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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Puss & Itchiness On The Head And Reddish Swelling On The Penis Top After Unprotected Sex. Is It STI Or Over Extended Foreskin?

I recently had sex, and not getting a lot. I didn't use a condom or lubricant, but felt there was enough natural lubricant to plough ahead. I felt pain after a while of penetration and stopped. The following day my head was red raw and itchy. I've since had nearly 2 weeks of puss under my foreskin needing twice daily cleaning, and at times extreme itchiness. Swelling and redness on the head and outside top of the penis head has gone down, redness and pussy-ness under foreskin has only lightened slightly and is still itchy. Have I over extended my for skin? (Never and issue before) or is it an STI?
Mon, 6 Jan 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM.

I would keep a possibility of Candidal Posthitis judging from the symptoms and signs you have, but i would still advice that you see a dermatologist for a confirmatory diagnosis and for any other possible STIs(ulcers, urethral discharge). It is advisable to get your HIV status checked as per guidelines.

I would advice my patients with similar complaints to apply a topical anti-fungal cream twice daily for a week.

An oral anti-fungal 150mg single dose helps in faster resolution of candidal infections

take care
regards
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Puss & Itchiness On The Head And Reddish Swelling On The Penis Top After Unprotected Sex. Is It STI Or Over Extended Foreskin?

Hi. Thanks for posting your concern at HCM. I would keep a possibility of Candidal Posthitis judging from the symptoms and signs you have, but i would still advice that you see a dermatologist for a confirmatory diagnosis and for any other possible STIs(ulcers, urethral discharge). It is advisable to get your HIV status checked as per guidelines. I would advice my patients with similar complaints to apply a topical anti-fungal cream twice daily for a week. An oral anti-fungal 150mg single dose helps in faster resolution of candidal infections take care regards