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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes swelling on the penis?

Hi, I m doing this for my boyfriend, and I m going to describe the situation to my best knowledge!! My boyfriend and I have been dating for 6 months now, both of us have been checked for any sexually transmitted deseases and came negative. We have been sexually active the whole time and nothing of a kind has ever happened before to neither of us. A day ago we had sex 5 times, with about half to an hour break in between each session. He said he noticed a few swellings mostly on his right side of the penis, and below the head of the penis, and they stung a bit, but nothing else happened. Today we decided to have sex again, and as we undressed we saw scabs like spots where the swellings were the other day, they didn t hurt nor did they itch or anything of a kind. I don t know why, but we still had sex anyways. After the intercourse, we checked the area, and the scabs were gone leaving the spots with pus inside of them, and it still didn t hurt or sting or itch! I checked my vagina, and there is nothing! We were thinking this just chafe from the friction and tension on the penis going in and out. Also I don t know if this helps but we did have rough sex each time, and I am shorter than him, and we do lean mostly on the right side or he pushes it towards the right side which is where the swelling/scabs were... If anyone has gone thru same situation please let us know how to treat it or if it s something to go checked for immediately! We are thinking the worst but hoping for the best, that it s nothing serious! Any information would help! Thanks!
Fri, 6 Oct 2017
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General Surgeon 's  Response
Since you both have been checked for sexually transmitted diseases, and are negative for it, the lesions on your boyfriend's penis are not likely to be due to STD. You said you both have been having sex quite too often. As you have suspected, his penile epithelium has been traumatized due to the frequent sex and the friction involved. The perineal area harbors bacteria. Hence his scabs and ulcers got infected. For managing this, please avoid sex till complete healing of the ulcers. He can wash the penile area with soap and water and apply any antibiotic cream like Neosporin or Mupirocin ointment thrice a day till complete healing. Once the ulcers heal completely, to prevent further such episodes, it may be good to cut down on the frequency of sexual intercourse.
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