for the sake of accuracy) that I've had sex with someone I'm not completely sure with, and that's why I'm freaking out a little. But I used protection and nothing really happened for the next couple weeks. But since the tears had occur, I wanted to be safe and make sure.
Posted Wed, 18 Apr 2012 in Men Sexual Problems
 
 
Answered by Dr. Rajiv goel 16 hours later
Hello.

Thanks for posting your query.

Based on your description, I could draw few possibilities.

1. It could be due Fungal infection. It needs treatment with antifungal medications, topical/oral, depending on the lesion. Also you need to maintain good personal hygiene.

2. It could be due to friction rub while having rough sexual intercourse. Dry skin condition will increase the chances of friction injury. Use prelubricated condom to avoid this problem.

Considering your past history of having sexual relation with unknown person, I would suggest you to get yourself tested for STD (Sexually transmitted Disease) as well, to be on the safer side.

As I have not physically examined you, it would be difficult for me to conclude the cause.

I would suggest you to consult the Dermatologist/Urologist for detailed physical examination and further investigations if needed, so that appropriate treatment can be initiated.

I hope, I have answered your query. I will be available for follow up queries if any.

Regards.


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