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What Causes Red Spots On Glans Penis And Prepuce?

Posted on Fri, 24 Jul 2015

Question: Please help me dpes it look like i have herpes

What causes red spots on glans penis and prepuce?

Answered by Dr. Dr. Kakkar (38 minutes later)

Brief Answer:
Seems more like candidal/ yeast infection

Detailed Answer:
Hello. Thank you for writing to us.

I have gone throuh your query and i have reviewed the image.

In the image I can see that there are red colored spots on glans and prepuce.
The skin looks intact and there are no erosions or blisters unlike genital herpes.
This looks more like candidal balanitis rather than genital herpes.

I would like to gather some more information from you about your sexual history.

-Do you have any symptoms like burning sensation? Itching etc at the affected site?
-How many days since you have noticed these spots on glans?
-Are you sexually active? Do you have single or multiple sexual parteners?
-When was your last sexual contact?

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (21 minutes later)

Hi im worried because i did have a secual encourer a week back and she performed unprotected oral sex. I have moticed these spots today but they couldve been before also lit is jst that im a nit concerned after last week that im noticing things. I have no burning sensations and no specific itching at the affected site

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Topical and Oral antifungals

Detailed Answer:
Hello.

If I was treating doctor I would have suggested you to apply a topical antifungal cream e.g clotrimazole 1% cream, twice daily for 7 days.
A single dose of an Oral antifungal e.g tablet fluconazole would also be curative in candidal / yeast infection.
These are prescription drugs and should be taken under supervision. I suggest that you visit a dermatologist in your vicinity for the needful.
Clean the area with lukewarmm water. Avoid soap in this area. Avoid sexual contact for a week till this recovers.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (10 minutes later)

Thanks a lot doctor. I have slight irritation in the area would this be consistent with your initial diagnosis.. I dont have any pain and the irritation os not so much but sometimes because of it i can feel itchy

Answered by Dr. Dr. Kakkar (15 minutes later)

Brief Answer:
Candidal/ yeast infection

Detailed Answer:
Hi.

Yes, slight irritation and itching is consistent with candidal/ yeast infections.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (36 minutes later)

Thanks a lot its a relief .. Also i engaged in protected sex but performed unprotected oral im going to test for hiv but i hope these spots are nothing to do woth hiv right? Really worried

Answered by Dr. Dr. Kakkar (40 minutes later)

Brief Answer:
Oral sex carries alow risk of HIV

Detailed Answer:
Hi.

No, these spots are only due to candidal/ yeast infection.
Oral sex carries a very low risk of Hiv as compared to unprotected vaginal or anal sex. However it would be wise to get tested for HIV, for your own peace of mind.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 minutes later)

Thanks so much doctor you have no idea how freaked out i am

Answered by Dr. Dr. Kakkar (2 minutes later)

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us.

Always practice safe sex with a condom
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (10 minutes later)

Yes doc i always practice ut with a condom and even here i did although one concern atoll remains while havibg sex the lady in qurstion told me ahe might bleed a little because she had just fjnished her period and there might be some residual blood . Ibhad a condom on and it was perfectly fine but while performing oral sex im concerned whtrther some small amount got in my mouth . Although i didnt smell or taste anythibg so it would have been a small amount still im scarec

Answered by Dr. Dr. Kakkar (26 minutes later)

Brief Answer:
I suggest an HIV test at 4 weeks

Detailed Answer:
Hi.

Though, unprotected oral sex itself carries a low risk for Hiv but because there is a likelihood that there may have been some blood contaminated genital secretions coming in direct contact with your oral mucosa while performing oral sex this increases the risk somewhat.
Nevertheless one should always test appropriately for Hiv to rule out the possibility with certainty.
I suggest that you take an HIV Antibody and P 24 Antigen test at 4 weeks from this incident.
A negative test at 4 weeks would be conclusive and you can assume yourself to be safe.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 hours later)

Yes doctor i will but still my overall risk would be lower than thar of unprotecte sex d

Answered by Dr. Dr. Kakkar (40 minutes later)

Brief Answer:
Your risk is low

Detailed Answer:
Hi.

Yes, definitely lower.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (4 minutes later)

Thanks doc.. Im sorry for these questions.. Ive been crying my eyes out specially coz i am respinsible and understand the consequences and yet i might potentially die.. After that incudent ive been freaking out on every cough and today when ivsaw the spots i thought life is over .. Im so glad i found you

Answered by Dr. Dr. Kakkar (9 minutes later)

Brief Answer:
I hope i was of help

Detailed Answer:
Hi.

It is natural to feel guilty and fear for the worse in a situation like this.
I hope i was able to clear your doubts and lower your anxiety to an extent.

Regards

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar