What Causes Erosive Lesions On The Glans Penis After Non-penetrative Intercourse?

Posted on Thu, 2 Feb 2017

Question: Dear Sir

I have received handjob from csw before one month. nothing else happened. after one month later now i found following things on penis head. what is this?

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
I would like to rule out genital herpes

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist and venereologist). I have gone through your query and I have viewed the Images.
I can see a few well defined erosions on glans of penis. I would like to rule out possibility of genital herpes.
Genital herpes presents as well defined erosions on genital skin. It may be associated with pain and burning sensation.
I would suggest you to take a blood test for HSV ELISA (Type 1 & 2, IgG and IgM).
If it comes out as genital herpes I don't think that you acquired it because of the handjob episode that you mentioned. Handjob is entirely safe and not associated with any risk of transmission of STDs unless she used her saliva to lubricate.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (42 minutes later)

Dear Sir

I have already given my blood for hsv i & ii yesterday. I have received the report now. Also i have consulted local dermatology he said it not herpes but i might by some rash. he suggested me ZINCAL CREAM. Please see the report for herpes and kindly guide me

Sir can it happen because of masterbation?

Answered by Dr. Dr. Kakkar (26 minutes later)

Brief Answer:
PCR for HSV type 1 and 2

Detailed Answer:
Hi.

Thank you. I have reviewed the report.
If your last risky sexual contact was more than 12 weeks ago then this report can be considered reliable else you need to retest at 12 weeks from your last risky sexual encounter. Hsv type 1& 2 ELISA, IgG values alone would be reliable if done at 12 weeks from your last risky sexual encounter.
Why don't you go for a PCR test for HSV (type 1 and 2) from this genital lesion? It is a gold standard test and would be confirmatory without having to repeat the blood test.
I am skeptical that this could be due to masturbation

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (3 days later)

dear sir please see the report and also the redness gone away.

Answered by Dr. Dr. Kakkar (5 hours later)

Brief Answer:
Your test report is fine

Detailed Answer:
Hi. Thank you.

The report is fine. So, that is conclusive. Must have been a yeast infection on glans.

Take care
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar