
What Causes Red Patch Of Skin At The Base Of Glans?

I suggest possibility of candidal/fungal balanitis; try topical antifungals
Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic
I have taken note of your query and I have understood it. I have also reviewed the Images.
I can see a smooth, red patch of skin at the base of glans.
From your description and after reviewing images, this does'nt seem to be an STD.
I would rather keep a likely possibility of candidal balanitis/ yeast infection.
I suggest you to try an OTC topical antifungal e.g clotrimazole 1% cream Or preferably a clotrimazole+beclomethasone dipropionate combination cream, twice daily for 5-7 days.
Protected sex is generally considered to be safe in terms of major STD's like syphilis, gonorrhea, chlamydia, HIV.
However, even protected sex is not 100% protective against genital herpes, genital warts or molluscum contagiosum, because a condom covers only a portion of shaft of penis and therefore leaves base of penis and neighboring genital skin exposed for skin-to-skin contact with infected partner during sexual encounter.
Therefore, if you notice any erosion's, warts or growths in the genital/ perineal region e.g base of shaft of penis, you must get yourself checked with a venereologist.
Regards
Take care


I suggest you to continue with topical antifungal
Detailed Answer:
Hi.
I suggest you to continue with topical antifungal,twice daily, for a week.
Clean with just plain lukewarm water
Avoid using soaps, antiseptics etc
Regards


Continue with the same cream
Detailed Answer:
Hi
The one you are using is fine. Continue with the same antifungal cream.
It contains clotrimazole 1%, a topical antifungal in combination with beclomethasone dipropionate0.25%,a mild topical steroid .
I suggest you to continue with it for a week.
Regards


You may take an Oral antifungal in addition
Detailed Answer:
Hi.
I have reviewed recent Images. I advice you to continue with the same antifungal cream for 1 week/ 7 days.
In addition, you may also take a single dose of an Oral antifungal e.g Fluconazole tablet. It is just 1 day therapy in candidal balanitis infection.
It is available on prescription. I suggest you to talk to your doctor for the needful.
Regards


Candidal balanitis is not an STD and it is not related to condom use
Detailed Answer:
Hi.
Fungal/ candidal balanitis is not an STD and can happen in otherwise healthy individuals, specially in those who are uncircumcised.
It should resolve within a week.
Regards


The lesion is improving
Detailed Answer:
Hi
The lesion is showing improvement.
Redness would decrease further as you continue with the topical antifungal cream.
Continue with the same cream for another 3-4 days.
Do not rub. Clean the area gently with plain lukewarm water.
Regards


Most likely an oral aphthous ulcer
Detailed Answer:
Hi
Mouth ulcer is most likely to be an oral aphthous ulcer.
I suggest you to do an OTC antiseptic mouth wash, thrice daily.
Topically you may use an antiseptic gel e.g hexidine gel (contains chlorhexidine), twice or thrice daily.
Can also add a B-complex vitamin supplement,once daily for 10 days.
Regards


Want to know how many days it takes to heal a mouth ulcer naturally when not affected by HIV or when affected with it? What are the chief symptoms of mouth ulcers in HIV?
Protected sex is safe in terms of HIV risk
Detailed Answer:
Hi.
Protected sex is considered to be safe in terms of risk of HIV.
Nevertheless, you may still take up a screening test for HIV for your own peace of mind.
Screening for HIV can be done earliest at 1 month or 4 weeks after a risky sexual encounter.
Most of the HIV infected individuals will have detectable antibodies against the virus by 1 month.
Since your sexual encounter was on 1st of January therefore you can take up a screening test even today.
A repeat screening test at 3 months or 12 weeks should be taken as conclusive.
Most likely these tests would be negative in you and would put you at ease.
Oral aphthous ulcers, are fairly common in general population and are neither suggest nor are a definitive sign of HIV.
One cannot suspect an individual to be HIV positive just because he or she has aphthous ulcer.
Aphthous ulcers normally heal within 3-5 days
Nevertheless, oral aphthous ulcers are more common, persistent and recurrent in HIV. They may take longer than usual to heal in HIV positive patients.
Regards


The mouth sore/ulcer which i have has no pain at all.Kindly suggest. The lesion on the penis has decreased a bit but some swelling is found on the corona.
and finally, what are the first and foremost symptoms in HIV infection?
Testing for HIV is voluntary and not very expensive
Detailed Answer:
Hi.
Screening test for HIV would cost anywhere between 250/- INR to 500/- INR from a private center.
Testing is also available free of cost at a government facility.
No prescription is required for HIV testing.
You can test voluntarily at any of VCTC (voluntary counselling and testing center) Or ICTC (Integrated counselling and testing center) which is available in all government health facilities/ hospitals
You will be provided pre-test counselling as well as post-test counselling and educated about safe sex practices and measures to reduce risk of transmission of HIV.
Regarding the oral ulcer, it is most likely an aphthous ulcer/ canker sore Or due to tooth trauma.
Though aphthous ulcers are usually painful however, pain may not be a prominent symptom in just an isolated/ single ulcer.
Moreover since there was no oral sexual contact or kissing involved in this particular sexual act, therefore it is unlikely to be an STD.
A new infection with HIV may present with flu like symptoms just like any other viral infection i.e fever, body ache, muscle and joint pain, headache, swollen glands, sore throat, fatigue, skin rash, oral candidiasis etc.
These are the first and foremost symptoms.
These symptoms are non-specific and can also be seen in other viral infections and in no way suggest HIV.
However, in the setting of flu like symptoms developing days after risky sexual encounter, testing for HIV is recommended.
This flu like illness in HIV is followed by a clinically asymptomatic stage wherein the virus keeps multiplying in body and progressively weakens immune system but there are no clinical symptoms.
Later, at some stage when the immune system has been considerably weakened by HIV, symptoms that appear are usually be due to immunodeficiency and resultant opportunistic infections e.g Tuberculosis, Candidiasis, Pneumonia, Herpes etc.
Together these are part of the AIDS (Acquired Immune Deficiency Syndrome) symptom complex.
Besides in later stages, AIDS patients may also have Weight loss, Tiredness, Night sweats, Unexplained Diarrhea, Oral sores etc
Regards
Hope this helps


You are welcome
Detailed Answer:
Thank you for writing to us at healthcaremagic
Regards


The lesion has improved; oral lesion is aphthous ulcer
Detailed Answer:
Hi.
I have reviewed recent Images.
In Images I can see that the concerned patch on glans, is much better as compared to what it was a few days ago. It has faded and started to blend with surrounding skin of glans.
Glans is a very vascular organ, therefore, it may appear more red at certain times than other depending on vascularity. I don't see any reason to worry for what I see in the Images.
The picture of oral mucosa depicts a single well defined ulcer on buccal mucosa which as suspected earlier is a classic aphthous ulcer.
For the ulcer you may use a topical antiseptic gel e.g chlorhexidine gel, twice or thrice daily, as mentioned in one of my previous replies.
Also use an antiseptic mouthwash.
Regards

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