What causes white patches on the penis and pubic area?

Question

Hi doctor,

I have always had small white dot-like patches at the very edge of my penis, specifically in the area between the lower abdomen and the penis. Images are attached. Recently, after shaving my pubic area, I noticed the same white spots there as well. When I apply moisturizer, they fade or disappear, but they become visible again when the skin is dry.

Is this something serious? I had a protected sexual encounter with a CSW a few years back. The condom was intact, and I tied it off after. Doctors at the time said there was no risk from that encounter. I am otherwise healthy and have even gained weight recently.

Please guide.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

The condition appears to be a papulosquamous skin disorder, primarily triggered by dryness. It tends to worsen with itching, dryness, and seasonal changes. This is not related to any sexually transmitted disease (STD), and there is no need for concern in that regard. However, as a precaution, a blood test for VDRL (venereal disease research laboratory) is advised. No additional blood tests or skin tests are required at this point. The spots are likely allergic in nature and not due to any fungal or infectious cause.

For treatment, start applying:

1. Eumosone-M cream (Mometasone and Fusidic acid) to the affected area twice daily.

2. 15 minutes after applying the cream, apply Cutimax-O lotion (a moisturizing lotion containing glycerin and light liquid paraffin) to lock in hydration.

This routine should be followed consistently for three weeks. The condition should begin to improve within that time, but treatment will not be stopped abruptly. The medication will be gradually tapered to prevent recurrence.

To help manage and prevent flare-ups, use a mild soap during bathing, and always apply moisturizer immediately afterwards. Avoid scratching or exposing the area to irritants. Once the condition resolves, continue using a moisturizer regularly to maintain skin hydration and prevent recurrence. Please share the VDRL report once available, and plan a review after three weeks to assess progress.

I hope this answers your query.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I read your query and understand your concerns.

Your condition does not appear to be a sexually transmitted disease. It seems more likely to be eczematous in nature. The only reason I suggested getting the test done is to rule out any possibility of an STD solely due to that past sexual contact.

I hope this answers your query.

Thank you.