I have a pink spot on my penis and it bleeds after sex. What could cause this?

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Please do attach the photos, so I can guide you through this.

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I have seen the photos (attachment removed to protect patient identity). It looks like you are having balanitis which is inflammation of the penile skin and tissues. From when on are you facing this concern? Was there any particular incident after which you noticed it? Balanitis is a type of inflammation that is caused by various factors like bacterial or fungal infections, abrasions from physical injury, contact allergy from latex or condom, sexually transmitted diseases, scabies, drug allergy, eczema, etc. Have you had a recent risky sexual exposure?

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Since it is present for a long time, it would be advised you do the following investigations. Do bacterial culture and sensitivity study, fungal culture and sensitivity study, urine routine, complete blood routine, IgE levels, and ESR (erythrocyte sedimentation rate) levels. With these tests, you will be able to find out what medication you are sensitive to. Is there any history of condom allergy? Have you done a test for syphilis? Any oral medication that you are on for a long time or any potential drug allergic reaction? Do you have painful intercourse and erections? I have not got your acne images. Please send it again. Was there any reduction in symptoms with Canesten cream? For how long did you apply? Yes, when your skin is inflamed as in balanitis, it is more prone to cuts and minor abrasions.

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I have seen the acne pictures (attachment removed to protect patient identity), and what you are having is something called acne keloidalis or also called folliculitis keloidalis nuchae. It is the chronic infection or hypertrophy of the hair follicle mostly cause by bacterial origin which remains stubborn to most of the treatment. It is called keloidalis as it can result in keloid like lesions while healing. You can use the following medications. Use 0.1% Mometasone furate ointment for local application in the morning only on the lesion, 0.025% of Tretinoin cream for local application in the night on the lesion, use Clindamycin or Benzoyl peroxide washes or shampoo once daily two hours before the application of ointment, use Intralesional steroid, Triamcinolone acetonide 5 mg/ml twice monthly for two months. Please perform a bacterial culture study from the lesion so that I can put you on oral antibiotics for a month. These topical medications are to be used after two weeks and reviewed with photos after two weeks. I can help you with balanitis, only if you answer my queries related to the history.

Hello Welcome back to icliniq.com 1)Unfortunately, I cannot give you a prescription outside this platform. You can show this thread of messages, as Telemedicine is accepted everywhere. 2) You can apply those medications for Acne Keloidalis, provided you have no prior allergy to those medications. It is adviced to start the medications after a bacterial culture study from the lesions. And the medications , after using for 2 weeks, should be stopped and you should review. Do not use medications for a long period without doctors advice. 3) For Balanitis, since it is present for long time , it is adviced you perform the culture studies from the area and the other mentioned blood tests, to know the root cause and treat specifically, otherwise you will keep getting it back. 4) As for now you can use Miconozole cream for local application on the penile area once daily at night for 2 weeks . This is an antifungal topical medications. You can also have T.cetrizine once daily at night if at all itching present . 5) Also do test for syphilis to rule out syphyllitic Balanitis, if you have not already done . Hope your query is cleared Thank you and take care.

Hi Welcome back -Mometasone ointment is for daily application only on the lesions in the MORNING time -Tretinoin cream is for daily application only on the lesion in NIGHT time - Clindamycin washes any time of the day but need to do before application of the ointments, coz when you apply the ointment, the lesion should be completely dry Follow these medications for 2 weeks and review/follow up, with a photograph. Only after reviewing continue these medication. Intralesional steroids , are steroid injections given in the lesion site which should be done at the Dermatologis's clinic by the doctor, and this needed to be done only twice in a month and according to the response and healing of the lesion

Hello Welcome back to icliniq.com Hope you are keeping safe 1) Please review back with the tests as advised earlier for a definitive solution for this -bacterial culture and sensitivity study - fungal culture and sensitivity study - Urine routine - Complete blood routine , IgE levels , ESR levels Only with these results, we will be able to treat specifically for a bacterial or a fungal infection . Otherwise the symptoms will keep coming back 2) For now , you can apply - Fusidic acid cream for application morning and afternoon - Clotrimazole powder ( Candid powder) over the penile area at the night - T. Cetrizine 10mg once daily at night ( if itching persists) for 5 days 3) It is because of the infection, that the skin feels sensitive and inflammed . It will revert back when the infection subsides . 4) You can meet a nearby Dermatologist for a local examination of the area , and to see the lesion under dermatoscope ( hand microscopic) for any morphological changes. Thank you .