I have a small wound on the penis with inflammation. Is this STD?

Question

Hello doctor,

Two months ago, I used perfume and shampoo excessively after unprotected sex. I end up with inflammation on my penis, especially the top-side opening. I have to say that before that, I always noticed a small wound. Just mentioning it in case it is causing problems, anyway. I went to an infectious disease doctor and was given an injection for gonorrhea.

Also, Doxycycline, just in case, and in the middle of the Doxcycyline, he added Ciprofloxacin 750. I used both until the Doxcyline and Ciprofloxacin were over. After that, my penis inflammation was still there; it was not very bad, but it was a burning sensation, a stinging feeling and redness. I assumed it could be an allergic reaction, so I went to a family doctor and was advised to check for STDs.

He gave me Hydrocortisone and antihistamines for a week. After a week, I went to another doctor who gave me antifungal cream and a tablet to use once a week for four weeks. My STD results were negative for HIV, HCV, HBV, HSV2, RPR, chlamydia, and gonorrhea. But my HSV1 IgG was high and not IgM.

The problem was still there, so I booked with a dermatologist, which I felt was the best solution. He gave me Pimecrolimus 1% and Travocort cream to use for a week, but I noticed that I was getting relief from symptoms. My head of penis looked so inflamed, and I could send a picture.

Still, recently, there is more; the opening I believe is called meatus when I am erect opens wider than it used to look before. The penis head's backside looks like it is getting split more exactly in the middle and going through dystrophy, which got me worried. Perhaps the medications I am using are making it worse. I forgot to say that inside the penis, there are lines of swelling, not painful, but they make urinating harder.

After the first week of unprotected sex, I used something called tea tree cream mixed with some olive oil. It may have made things worse. Now I need your help.

Is the very tiny wound perhaps getting affected by all of this?
Is it a different STD that I did not test for?
Is it just balanitis, and I need a good treatment plan?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

From your history, there are two main things. One is unprotected sex, and the other is a chemical reaction due to the lubricant. The lubricant should be short-term, as the skin layer affected by the chemical injury regenerates in one week. Unprotected sex, if it causes infection, can worsen it and require proper treatment.

From your STD (sexually transmitted disease) screen done for HSV (herpes simplex disease), IgG is raised, which means you have an active viral infection; therefore, antiviral treatment should be started. Please avoid applying any oil or cream to the penis. You can start the tablet Ganciclovir 400 mg thrice daily for one week. That is the treatment required.

I hope you recover after the treatment course. Please avoid sex or masturbation during the treatment and have safe, protected sex in the future.

I hope it helps.

Thank you.