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White Marks On Penis Head After Having Oral Sex. Reason?

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Posted on Tue, 27 Aug 2013
Question: Hi doc...
Recently me and my wife started having oral sex. I am 32 and my wife 31. 2 weeks back when had oral almost for 4 days...there are white marks around lower portion of penis head...it looks like some white veins and dots but raised.
Was curious if its her teeth bites and is it due to too much of sucking. Please guide.






doctor
Answered by Dr. Johny Chacko (1 hour later)
Hello,

Welcome to healthcare magic

From your description I feel it might be pearly penile papules. You can search on google images and compare. This is normal and present in 50 percent men.

If still in doubt you may upload a picture so that I can assess better. It is unlikely to be bite marks or due to related to oral sex.

Hope I have answered your query. I will be happy to answer any clarifications you have.

Take care
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Johny Chacko (1 hour later)
Dear doc%2C i checked on google. Its not penile papules. For you to analyse more i am attaching pictures as you suggested.
doctor
Answered by Dr. Johny Chacko (7 hours later)
Hello,
Welcome back.

It does not look like pearly penile papules.
There are two possibilities.
1. candidiasis ( Candidal balano posthitis):- yeast infection
2. Lichen planus:- A type of primary skin allergy

You can use anti fungal cream like clotrimazole 1% or ketoconazole 2% over the lesion twice a day. This can be tried as a therapeutic trial. Candidiasis will improve. If it is lichen planus it would not improve. If a dermatologist with side lab facility of KOH mount is available in your locality you can do that test and confirm candidiasis.
Do you have diabetes ?
Is your wife having white discharge per vaginum ?
Do you have lichen planus skin rash anywhere else in the body especially lips or mouth ?
If it is not improving with antifungal cream a dermatologist's consultation is required for treating lichen planus. A topical steroid or immunomodulator preparation is required for it.

Hope this helped
Take care
Above answer was peer-reviewed by : Dr. Vasanth
doctor
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Follow up: Dr. Johny Chacko (2 days later)
Dear doc %0AAfter going thru the images on google%2C and after reading it i presume its candidiasis. I will start using the creams as suggested by you. No i dont have diabetes. No rashes on the body any where. Wife is having as usual white discharge during sex but not in general. Does she has to go to doc too for test or check up %3F%0APlease reply. Thank u
doctor
Answered by Dr. Johny Chacko (28 hours later)
Hello,
Welcome back
If your wife is having white discharge ( curdy white) per vaginum or vaginal/vulval itching it is better to treat. A single dose of 150 mg Fluconazole is the treatment for vaginal candidiasis. If she has any of the above symptoms consult your doctor and get this prescribed if found positive.
Yoghurt ( curd) will help in candidiasis. Have more curd.
Hope this helped
Take care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Johny Chacko

Dermatologist

Practicing since :2005

Answered : 1916 Questions

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White Marks On Penis Head After Having Oral Sex. Reason?

Hello,

Welcome to healthcare magic

From your description I feel it might be pearly penile papules. You can search on google images and compare. This is normal and present in 50 percent men.

If still in doubt you may upload a picture so that I can assess better. It is unlikely to be bite marks or due to related to oral sex.

Hope I have answered your query. I will be happy to answer any clarifications you have.

Take care