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Dr. Andrew Rynne

Family Physician

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Noticed red spots under foreskin after sex. What could be the cause?

Answered by
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9410 Questions

Posted on Fri, 29 Nov 2013 in Sexually Transmitted Diseases
Question: Hi about 7 weeks ago i had unprotected sex, 4 days after the encounter, i was in the shower when i noticed that the skin and gland (at the bottom) was slightly redder than normal, i was 3 days into my holiday with my girlfriend which who i had been having sex with apart from the unprotected time, i never had sex again the rest of the holiday, when i got back from holiday i took a zithromax tablet on the tuesday about 12 noon, on the thursday i went up the the health clinic, she said that it looked like it was thrush, but i got tested for everything (chlamydia, gonnerhea, aids and syphillys) all came back negative, the trush cream looked like it had started to work with the redness but then would come back, i booked my self to go and see the doctor who said it was definately thrush, she gave me another thrush cream with a steroid in it, again it would work and then not work, so back up to the doctors, this time it was a male doctor who said that there was no thrush there and that i shouldnt keep using the cream, so i didnt it was had cleared up fine. the doctor also said i could have sex with my girlfriend because i didnt have anything. Anyway that was a week and a half ago and everything was fine, until last night i got oral sex and this morning, i had these little red spots under my foreskin (i should tell you that i am not circumsized but always have my foreskin back, i have done for many years) i will attach some pictures, if anyone can tell me what is could be? or is it possible to have gave my girlfriend chlamydia and when ive taken the zithromax on the tuesday that its cleared up by the thursday when i got tested, the women in the clinic that it would probably show up as it takes a week to treat the infection, and by the time ive been cleared ive had sex with my girlfriend and shes given me it back....please help
Answered by Dr. Shoaib Khan 54 minutes later
Brief Answer: You are your partner need to get evaluated sir Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query and the attached images with diligence sir. There could be a chance that you tested negative for the investigations as the medication might have helped mask or treat you or that your body's defense has also helped fight the infection, either could be possible. But quite clearly, you have been presenting with symptoms after sexual contact with your girl-friend/partner. This could either mean that your body has not completely recovered, as plain and safe sexual contact with a normal and healthy individual can also aggravate symptoms, or that your partner is the source of the infection. In such a situation, I would advise you to talk to your partner and explain to her in the most subtle way possible that you have been experiencing a few symptoms, and that your doctor has informed you about it being protocol for both the affected person and their partner to get elaborately evaluated. In the meantime, please avoid sexual contact in all forms and visit your doctor, even if your partner refuses to do so, in order to get re-evaluated and diagnosed. I would also like to add that you need to avoid sexual contact in all forms for at least 7 days after the last dose of medication provided to treat an infection, I hope you have followed this as well. This is just additional information for you sir. I hope you found my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Shoaib Khan 17 minutes later
Thank you for your response, I understand what you have said that it might have masked the std by taking the tablets, when it was it it's worst I had an itchy bottom and my scrotum was quite itchy aswell, the scrotum was also quite red which makes me think this is a fungal infection, but for it to go away and them have small red spots this morning is annoying, I have told my girlfriend that I must have had an allergic reaction to the shampoo I was using and she understood, the thing is, if it turns out that I do have something this will be the end for us :-(
Answered by Dr. Shoaib Khan 7 minutes later
Brief Answer: Sounds like yeast infection; need not end relation Detailed Answer: Hello once again sir. It does not have to be that way, would you also wish to end it with her if you learned that she was the source of the infection? You both need to support each other and get through this. I am sure this is nothing serious, and even if either of you have anything, treatment will be effective enough to completely rid either/both of you of the infection, completely. So please, be patient and seek medical attention sir. Both of you. Yes, you are right, with the current addition to your symptoms, it does seem like a yeast infection, and if it is, then this is the simplest of all infections to treat. Please be patient, do not over-think it, and visit your doctor, so both of you can be completely healthy and can re-initiate your sexual contact as well, if desired. I hope this information puts your mind at ease sir. Wishing both of you a long and beautiful relationship ahead. Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

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