
Rashes On Head Of Penis After Sex, Used Miconazole, Tinidazole, No Help, Not Itchy, No Odor Or Warts. Permanent Cure ?

Suspecting it was a fungal infection I've tried using creams containing miconazole, tinidazole and clotrimazole on the affected area for several weeks at a time (I tried them at different times, not all at the same time) over this period, and have also tried oral fluconazole and ketoconazole (this last one I tried 200mg per day x 15 days, as recommended by a pharmacist). They haven’t made any difference. This problem keeps reoccurring somewhat randomly after sex, despite using these medicines. What is it, and how can I get rid of this problem for good?
Day 1 pictures
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Day 2 pictures
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Day 3
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Day 4
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Day 5 looks almost back to normal, with some minor peeling. The skin stays a little dry for the following days but otherwise goes back to normal.
Thank you for posting the query.
You have provided with good information regarding your skin problem and it is a very good description. I appreciate it.
I shall address your concern based on your current given information and the pictures you have provided.
I would like to say one thing here that since the condition comes and goes off on its own ,it doesn't seems to be a serious problem. But yes it is very annoying to have it every time ,that I can understand.
There are three possibilities here :
1) Allergic contact dermatitis to perfumed condoms or may be some lubricating oil used.
2) Fungal infection.
3) Inflammatory response following sexual contact.
Since you have already taken so many anti fungal treatment, the possibility of it being fungal becomes bleak. But to be doubly sure, I would suggest that you go for a KOH test (for fungus) for confirmation. This is a very simple test and you would get results immediately.
Allergies over penis, we see mostly due to condoms or a perfumed oil used. Since you have already tested for it, thus the possibility goes down.
Last but not the least, is the inflammatory response to the friction or due to the presence of sebaceous gland over the glance, seems more likely. Any inflammatory response would be temporary and may show peeling effect once it subsides (as in your case). Also the first picture you have posted shows a small pustule surrounded by erythema (redness).
I can assure you that it doesn't seems to be any kind of STDs (Sexually Transmitted Diseases).
I would suggest you to use a antibiotic cream like Mupirocin locally over the lesion and see the response .
It would be difficult to get rid off it completely, if it is due to the friction over the penis.
I hope, my answer would help you understand your problem. Should you have any additional concerns regarding this issue, I would be happy to address them.
Regards.


Thank you for writing back.
I don't think that these lesions would be induced by soap or even the underwear you are using. If it is for that, then the lesion would not disappear on its own, only to come back after sexual contact.
The possibility of a particular condom or the friction induced inflammatory response seems to be more likely.
I would suggest that you keep a note of it as to what could be the inciting factor leading to this. A note of most probable association would lead us to a conclusion.
I hope this helps to clear your doubt.
Wish you good health.
regards,
Dr. Bharat Chawda

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