Are small, white spots on the glans penis after a protected intercourse with a sex worker suggestive of STDs?

Hello,

Welcome to icliniq.com.

I understand your concern. As per the history provided, the pale or white spots appearing on glans penis may be due to multiple reasons, including candida balanitis which is a fungal infection, fordyce spots which are harmless spots that may keep reappearing and usually do not require treatment or due to STIs (sexually transmitted infections). However, I suggest you go for sexual panel tests as there is a recent history of sexual activity. Also, it is good to undergo STI panel tests on a routine basis annually. As for the current lesion, I suggest you kindly provide images showing the lesions for a confirmatory diagnosis and further treatment. I hope this helps. Thank you.

Hello,

Welcome back to icliniq.com.

I have reviewed the images (attachment removed to protect the patient's identity). The lesions are fordyce spots. They are harmless white spots, papules, or patches which appear in the mucosal areas, most commonly on the lips and mucosal surfaces like the glans penis. They keep reappearing, are harmless, usually subside on their own, and require no treatment. However, I suggest you use cream Clotrimazole twice daily for faster relief. Also, avoid using harsh chemicals or soaps for washing your private areas. Instead, you may use lukewarm salt water to clean the area once daily. Finally, you must avoid unprotected sexual activity or sexual exposure with individuals who may be at risk of STIs. I hope this helps. Thank you.