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Suggest Treatment For Red Spots On The Penis Head

Posted on Mon, 17 Nov 2014

Question: I have red spots on the head of my penis. I sometimes get spots like this when I have a lot of sex or when I masturbate frequently in a short period of time. This time they do have been there for a couple weeks. They are flat red spots, not raised at all, and do not itch, burn or hurt at all. Any idea what it might be?

Answered by Dr. Dr. Kakkar (13 minutes later)

Brief Answer:
Upload pictures; provide more information

Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic

I am Dr. Kakkar. I have gone through your query.

I would like you to upload a picture (preferably 2-3 pictures) so that I am able to visually assess and therefore guide you better. Please take pictures in good light and preferably with flash off.

I would also like to gather more information from you regarding the query.
-When was your last sexual contact?
-Are you in a monogamous relationship? or do you have multiple sexual partners?
-Does you sexual partner has vaginal discharge or symptoms like vulval itching?

Kindly get back to me with all the details

Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Kakkar (36 minutes later)

Last sex was about a month ago. Multiple partners. Never saw any types of discharge or anything on any partners. I always check that before having sex and its always with the same few people. The spots are a little light right now but will
Prob get a little more red after a shower .

Answered by Dr. Dr. Kakkar (40 minutes later)

Brief Answer:
Topical steroid

Detailed Answer:
Hi.

I have reviewed the photographs. I can see there are 2 shiny patches on the glans penis at different places, which are slightly red; on magnifying the photographs they are definitely distinctly raised/edematous.

This seems to me a sort of mild "lichenoid dermatitis". The trauma of self stimulation Or sexual intercourse making it more distinctly visible.
This looks nothing like an STD, neither does it resembles a fungal infection.

I think you would benefit from using a moderately potent topical steroid for a few days.
If I was the treating doctor I would have asked you to use a moderately potent topical steroid e.g Fluticasone propionate 0.05% twice daily Or Mometasone furoate 0.1% twice daily, for a few days.
These are prescription products and you must talk to your doctor for a prescription.

You have already tried triamcinolone acetonide 0.1% cream, which is also mid potent topical steroid.
I am curious to know what is the response to it? How long since you have been using triamcinolone acetonide 0.1%? Are you using it regularly?

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (15 minutes later)

I have been using it for about a week ... seems to work very well but when I take a shower or masturbate it gets red again.

Answered by Dr. Dr. Kakkar (14 minutes later)

Brief Answer:
Topical steroid

Detailed Answer:
Hi.

As I had expected! You may continue with it for another 2-3 weeks. That should make it fine. Use it twice daily.
During this time, try to avoid or lessen factors that exacerbate it.

Let me know after 2-3 weeks of regular use.
Can contact me directly next time: http://doctor.healthcaremagic.com/doctors/dr-kakkar-s/66939

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. Vaishalee Punj