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What Causes Recurrent And Red Spots On The Penis That Reappear After Masturbation?

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Posted on Thu, 7 Jan 2021
Question: Since few years, time to time there are small pink or red dots on my penis glans and initially I applied candid cream and they went away in few days.
Time to time it appears and one of my friends introduced a cream called beclomin when I had a balanitis situation at one time.

And when I apply it, the tiny red dots dissappear very fast and I apply it for 4 to 5 days
I have noticed that when I masturbate frequently, there is more chance it coming back. I'm washing my penis after ejaculating.
Recently it has started again and few pink tiny red dots appeared eith a very mild itchy sensation. Previously there are times that these dots appear without a mild itchy sensation.
So this time, I reaf few online articles and tried applying a cream called Micogel (miconozole). When applied for 2 days, the itching increased and few more pink dots appeard. Then I switched to Candid-B yesterday and it seems working but very mild itching is still there

Please tell me what should I do
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Answer few questions, upload pictures

Detailed Answer:

Hi,

I have gone through your complaints and it seems to be yeast infection.
I need to ask you few questions:
Are you sexually active?
If yes is your partner having any history of vaginal discharge and itching?
Are you taking any long term antibiotics or any immunosuppresive medicines?
Do you have any other ailments?
Are these red dots associated with condom use?
If possible upload the photographs of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly.
Kindly revert with the answers and pictures.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)
I do masturbate frequently (at night or early morning)
sometimes if I leave semen unwashed over night, few red or pink dots appear but some times they are not itchy
when I have sex with my wife once a week or once in 2 weeks with and without condoms. When I wear condoms, nothing happens. But if I do without condoms, sometimes I get these tiny pink dots on the following day on my glans on random locations and then I apply beclomin and refrain from sex or masturbation for few days and it goes away.
I do not take any antibiotics and etc
I got this first before getting married and frequency incresed after getting married

Like you asked, my wife had 2 UTI occations and fungal infections in the past and I do not know whether she got the fungal infection from me or I got it from her.

UTI cases were treated by a consultant with anti biotic courses.
Her fungal infection went away after applying Candid cream and still sometimes she gets her vagina itchy when she is getting closer to her periods and she thinks its normal

I have attached pictures for your reference
doctor
Answered by Dr. Asmeet Kaur Sawhney (55 minutes later)
Brief Answer:
Candidal balanitis, oral and topical anti fungals

Detailed Answer:
I have reviewed the attached photographs and gone through your complaints.
It seems to be candidal balanitis most likely which is a superficial fungal infection.
If I was your treating doctor I would recommend you to take anti fungal medicines like capsule itraconazole 200 mg 2 capsules single dose stat and apply sertaconazole cream on the affected areas twice daily for 2 weeks.
Also keep the area dry and clean.
For itching you can take tablet levocetrizine 5 mg once daily at bedtime for few days.
These are prescription drugs and need to be taken under the supervision of the doctor.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (35 minutes later)
thank you for the reply
does the itraconazole 200mg has side effects?

also do I have to limit masturbation or completely stop for two weeks?

Also do I have to wash penis glans every time I urinate during the day?
curruntly I wipe, clean and dry with paper towel after each urination
doctor
Answered by Dr. Asmeet Kaur Sawhney (11 minutes later)
Brief Answer:
Itraconazole won’t cause any side effects

Detailed Answer:
Itraconazole 200 mg 2 capsules won’t cause any side effects.
You should avoid masturbation for 2 weeks.
Yes it is better to wash and dry the penile area everytime after urination.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
doctor
Answered by Dr. Asmeet Kaur Sawhney (3 hours later)
Brief Answer:
Both the capsules together

Detailed Answer:
Take both the capsules together at one time.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (2 minutes later)
thanks for the reply
how do I have to take the Itraconazole 200 mg capsules?
both at once or one after another?
Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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What Causes Recurrent And Red Spots On The Penis That Reappear After Masturbation?

Brief Answer: Answer few questions, upload pictures Detailed Answer: Hi, I have gone through your complaints and it seems to be yeast infection. I need to ask you few questions: Are you sexually active? If yes is your partner having any history of vaginal discharge and itching? Are you taking any long term antibiotics or any immunosuppresive medicines? Do you have any other ailments? Are these red dots associated with condom use? If possible upload the photographs of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly. Kindly revert with the answers and pictures. Regards Dr Asmeet