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Flat Brown spots on penis, no Sex

Resolved Question:

Hello Doctor,
I am an 18 year old male, late into puberty and recently I noticed four brown spots on my penis. They have not grown in size but have not gone away either. They are flat and a little sensitive. Recently I joined a swim team and we have to wear very tight shorts, I didn't know if this could be part of the problem such as bruising or some sort. I have not had sex and do not have an STD. I have attached a few photos of what it looks like. Thank you.


Category: Sexually Transmitted Diseases(STD)Specialist

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Category: HIV- AIDS Specialist
Dr. Veena Chandran is online now

Expert:  Dr. Veena Chandran replied 4 Days.

Thank you for asking query.

This appears to be Irritant Dermatitis of the penis, which is nothing but skin reaction caused by friction or irritant substances. There is no reason to suspect any fungal or bacterial infection as of now .
So I would recommend you to use loose fitting undergarments for a week. Do not use harsh soap or any lotion over the area. Just wash daily with normal water and mild soap occasionally. Give it time to heal by itself.

Incase the lesion is persisting beyond 10 days you may need to visit a Dermatologist or GP.

Hope this helps


Patient replied :

(1) Yes I have unprotected sex with my girlfriend.  But I have been with her for over a year

(2) No fever or malaise

(3) No pain or discharge.  Sometimes a slight itchy feeling.

(4) No ulcers or rashes in any other part of the body

 

ThankS


Expert:  Dr. Veena Chandran replied 3 Days.

Hello,

 

Thank you for your followup question :

 

The first possibility here would be candidal balanoposthitis. This is a kind of fungal infection and its easily curable. A scraping study using 10% KOH may be helpful for diagnosis. Also blood sugar estimation may be done.You might need appropriate topical(1%clotrimazole) or systemic antifungals(eg.fluconazole).Also enquiry about partner symptoms and partner treatment may be required.Good personal hygiene ,cleansing with warm water,avoidance of soaps and detergents is be advised.Only if it does not respond to the above, we may have to consider other possibilities.

 

Hope this helps.

Please feel free to ask any followup questions.

 

Thank you


Dr. Veena Chandran
Category: HIV- AIDS Specialist
Experience: 
MD Dermatology,Venereology, Leprology,Govt. Medical college, Kottayam
DNB Dermatology, National board of examinations
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