I had sex with a condom and it resulted in red rash-like, unraised spots on my penis head. Why?

Hi,

Welcome to icliniq.com.

I understand your concern. It is balanitis. I suggest you follow these steps. Apply Clotrimazole cream at night for three weeks. Apply Fucidin (Fusidic Acid 2%) cream at daytime for seven days. Wash genital area with Episoft cleanser daily for 15 days. Avoid scratching and rubbing of lesions, maintain proper genital hygiene and keep the area clean and dry. Practice safe sex and use barriers. Do you have any burning or tingling sensation or painful lesions? Are you tested for herpes? Can you share your HSV IgM (herpes immunoglobulin M) reports? I hope this helps.

Hi,

Welcome back to icliniq.com.

I understand your concern. HSV-2 IgM test will rule out present genital herpes infection, and HSV-2 IgG reactive test will state past infection. I suggest you take HSV-2 IgM and HSV-2 IgG tests. If it is not reduced on the application of Clotrimazole cream, then the cause of balanitis is a fungal infection. I suggest you follow the below steps. Apply very little quantity of Clotrimazole cream or Miconazole cream at night for three weeks on the lesions. Apply Fucidin cream in the daytime for seven days. Avoid harsh soaps. Avoid scented moisturizer and lotions as it may cause irritation. Use a gentle cleanser like Episoft cleanser or Cetaphil cleanser to clean genitals. Use lukewarm water to clean the area. Keep the area clean and dry. Avoid moisture, as moisture favors fungal growth. Avoid occlusion or friction. Wear loose, comfortable thin cotton inners. Hygiene plays a very important role in avoiding recurrent episodes of balanitis. Follow up after two weeks with HSV-2 reports. Do you have itching at present, night aggravation of itching, or a history of scabies or genital scabies?

Hi,

Welcome back to icliniq.com.

It could be irritant contact dermatitis due to allergy to latex (condom). Yeast infection is associated with itching. It takes a few weeks to go, say 3 to 4 weeks after proper treatment. Apply 1 percent Hydrocortisone cream at night (if redness is present) for seven days. Avoid latex use as it causes rash after use. Use a non-latex barrier. Avoid known allergens. Avoid scratching and rubbing. Apply Luliconazole cream or Miconazole cream at daytime for ten days. Keep the area clean and dry. Avoid occlusion and friction. Avoid using fragrance-based lotions or moisturizers, or soaps. Wear loose, comfortable thin cotton inner clothes. Avoid synthetic wear and tight jeans. Maintain proper genital hygiene. Practice safe sex. Get well soon. Regards.

Hi,

Welcome back to icliniq.com.

As all STI (sexually transmitted infections) panel tests are negative, there is no need to worry. It could be an allergic rash or due to contact with an irritant (like latex and other factors like harsh soap use, lotions, lubricants, moisturizer, excess sweating, friction, occlusion, improper genital hygiene, exposure to chemicals, injury). Hope this will help. Stay healthy. Have a follow-up after ten days. Regards.