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What could be the reason for the on and off ulcer in my penis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 32-year-old male. I have a very small topical cut on my penis where the shaft ends. It does not normally cause pain, but pains on stretching. It happened last month once and went away. Now it has recurred while having sex. I am not on any medication.

Please help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome to icliniq.com.

Please send the good quality photographs of the lesion for better help.

Thank you.

Patient's Query

Hi doctor,

Thanks for the reply. I will send the photos as soon as possible.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

With your brief description, it is very hard to guide you. So, a photograph will give additional information about your problem.

I hope this clarifies your concern.

Please feel free to reach out if you have any further questions.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have attached the pictures for your reference. Please find it.

Please help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

It is an infected ulcer. So, please take the following medications.

  1. Tablet Clavam (combination of Amoxicillin and Clavulanic acid) 625 mg, thrice daily for seven days.

  2. Mupi ointment (Mupirocin), apply twice daily and get a review after two weeks.

Strict abstinence from sex and masturbation for at least two weeks. Actually, the biggest reason for the non-healing of ulcers is frequent trauma. All ulcers require complete non-interference to heal.

I hope this clarifies your concern.

Please feel free to reach out if you have any further questions.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

The previous issue has been resolved, but I have developed another ulcer and a few blisters at the end of the shaft. I am not sure what is causing this. I have attached some pictures for you to review.

Please help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

I need to know the detailed history and for this please answer the questions given below.

  1. How long it has been there?
  2. What is the complaint in it?
  3. Is there any pus discharge?
  4. Any other site affected?
  5. How is the onset and progression?

Please send me a close-up photograph as they are mimicking molluscum contagiosum.

I hope this clarifies your concern.

Please feel free to reach out if you have any further questions.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have had this for almost a month. At first, I thought it was just from shaving my pubic hair with a razor, but the blisters have not gone away. They do not hurt, and there is no pus or discharge.

I have attached photos showing all the blisters, and there are none anywhere else. The spots have not changed much, but they might have grown a little.

I tested negative for HIV about eight months ago during a health checkup. Should I be concerned?

Please help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com

Since the lesions have persisted for about a month without resolution, it is advisable to have them evaluated. The absence of pain, discharge, or spread is reassuring, but a clinical examination is still necessary.

Try not to shave or irritate the area, and avoid touching the lesions. It is best to see a dermatologist or a sexual health specialist. If you have had any recent risk, you might also want to get screened for STIs.

  1. Are there any other areas with similar issues?
  2. Do you have any ongoing health problems or take any medications regularly?

Please feel free to reach out if you have any further questions.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Currently, no other sites are affected. I have no systemic health issues and do not take any regular medications.

Kindly help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

You have been diagnosed with molluscum contagiosum, a viral infection. People with weaker immune systems, such as those living with HIV, are more likely to get this condition.

To move forward, please get the following tests done:

  • HIV 1 and 2 testing (Human Immunodeficiency Virus 1 and 2)
  • Complete Blood Count (CBC)
  • Liver Function Tests (LFT)
  • Renal Function Tests (RFT)
  • Blood Sugar levels

After we have your test results, I can suggest the best treatment options for you.

Please follow these precautions until I give you more instructions:

  • Avoid touching the lesions.
  • Keep your towels and clothes separate from others in your home. This infection spreads easily and can sometimes be hard to treat.

Please feel free to reach out if you have any further questions.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I got the tests done. Please find the attached reports and suggest your opinion.

Kindly help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

Your test results are normal(attachment removed to protect the patient's identity). Here is the treatment plan I recommend:

1. Condyline Solution (Podophyllotoxin):

  • Use it twice a day for three days each week, and continue this for three weeks.
  • Put the solution only on the affected areas and try not to get it on healthy skin.
  • Allow the solution to dry completely after application.

2. Capsule Adcef 300 mg (Cefdinir):

  • Take twice daily for five days.

3. Tablet Levotab 150 mg (Levofloxacin):

  • Take two consecutive days per week (Saturday and Sunday) for six weeks.

Follow-up:

  • Please return for a review after three weeks to assess your progress and adjust treatment if needed.

I hope this help.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I have started the medication. I have used Podophyllotoxin for one course of three days, and I am experiencing extreme painful irritation on my scrotum.

  1. Is it normal?
  2. Shall I use anything to reduce the irritation? The warts have reduced a bit after the course.

Please help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

Some irritation is expected with this treatment. Please apply Vaseline to the surrounding skin and reduce use to twice weekly.

This procedure uses chemical cautery, so mild irritation is normal. If ulceration occurs, wait one week before resuming, then apply three times weekly.

Please also send photographs of the lesions for evaluation and monitoring.

I hope this helps.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I am continuing therapy and have noticed significant improvement. However, I am experiencing persistent pain and stiffness in the area where the lotion is applied, despite using Vaseline.

Could you recommend a local anesthetic or a topical remedy to relieve the pain? It is currently affecting my sleep.

Please help.

Thank you.

Answered by Dr. Atishay Bukharia

Hi,

Welcome back to icliniq.com.

Please send your current photographs so I can assess the status and suggest the appropriate medicine accordingly.

How long have you been applying this?

What is the improvement in percentage?

I hope this helps.

Thank you.

Answered byDr. Atishay Bukharia

Medically reviewed byiCliniq medical review team

Published At March 31, 2016
Reviewed AtApril 6, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

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