Medical Questions? Ask a Doctor Online!
doctor examined down there for about 3 seconds said everything looked normal...i was a bit embarrased and wasnt really specific about the patchy skin i just told him about the discomfort coming from the tip. the patch feels and looks wrinkly extra skin and i know its something that wasnt there because of the redness after sex. wish i wouldve taken a pic then....
Hello,I hope I can help ease your mind here. Please though understand that online, no one can state anything with certainty; all I can do is offer my best guess based on what you've written...and uploaded.It is true that a picture says a thousand words, and I see the slight redness to which you refer. Its very hard to say what it could be though online. Its possible that the oral sex irritated your penis; that is easy to do if the womans technique is not the best and her teeth were...rough. Factors against that are the time frame; I think that would have shown sooner had that been the case.Its possible you may have a very slight fungal or even bacterial infection of the head of the penis called balanitis. Usually we see that in men who are not circumcised, but it can happen in those who are. Balantitis, IF fungal, can be treated by over the counter anti fungal creams. HOWEVER, I do not know 100% that it IS a fungal infection (or even that it is Balantitis). Fungal infections tend to more red, and more spread out.
Balantitis can also be caused by bacteria; if this is the case it would need antibiotic ointments or oral medications (depending on severity).
Could this be a very very mild herpes? Herpes simplex is a very common virus' most of America (well, approximately 80%) has been exposed to HSV type 1; and 40% of people have been exposed to genital herpes. Herpes lesions are usually blisters, and often quite painful...but some people have it mildly, so mild they are not even aware of outbreaks. The time frame is there, the incubation period right, so I cant rule that out completely, but I think it very very unlikely from what I see.
Here is a helpful website regarding balantitis: http://www.nlm.nih.gov/medlineplus/ency/article/000862.htm
Images of BACTERIAL caused Balantitis: http://www.dermnet.com/Balanitis-Bacterial/You will see it refers mainly to uncircumcised men; these pictures are of SEVERE cases. Yours if this even is balanitis is VERY mild.
I am pleased you got STD testing, and you are getting those results tomorrow. If this discomfort of yours continues, I would suggest getting it re-evaluated. Herpes lesions will fade on their own in a week or so, if this is mild herpes (very unlikely)
This is a chart of STDs and their signs and symptoms in both men and women: http://www.fwhc.org/health/std.htm
I hope I was able to make you a little more comfortable,
Hello,You are seeing the doctor for your results, thats good. If the doctor tells you tomorrow that both chlamydia and gonorrhea are negative, ask him to look at your penis again. Easier to say than do, but please don't be embarrassed, there is no need to be so. Doctors and health care providers are very used to patients who have concerns.Fungal balanitis...mild cases...can be treated with OTC anti fungal creams. But as I wrote, I cant say that what you have is balanitis at all. And no, Balanitis is not an STD. It is merely an infection of the penile head, and that can come about by many ways, many non sexual at all. It happens mostly in uncircumcised men because the smegma under the foreskin can get infected if its not kept clean; it becomes a good growth media for germs. But, circumcised men can have it as well.Urethritis...you are not having any pain when you pee. No burning, no discharge, so while I cant say its not, its not high on my list of probables.The best herpes tests are cultures of the lesions. For that, you would need to show your doctor what concerns you. I think its unlikely this is herpes, but maybe you are having a very mild case. Blood tests do exist, but they wont help much because they show if you have ever been exposed as they show an antibody level (thats the way the body fights the virus) ...and as I wrote above, most people have been. There are different types of antibodies; IgG and IgM; IgM antibodies are made in new infections and so the presence of IgM can show an infection is one of recent origin.I don't think you need a urologist just yet...if this does not go away after treatment (and that treatment has to come from your doctor after an in person exam), then you could follow up that way.I hope that was helpful.
I am so pleased both tests came back negative, that must be quite a relief for you.The herpes culture test is a swab test, yes,...and your doctor may look at your red area and say the online nurse was nuts; be warned of that. I think it would be a very unusual presentation for herpes which is usually blisters. But some people can have very mild forms.Balanitis is more a visual inspection, there is no test really except if it doesn't heal with anti fungal or anti biotics, then you may wish to culture that.That red area was so small that if it is balanitis, its a very mild case.
It could well be a friction burn, or as I wrote before, an issue with the lady's technique. But that usually would show up far sooner, friction or abrasions would show immediately. The thing that makes me think "maybe herpes even though it looks really unlike any herpes lesions Ive seen" is that you said it happened 5-7 days after the encounter, which is about right for the herpes incubation period. And I also know that many people can have mild breakouts, so mild some aren't even aware of it.A guess is "possible herpes". Likely? I think its not very, but I cant discount the possibility. Yes, herpes lesions if it is herpes heal in about one week or a bit longer...two at the most.It could be a mild balanitis, and if so, it can be treated by over the counter anti fungal cream. However, if its herpes, it will go away in its time and so you may think you treated balanitis but in fact the herpes just healed.I suggest since you are so worried to have this looked at. Much of America is positive for herpes simplex. There is no shame in having it.
Definitely good luck with your appointment and please let me know what happens.Thank you.
