Hi.

Thank you for writing to us.

Although from your history it seems highly unlikely for you to have a sexually transmitted disease, it is always best to get yourself tested for all sexually transmitted diseases.

A more likely diagnosis would be balanitis of the penis caused by a fungal infection (eg. candida). The treatment for this is simple and includes the application of an anti-fungal cream on the effected area. This also requires examination by a doctor to confirm the diagnosis.

In the meantime you could:
-Have regular baths (2-3 times a day)
-Keep the area warm (if you live in a cold place)
-Avoid sexual contact with your partner
-Ask your wife if she has been experiencing any symptoms of concern (as she could also have it, requiring treatment)

I hope I have provided you with the information you were looking for. Feel free to write back to me for any further clarifications, I would be happy to answer them.

Best wishes.

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Hi XXXXXXX

Sure, you can send me the pictures on the following email addresses:

YYYY@YYYY
or
YYYY@YYYY

Please XXXXXXX the subject as 'ATTN: Dr. Shoaib Khan'

I shall have a look at the images and we shall take it from there. It would be better to comment further after seeing the lesions.

Best wishes.

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Hello XXXXXXX

I have gone through your images my friend. It does look more like a bacterial or fungal infection to me, although in all cases a laboratory examination (swab sample taken from the open sore) is used to make a diagnosis. Herpes or syphilis does seem unlikely.

I request you to visit a doctor to get a laboratory test, that would help make a diagnosis and immediately initiate your therapy. An early diagnosis will help prevent an aggravated condition. Also, please take your wife to a doctor as well to rule out an infection.

Feel free to write back to me with any further clarifications XXXXXXX I shall gladly answer them for you.

Best wishes.

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