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What Causes Lesion On Penis Glans Post Oral Sex?

Posted on Mon, 11 May 2015

Question: 3 months ago I received oral sex from my male partner and developed a small red cut on my penis I went to the urologist when the cut turned into a lesion he gave me medicine for herpes 1 which I tested positive for. the medicine was virazide in cream form and I also took valextra 1000 milligrams 3 times a day for two weeks the problem got worse now I have three areas on my penis it is now been 3 months and the lesions have not gone away however they appear to be healing my partner also has just now develop the same type of small cut that I had and it happened the day after we had oral sex again and my doctor has told me that it is not herpes because it was not treated and it did not show the characteristics of herpes and is now wanting to send me to a dermatologist

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Could be due to infection of glans penis (Ballanitis)

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have developed lesion over your glans penis following oral sex was diagnosed as Herpes 1 infection and was treated with anti viral drugs but failed to get results.

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Did you have itching over glans in the beginning when you observed the lesion?
2) Was the diagnosis of of Herpes infection confirmed by doing swab test of a fluid from lesion or other tests ?
3) Did you have anal sex ?

Th photograph of the lesion that you have posted lloks like to be an bacterial infection of glans penis (Ballanitis) .

Oral mucosa is full of multiple bacterial flora hence it is more likely to be bacterial infection than herpes infection .

Consult qualified dermatologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Swab test of fluid from lesion
2) Culture of a fluid from the floor of a lesion.
3) Basic screening test for HIV.

You need to take broad spectrum antibiotic like Augmentin along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.

Further treatment will depend upon the results of these test and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions I shall be happy to help you
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (1 hour later)

thank you. to answer your questions I remember a little itching. yes to anal sex. herpes test I gave a blood sample and he had me give a semen sample. I wanted testing for chlymidia and HIV which were neg. I think the blood draw was used for diagnosis for herpes l. thank you

Answered by Dr. Dr. P. T. Patil (37 minutes later)

Brief Answer:
Go ahead and get the test done .

Detailed Answer:
Hello
Thanks for follow up.

Go ahead and get the test done and start treatment which I have suggested in my reply earlier

Thanks and Regards,
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (44 minutes later)

thank you.

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
O.K get the tests done and take the drugs advised.

Detailed Answer:
Hello
Thanks for follow up.

Go ahead and get the test done .Continue taking drugs .Hope it will work for you.
Thanks and Regards.
Dr.Patil.

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