Are rashes on penis due to sexually transmitted disease?

Question

Hello doctor,

For the past two months, I have been experiencing a minor rash on the crown of my penis. I have have been using antibacterial cream since then but it does not seem to recover. The rash occurred a month after I had an unprotected sex. No itch, no discharge, no pain while urinating or anything just a few rashes that do not seem to go away. Could this be a sign of STDs? No other symptoms are present. I also had an HIV test a month after I had sex and it was non-reactive but I have a very high cholesterol level. Could you please tell me what is going on? I use Brulidine cream (antiseptic and antibacterial cream).

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I saw your clinical pictures (attachment removed to protect patient identity), genitals look normal clinically, skin is little dry, I do not see any rash, blister or ulcer which are the manifestation of STD. In the first picture, those white tiny bumps below the glans (tip of the penis) are the harmless ones, they are called pearly penile papules. Are you referring to them?

Herpes will have painful blisters in a group with redness at the base. Syphilis, chancroid will have ulcers. Gonorrhea presents with pus from the urethra, pain while urinating. At present, with your history and clinical pictures, I do not see any symptoms or signs of any STD.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Different colors, do you mean white dots on glans penis (tips)?
Do you have itching?
Burning?
When did you notice it is of different colors?
Any history of unprotected sexual intercourse?
Are you using any cream?

Revert with the answers.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

In those pictures, the tip of the penis (glans) looks little dry. There is white discoloration at the junction. It is the smegma (collection of sebaceous gland secretion). It is normal, needs to be cleaned with warm water and mild soap. I am not sure if that is what you are referring to. Avoid harsh soaps, use moisturizing soaps. I am sorry I do not see any pathology or any abnormality.

Thank you.