I am SO happy you went and got this evaluated. And I am really not surprised it was negative for herpes, I would have been shocked had it been positive. But the chances were there that it could be, and the time frame was there....so I had to mention it.Its possible it may be a friction burn, but why would you develop it now when you have likely been wearing the same underwear for a while. Developing a friction burn 5-7 days after a sexual encounter seems odd...if it was the oral sex, I think you would have seen something far sooner. If you want, go to a drug store and get OTC anti fungal cream, IF this is a very mild fungal balanitis that should treat it. But, the loose underwear is a good idea and cant hurt, and may help as well.Give the loose underwear and the anti fungal cream a try, for a week or even two, and if it still persists, or worsens, seek a second opinion, and I would suggest a dermatologist (specializes in skin diseases and conditions) rather than a urologist.
about the friction burn, that is exactly what i said. why would this all of a sudden happen esp. a few days after an encounter? and i actually always wear both loose and briefs on and off ....and as i mentioned before it mightve been sooner i just guessed 5-7 days.....
Herpes were the only odd outside possibility that came to my mind. It in no way shape or form looks like a syphilis chancre or anything else. How is your girlfriend? Is she having any odd symptoms?Yes, clotrimazole would be anti fungal, athletes foot is a fungus and it is OK to put it on your penis. Just try not to get it in your urethra as that could be painful, Id imagine.It is a good question you ask, is it contagious. Fungal balanitis I would think would be mildly contagious because athletes foot is, even though the two are different fungal organisms. (Balanitis tends to be Candida, athletes foot Tinea) However, we all have yeast organisms on our skin, so it would not be an STD; women's yeast infections are not an STD. At worst, IF this is a fungal balanitis you have, you would be introducing Candida into your girlfriends vagina, but if her vagina's microorganisms are in balance she should be fine and not get a yeast infection herself. If this is a bacterial balanitis, you'd see it worsening on yourself...and again, if her vaginal organisms are in balance she should be OK.Link here: http://www.intelihealth.com/IH/ihtIH?d=dmtATD&c=510211&p=~br,IHW|~st,333|~r,WSIHW000|~b,*|I hope that helped.
I actually would not suggest taking antibiotics unless you had a known bacterial infection. Antibiotics are not so benign, they can kill off the good bacteria in your gut and cause diarrhea and discomfort. And not all antibiotics work the same; some are geared for gram negative bacteria, some are geared for gram positive bacteria (gram negative and positive refers to how they look on petri dishes under gram staining, and also refers to characteristics they have). So, without knowing if you have an infection, and what type of infection it is, its impossible to say (and illegal as well) for me to suggest you use prescription medicine obtained quasi legally from a corner store.Antibiotic overuse and misuse also creates the development of antibiotic resistant bacteria; no one wants that.I understand you don't wish to go through the expense of referral and office visits. But, the over the counter fungal creams should have worked by now if it was a fungus. You should not see worsening, which you are seeing, "maybe the slightest bit" if I am reading you correctly. I think you have done everything you can do, over the counter. I don't at all think taking random anti biotics without your own health care providers involvement is a good idea.I realize money is tight for you. Here are some web pages with links to low cost clinics: http://www.needymeds.org/free_clinics.taf and http://findahealthcenter.hrsa.gov/Search_HCC.aspx and http://www.pparx.org/en/prescription_assistance_programs/free_clinic_finderI do think you need to be seen and this evaluated again, since this red area is new, and not getting better. I don't think its something you always had and never noticed until now.; you seem aware of your body.I hope that helped.
hello again, Its been about 2 months since we last spoke. Anyhow ill get right to it. The last time we spoke i was to be seen by a dermatologist so i made an appointment. Litle did i know that the appointment date was right after my 26 bday meaning i would no longer have insurance so i was forced to cancel the appointment. I have applied for massachusetts free health insurance which im pretty sure i am eligible being unemployed and all.... But im still waiting on there approval. The pic i sent you before is the same way it looks now. No change. Not better not worse but there is obvioisly still something there. As soon as i get approved i am going to make an appointment and have it looked at. I have a concern... Its been about 3 months since the oral encounter, and i wanted to know since it hasnt been treated yet, assuming it is bacteria or balinitis or whatever it may be, what am i at risk for? Could it last forever or maybe a very long time?? Just very worried here. Thanks
If it has been three months, unchanged, maybe it is for you, a normal. I was not considering that before because you were so positive that this was a new change for you. Balanitis, whether from bacterial or fungal causes, would get better or worse on its own. It would not tend to stay exactly the same for so very long.I am not saying to NOT get it checked. I can not say it is normal, abnormal, or anything in between. But the fact it has stayed so stable makes me wonder if it is something that is normal for you.Im sorry you are unemployed, that has to be rough given this economy. I hope you can find a new job soon. There are many free and low cost clinics that are set up to provide care for people like you, with no insurance or waiting for it. These really can be quite helpful, and if there is a charge, its usually based on what the patient can afford to pay. Here are web links to find ones near you: . http://www.needymeds.org/free_clinics.taf and http://findahealthcenter.hrsa.gov/Search_HCC.aspx and http://www.pparx.org/en/prescription_assistance_programs/free_clinic_finderI hope I was able to help