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Unprotected sex, irritation on penis, trauma, cortisone and Neosporin

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Dermatologist
Practicing since : 2003
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discoloration on glans(glands) and irriation
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About 6 weeks ago, I had unprotected sex with a woman. The sex was quiet vigorous and there was a lot of rubbing and a very tight feeling. I actually had a small XXXXXXX from the chaffing the following day at the base of the shaft (I went to the dermatologist who confirmed it was from trauma, it healed in a couple of days).

About two weeks later, after masturbating, I noticed a small area that looked irritated at the right side of the penis, just below the glans (glands). I went to the dermatologist again, who said he didn’t think this was any kind of STD but an irritation or trauma from masturbating. He gave me a topical cream for irriation. The red area went away in a few days.

Then after this area healed up, almost 3 weeks after the sex, I masturbated and later noticed what looked like a small cut, around the same area of the prior irriation. I assumed it was the same issue (irriation/trauma post masturbation). The next day I masturbated again and later on the cut looked to get bigger, a more circular (though still very small) area of what looked like broken skin. I again assumed this was the same issue.

Maybe 5 or 6 days later, I noticed that the skin on the crown of the glans (glands) directly above where the lesion is turned a darker color than the rest of the crown of the glans (glands). It turned a dark red color. The area on the crown is small, maybe one quarter to one half an inch. It doesn’t looked raised necessarily, but its more that it’s a darker color than the rest of the crown.

I went to my physician. He said this wasn’t any kind of STD but could be trauma related. I took an STD blood test (about 4 weeks after the sex) and urine test and everything came back negative/normal. The doctor advised me to apply a mixture of cortisone and Neosporin and it would heal. I applied this mixture for a week or so and the lesion did not heal dramatically or change.


Still concerned, I went to the dermatologist again. He confirmed this wasn’t anything to worry about and advised me to apply Eurocin and let it heal.

Its been another week and the lesion hasn’t healed. The original small circular red area of broken skin now looks like a more diffuse (still small) irritated area, again just below the glans (glands). Directly above this on the crown of the glans (glands), the skin is a darker color then the rest of the crown, a dark red. Again it’s a relatively small area, maybe half an inch if that. To the right of this darker area on the crown, it looks like a small area that is actually lighter/whiter the rest of the crown. This white area didn’t seem to be as noticeable before.

The area is not painful, itchy or sensitive to the touch. I do however sometimes feel sensitivity if the area is brushing up again my underwear; I’m not sure if some of this anxiety related or not.

What could lesion be? Is the discoloration on the glans (glands) related to the irrated area/broken skin below it? What about the area next to the dark area on the glans (glands) that now looks more white than the rest of the crown? Why hasn’t this lesion healed (its been 3 and a half weeks)? Will this dark XXXXXXX go away on its own? What about the red irritated area?
Posted Thu, 19 Apr 2012 in Skin Hair and Nails
 
 
Answered by Dr. Rohit Batra 13 hours later
Dear XXXXXXX
Thanks for your query.
Going by your exhaustive history and taking into consideration the relation to intercourse and masturbation, I am quite sure that you are not suffering from any sort of a sexually transmitted disease.
The vigorous friction that have been using during sexual intercourse and masturbation has led to this trauma and the dark colour is nothing else but is purely post inflammatory (after an episode of inflammation) hyperpigmentation (increase in the pigmentation) which occurs after any kind of trauma. In this case, it was due to the push and pull of the activity.
Your skin seems to be delicate for the force you use during a sexual activity and hence breaks open frequently.
The red irritated area is due to the trauma that you have experienced. It is normal for an area next to a hyperpigmented area to look a little lighter. You don't need to worry about that.
Just be a little gentle and thenext time around, you wouldn't have a problem. There is no need to worry and the dark colour will fade away in due course without any sequel.
I hope I have answered your query.
Regards

Dr.Rohit Batra
Above answer was peer-reviewed by
 
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