Brief Answer:
Still better to rule out STDs before assuming this to be a friction injury

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Although the presentation could just be a friction injury, protocol calls for a complete sexual panel to be conducted when lesions present on the genitalia sir.

So the first thing I would recommend is a sexual panel to be conducted at a medical centre, this can be followed by medical management once sexually transmitted infections are ruled out.

Some times infections can remain latent for long durations of time, and only appear in an immunocompromised state like stress, anxiety, other infections, some medications causing lowered immunity, etc. So it is always best to rule out STD's before moving on to other causes.

I hope and pray you can gain access to a medical centre and first rule out all STDs before you can be treated for the lesion. Please do not hesitate to write to me in the meantime for any further clarifications, I am always here to help.

Best wishes.

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Brief Answer:
Unlikely sir

Detailed Answer:
Hello once again sir.

Seems unlikely from the image sir. Seems more to be caused by friction, STD, urinary tract infections, etc.

Best wishes.

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