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Suggest Remedy For Red Spots In The Penile Skin
Question: Hello , I am a 22 year old male . Recently I have noticed these quite large red spots on my penis skin after the intercourse which was protected , I have been using Thrush Cream from Canesten 2% but the spots are not really improving , I have a history of Penile thrush after I got it from my female partner it has been hard to get rid of as it comes back whenever I stops the applying the Thrush cream , If I miss a day without a shower white stuff starts to build up in there . I have never had these kind red spots in there and have been worrying about penile cancer and other serious STDs , Can you PLEASE have a look at my pictures and tell me what is it and how do I treat this ? Thank You .
Brief Answer:
I suggest topical antifungal+steroid cream and an Oral antifungal
Detailed Answer:
Hello. Thank you for writing to us.
I have taken note of your query and i have also reviewed the images.
This looks very much like a candidal balantis.
The area looks red and that is due to inflammation that accompanies candidal balanitis.
I would suggest you to use a combination cream of a topical antifungal + topical steroid e.g clotrimazole + beclomethasone combination cream.
Or else
You can mix the topical antifungal cream that you have been using already with an equal proportion of a topical steroid cream e.g Triamcinolone acetonide 0.1% cream and apply twice daily for a week.
The steroid part would take care of the inflammation and antifungal would take care of candida.
Use just plain water to clean the area. Avoid soaps.
A single stat dose of an Oral antifungal e.g Fluconazole would help in resolving it faster and can also be added.
Treating your partner simultaneously and avoiding unprotected sex for a week would prevent re-infection
Regards
I suggest topical antifungal+steroid cream and an Oral antifungal
Detailed Answer:
Hello. Thank you for writing to us.
I have taken note of your query and i have also reviewed the images.
This looks very much like a candidal balantis.
The area looks red and that is due to inflammation that accompanies candidal balanitis.
I would suggest you to use a combination cream of a topical antifungal + topical steroid e.g clotrimazole + beclomethasone combination cream.
Or else
You can mix the topical antifungal cream that you have been using already with an equal proportion of a topical steroid cream e.g Triamcinolone acetonide 0.1% cream and apply twice daily for a week.
The steroid part would take care of the inflammation and antifungal would take care of candida.
Use just plain water to clean the area. Avoid soaps.
A single stat dose of an Oral antifungal e.g Fluconazole would help in resolving it faster and can also be added.
Treating your partner simultaneously and avoiding unprotected sex for a week would prevent re-infection
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for the respond Doctor ! So this large red spot doesnt look like a STD ? One doctor on this website told me it was a penile papules ? I dont know how hard it is to actually notice those two large red inflamed spots on my pictures but i can upload the new ones if you want . Thank You!
Brief Answer:
Not an STD
Detailed Answer:
Hi.
The red spots are distinct from pearly penile papules. These spots don't look like an STD.
Regards
Not an STD
Detailed Answer:
Hi.
The red spots are distinct from pearly penile papules. These spots don't look like an STD.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor , Thanks for the respond ! I went to the STD clinic this morning and they had to take a swab test but the nurse said it did not look like an STD and she said the lab would not be able to diagnose Candida today as it takes up to two weeks to show up .
I have read that Clotrimazole / belcomethasone causes the thinning of the skin and dilated blood vassels ? Can I try Clotrimazole / hydrocortisone cream instead ? And oral fluconazole 150 mg tablet ?
I have read that Clotrimazole / belcomethasone causes the thinning of the skin and dilated blood vassels ? Can I try Clotrimazole / hydrocortisone cream instead ? And oral fluconazole 150 mg tablet ?
Brief Answer:
Beclomethasone is absolutely safe
Detailed Answer:
Hi.
Beclomethasone is a mild steroid and does not cause atrophy and thinning if used for the recommended duration i.e 1 week or so.
It is a recommended topical steroid for the delicate genital skin.
However, you may also use hydrocortisone in place of beclomethasone but I would still suggest beclomethasone because hydrocortisone is the mildest of all steroids and therefore slow acting.
Yes you can take fluconazole as well.
Regards
Beclomethasone is absolutely safe
Detailed Answer:
Hi.
Beclomethasone is a mild steroid and does not cause atrophy and thinning if used for the recommended duration i.e 1 week or so.
It is a recommended topical steroid for the delicate genital skin.
However, you may also use hydrocortisone in place of beclomethasone but I would still suggest beclomethasone because hydrocortisone is the mildest of all steroids and therefore slow acting.
Yes you can take fluconazole as well.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have starter the treatment with Clotrimazole/hydrocortisone since i was not able to get my GP prescribe me the other cream . My STd swab test came back normal but i don't really get how the doc could miss those two large red inflamed spots on my penis ? Are you able to clearly see these spots on my pics ? I can take a pic if that's necessary ? Thrush cream might have cleared up Candida and that's why it was not detected during my STD screening , as I have said I have been suffering from Penile thrush symptoms for couple of months now and the crean does help but whenever i stop it comes back . Im just worried about these two red dots , they have been there for almost two weeks now . Can balanitis last that long ?
Brief Answer:
Continue with the cream for a week
Detailed Answer:
Hi.
I can fairly well see the red patches. This seems nothing more than a mild balanitis.
I think you should just wait and watch and use this cream for a week.
Does your partner also complain of vaginal discharge or itching? If yes, it is also important to treat your sexual partner to prevent re-infection.
Other possible causes of this type of clinical picture are irritant dermatitis to soaps etc Or allergic contact dermatitis to a latex condom, if these factors are implicated in your history.
This is certainly not an STD.
I think the steroid part would take care of the inflammation, though I would have preferred you to use a stronger steroid than hydrocortisone i.e beclomethasone..
Regards
Continue with the cream for a week
Detailed Answer:
Hi.
I can fairly well see the red patches. This seems nothing more than a mild balanitis.
I think you should just wait and watch and use this cream for a week.
Does your partner also complain of vaginal discharge or itching? If yes, it is also important to treat your sexual partner to prevent re-infection.
Other possible causes of this type of clinical picture are irritant dermatitis to soaps etc Or allergic contact dermatitis to a latex condom, if these factors are implicated in your history.
This is certainly not an STD.
I think the steroid part would take care of the inflammation, though I would have preferred you to use a stronger steroid than hydrocortisone i.e beclomethasone..
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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