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20yr old, gay. Having red lumps, occassional itchiness on the inside of the meatus of urethra. STD?

Hello, I am a young man, 20 years old, gay and sexually active. The only partner I have had unprotected sex with gets tested regularly for STDs and comes out negative as far as I know. He does have herpes labialis . My last test for all STDs was about 4 months ago and came out neg as well. This monday I noticed an itch at the meatus of my urethra . It was also a bit red. A closer look showed two small, red bumps just on the inside edge of my meatus, right next to each other. They don t seem to be growing (I think), they don t hurt to the touch and urinating/ejaculating is no problem. There s no discharge. By now the redness of my urethra has become less and the itch only returns every so often. The red lumps have stayed though. Last times I have had unprotected sex (with the tested person) were Friday and Sunday, I haven t ever had this before. I ve looked up on things like HPV strains and other STDs, and on a possible inflammation of Littre glands, even normal skin tags (however weird that would be in the urethra), but I honestly have no idea what this could be.. I would be glad if you could provide an answer, though if not, I ll definitely go see someone personally this weekend. Thanks in advance!
Asked On : Sun, 24 Feb 2013
Answers:  1 Views:  112
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Dermatologist 's  Response
Jul 2012
Hi there wim.

I note your detailed & descriptive history & clinical features.

I do feel you are on the right track & narrowed it down to either HPV virus (warts) or Herpes Simplex virus (given that the partner in concern has herpes labialis). Assuming oral sex is not something you are averse to, then the latter is more likely implicated.

In either case, a visit to the doctor is in order.

Do however, get tested for herpes 1& 2 IgG & IgM titres & this will give you a clear idea.

The treatment & precautions we can discuss after these initial tests are done.

God Luck & trust you continue to practice safe sex. Wish you well. Cheers!

Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venreologist
Vikram Hospita, Bangalore, India.
Answered: Wed, 27 Feb 2013
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