Brief Answer: Scabies; apply permethrin 5% Detailed Answer: Hi, Welcome and thanks for posting your query to the forum. I can understand your concern for the bumps on the penis along with itching. On the basis of history provided by you and analyzing all the pictures I can make a possibility scabies. It is mite infection typically starts from the genital region including scrotum and penile region and then in next few days can spread to other sites of body. There is typically intense itching all the time but more so at night time disturbing the sleep of affected persons. In my patients I suggest antiscabetic treatment in the form of permithrin 5% lotion which is to be applied all over the body below neck region once a week. Along with this I prefer to give a single dose of tablet ivermectin 12 mg. I prefer to give antihistamine tablet such as loratadine (claritin) in day for two times and levocetrizine at night time. At the areas of bumps I prefer to give a topical steroid like cortisone (which you are already applying). It is quite important to treat the partner also as it can recur due to cross infection. So apply the same cream in your partner too. A most important part in dealing with scabies is hygiene and cleanliness.You wash your clothes in warm water and iron the creases properly as most of the mites lodge in there. Expose your bedding and lines and all other clothes to direct sunlight for 7 days. I hope these information will help you. I will be glad to answer any further of your queries. Regards, Dr Sanjay Kumar Kanodia MD- Dermatology & Sexually transmitted diseases

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Brief Answer: Not herpes Detailed Answer: Hello young fellow, Thanks for your follow up query. The pictures do not appear as herpes. In herpes there are grouped vesicles (fluid filled lesions) which are quite painful and then forms painful ulcers. In you case you can see that the bumps are discrete and not grouped, there is itching rather than pain and there are no ulcers. You should take anti-scabies therapy along with other measures as I suggested. You will be alright soon. I hope these information will help you. I will be glad to answer any further of your queries or if not then can close the query and rate the answer. Regards, Dr Sanjay Kumar Kanodia MD- Dermatology & Sexually transmitted diseases

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