Hello doctor,
After a night where I blacked out from drinking, I may have had sexual intercourse with a woman I do not know. Later, I got a purplish rash on the bottom ridge of my penis head as well as some dark spots on the shaft. My scrotum is red except for a flesh-colored stripe down the middle. I have attached an image for your better understanding. I have tested negative for all STDs including HIV. Also, I have been on Ketoconazole cream and pills for four weeks with little change. I stopped taking the pills because of its side effects on the liver. My physician asked me to see a dermatologist but, I cannot get an appointment until the next month. I have also noticed that, even after ejaculating, I still get some discharge, which has never happened. I also have these dark-colored veins on my scrotum, which were not there previously. I think it is a yeast infection but not sure why the pills and cream did not work.
Hello,
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Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Hello doctor,
Thanks for replying. I am not using any antiseptic soaps. I do a lot of exercises, which results in a lot of sweating. These symptoms came about one or two days after the initial incident. I also noticed that the rash is only on one side of my scrotum. There is a flesh-colored line going down the middle, and the skin of the scrotum appears to be saggy. I am not sure if this is related but, I have a tingling sensation in my left foot. My anus also tends to be sore, but that appears to come and go. It almost feels like hemorrhoids. I have attached all my test results. The RPR test was initially positive, but a further test confirmed that I did not have syphilis.
Hello,
Welcome back to icliniq.com.
For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
Hi doctor,
Thank you for the reply. I will try your treatment plan for the next few weeks to see if it clears up. I have tried Clotrimazole cream in the past, but will try again. One more symptom that I did not explain is that veins in both my penis and scrotum are now dark purple. This was not the case before. I am 100% certain that the color of these veins were not this dark previously. Ijust wanted to make sure I listed this as a symptom. Also, I realize that some of this might be psycological as I put myself through torture while awaiting the test results of the STD test and also just the guilt of the entire situation. I realize that STD is probably not the cause, but could it be that if I did have sex, the person could have had a yeast infection that was passed on to me? If so, what would the treatment be for that? I feel as though the infection, while not an STD, is something internal and not just an infection of my skin. Does that make sense?
Hi,
Welcome back to icliniq.com.
Indeed, it is possibly that the yeast infection could have been transmitted through unprotected sexual intercourse. However, Ketoconazole tablets and cream are sufficient to cure it. And, as you hav taken them for four weeks you would not need any further course in this regard. The conditions you are facing are a combination of sweating, friction and sexual activity. So, it is both internal as well as external.
The dark colored veins could be because of the thinning of the skin over the scrotum, which would make them more prominent. However, it is good that you have got yourself tested and have come out negative. There is no need to upset yourself with unnecessary fears, as stress could lead to multiple other bad consequences. Please try the previously prescribed treatment and review after two weeks.
Revert after two weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
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