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What could cause recurring white spots on the genitals?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had white spots on my genital area for the past one year. They are not bumps but just spots. They do not itch or smell. They are only just visible. After applying a cream such as Beclomin for prolonged periods, it goes away but once I stop, it starts to appear again.

Hi,

Welcome to icliniq.com.

This seems to be related to some atypical skin lesions that respond well to Beclomin (Beclomethasone and Miconazole nitrate) (attachment removed to protect patient identity). These can or cannot be sexually transmitted disease-related symptoms. It depends on proper evaluation and testing to rule out the real cause. In differential diagnosis, lichen sclerosis can be on top. In this disease, we see patchy white lesions on male genitalia. Skin diseases like lichen planus and psoriasis can be other differentials.

The best next step is to consult a dermatologist in-person to get yourself tested thoroughly. The dermatologist would rule out all possible causes including fungal infections and aforementioned possibilities. Once diagnosed properly, it can be managed accordingly.

For more information consult an internal medicine physician online.

Patient's Query

Thank you doctor,

Kindly tell me whether it is fine for me to have unprotected sex with my wife or not. Can this get cured entirely or not?

Hi,

Welcome back to icliniq.com.

The answer to both of your queries is that it depends on the original diagnosis. If it comes up not to be communicable, you are good to go unprotected. Otherwise, better to go protected.

As far as treatment and cure are concerned, it also depends on the diagnosis. Better is to go for the consultation from a dermatologist. It would be the best next step.

For more information consult an internal medicine physician online .

Medically reviewed byiCliniq medical review team

Published At March 29, 2018
Reviewed AtApril 15, 2025

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