I have some skin infection on my penis. What is it?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
In the past one month, I am noticing some skin infection on my penis skin when I pull it down. Should I see a skin specialist or sexual disease specialist?
Hello,
Welcome to icliniq.com.
Skin specialists and STD specialists (sexually transmitted diseases) are the same. So, you go to a skin specialist only. If you can upload photos and explain the problem.
Patient's Query
Thank you doctor,
I showed it to my doctor yesterday and he has advised me Azithromycin and Pan 40 with Quadriderm cream. But, still I would like you to check it as well.
Hi,
Welcome back to icliniq.com.
First, do not apply Quadriderm cream. It is a mixture of multiple medicines and it contains steroid too, which is very harmful. I want to ask a few questions.
In photo (attachment removed to protect patient identity), there is erosive lesion on the penis. So, there are two different diagnosis, Herpes and erosion due to rubbing or contact pressure. In both cases, apply T-Bact cream (Mupirocin) twice a day. Consult your specialist doctor, discuss with him or her and apply the ointment. If it is herpes, then you have to take Acyclovir and if not, then just apply T-Bact cream.
Patient's Query
Thank you doctor,
No, it is not painful. Yes, I had sex and I tried anal sex with my girlfriend without protection. There are no such blisters, but I saw a growth with whiteheads below my penis base on the outer skin and also I noticed today some tiny bumps. They are tiny, but not pus-filled. And some of the whiteheads on my penis base look pus-filled, but they are not paining and it is white in appearance without any mouth opening. For the past three weeks, I was just applying Fourderm cream and Candid powder. Today, I just took my first dose of 1 g Azithromycin and tomorrow morning I will take Pan 40 on an empty stomach. I am really living with depression, please help me out of this. Please guide me with the appropriate dosage. I am sending you the photos of the outside of my penis and inside there are no such blisters or anything.
Hi,
Welcome back to icliniq.com.
There are two things in the photos (attachment removed to protect patient identity). One is a mild erosive lesion on the near tip of the penis, which is not herpes and due to rubbing while doing sex. So, for that thing just take antibiotics and T-bact cream. Your second problem is a whitehead type lesion at the base of the penis. That is penile pearly papule (PPP) and that is a normal thing. It is not a disease or you got after sex. It would be for many years, but noticed recently. These are glands which are prominent and totally a normal thing. It secretes pre-sex mucus and lubricants, which is pre-ejaculation. It is just a normal thing and no treatment exist and required for that condition. Keep the area clean and apply the cream it will go off itself. You do not have any STD. Your issues are due to too much of consciousness. So, just take it easy and complete the course. Everything will be fine.
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