Brief Answer:
Balanitis: due to fungal infection/hygiene factors

Detailed Answer:
Hello,

Welcome and thanks for posting your query tot the forum.

I can understand your concern for purplish appearance of your penis. After reading the query and analyzing the picture I can make a possibility of "Balanitis" or infection and inflammation of penile head. It can be due to fungal infection or can also be due to hygiene factors also.

In view to help you best I request you to kindly elaborate your concern in terms of:

- Since exactly how long you have this purplish appearance of tip.

-After how many days or weeks of oral sex you felt the appearance of redness.

- Do you feel any irritation or itching. If yes then is it mild/moderate/severe.

Hope to hear soon form you side.

With regards,

Dr Sanjay Kanodia
MD- Dermatology & Sexually transmitted diseases

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Brief Answer:
Fungal infection; maintain hygiene

Detailed Answer:
Hello young fellow,

Welcome to the forum again and thanks for your follow up.

After getting the details I can make out two possibilities:

- Fixed drug eruption- due to purplish appearance of the mark.

- Fungal infection- These are common type of infections which can affect anybody at any site. But more commonly it affects the areas which are moist areas. More specifically this is related to the hygiene especially in uncircumcised males. It is more common to find moist area at glans penis area which favors the growth of fungus. The fungus can be grown directly in an individual or can be more commonly because of infection from the partner. So in case of unprotected sexual intercourse if the area is not washed properly or later on if the hygiene is not maintained properly anybody can get the infection again. So the same thing is in your case too.

For the management of the same kindly follow the suggestions below:

- Wash your penile area for two times in a day. You can use a mild soap to wash the area. Wash it very gently but properly. If you are uncircumcised then it is quite important to retract your skin fully backwards and then wash the area.

- After every sexual intercourse too, wash the area properly. I personally suggest you to use protection in form of condoms during every intercourse.

- It is quite very important to check for infection in your partner too. If your partner has white discharge then it is the most common cause of recurrent infection. In all the cases of candidal infection we always treat the partner. So get your partner treated for the same.

- Wear cotton undergarments. Change these two times a day. Do not wear any synthetic or tight garments.

For the part of treatment - In my patients witn your kind of problem I suggest apply latest anti-fungal creams such as "Sertaconazole" or "Luliconazole" or "Amorolfine" and take latest anti-fungal tablets according to medical advise.

If at all the spot is persisting even after treatment then you can meet a dermatologist for close physical examination of the area and guide you accordingly.

So the main crux of my suggestion is that your condition is not a XXXXXXX STD so just relax about the part of Sexually transmitted diseases.

I Hope these information will relax your mind. I will be glad to answer any further queries or if not then can close the discussion and rate the answer.

For any future skin or STDs related query, you can ask me directly at:

bit.ly/drsanjaykanodia

With regards,

Dr Sanjay Kanodia
MD- Dermatology & Sexually transmitted diseases

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