Why am I having black spots on my foreskin after unprotected sex?

Hello,

Welcome to icliniq.com.

I have read your query and I am sorry for such discomfort.

I saw the picture you have attached (attachments removed to protect the patient's identity).

I can see on the right side of the foreskin, there is one small slightly raised lesion that is black in color. Just adjacent to it, two tiny black spots are there.

These two tiny spots look like mole and if it is a mole then it would have been previously present also. Is it so, or did they appear recently after the sexual exposure?

Coming to the slightly raised black lesion: Is it itchy and is there any pain present in the lesion?

Do you have any symptoms like burning micturition?

Any penile discharge?

Any swollen lymph node in the inguinal area?

Any testicular tenderness?

Definitely, it is not genital herpes. Genital herpes lesion occurs as fluid-filled blisters and it is itchy and painful. Chlamydia and gonorrhea present most commonly as painful micturition and discharge.

I do not think it is an STI (sexually transmitted infection) but I need a further history of complaints or symptoms if present, to correlate.

Anyway, since it is present for three days only with past history of recent sexual intercourse, I would suggest you visit a local STD (sexually transmitted disease) clinic to rule out STI, and also you will get peace of mind.

Please reply to the above questions to correlate further.

Thanks.

Hi,

Welcome back to icliniq.com.

I thought the two tiny black lesions are moles.

Since there are no other usual symptoms of STI (sexually transmitted infection) means the lesions are less likely due to it. But the question is what it could be and that is what I am pondering over. It might clear away on its own.

The sudden appearance of black spots which are three days old means the onset is acute in nature with no other symptoms at all. Still, I suspect some infection etiology (not very confident though) but since no other symptoms are present, the probable etiology or diagnosis is confusing.

Definitely, visit the local health care tomorrow and I hope you get to know the cause of the problem or diagnosis and treatment accordingly.

Take care.

Thanks.