Thanks for writing to us.
I have seen the attached image but I am not able to appreciate any discoloration over glans. If its just a discoloration that is asymptomatic and has occured at the site herpes lesions, it could be post inflammatory hyperpigmentation. Now PIH in this area usually clears on its own, so no treatment is required.
But still I would appreciate if you could send us better pics to rule out other causes of discoloration.
Hoping to hear from you soon.
Patient replied :
Thank you very much your reply. I guess since my herpes diagnosis I might be overly concerned about symptoms of other STDs. I was reading about genital warts/HPV, and perhaps am more worried about that than I should be...I guess if I had them, they would not look like the photos I sent you and would be more noticeable...is that correct?
I uploaded new photos, which might show more detail. On the skin you can see a bit of color differentiation, perhaps this is just normal...and not the result of anything for concern.
I have seen the attached image. The skin looks perfectly normal. As you said, you are actually worrying too much for no reason! Genital warts are elevated and vurrucous skin lesions. You don't have genital warts.
As you had herpes, please get your Elisa for HIV, HBsAg and VDRL done to rule out HIV, hepatitis B and syphilis. In India, we routinely get these tests done in patients who come with any sexually transmitted infection.
Always wear protection while indulging in casual sex.
Hope this helped. Please feel free to discuss further.