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What Causes Tiny Red Spots On The Penis Shaft Post Intercourse?

Posted on Fri, 19 Aug 2016

Question: Hi, I am frequently having tiny red spots on shaft and skin of penis. Actually from last 5-6 years. It keeps recurring. I use clocip-b cream. But it gets really bad occasionally during following two:
1. After intercourse
2. Regular consumption of Beer

Any reasons why it aggravates due to above two? Any connections?? Also plz advise so that i completely get rid of this. It is giving me a lot of stress.

P.S I emphasize a lot on hygiene but don't know why it keeps coming back!

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
Looks like fordyce spots.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query and pictures. It looks like fordyce spots.These are modified sebaceous prominences and are harmless. Greasy and sweaty environment on genital area can stimulate its occurrence. Taking beer or after intercourse can increase the genital secretion so there is a possible connection.
You can take more garlic and anti oxidants to avoid getting this. Taking citrus fruits and greens, avocado etc is good also. You can also apply aloe vera gel. Use cotton underwear. Avoid underwear while sleeping. Avoid soaps for washing penis. You can use warm water or hypoallergic soaps like Cetaphil. Excess washing is also not encouraged as it irritates more.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Nishad BN (3 hours later)

Thanks for your revert.

Could you please suggest the aloevera gel that is easily get-able from pharmacies.
Also if you could prescribe any medicine for this as I have suffered a lot from last 6 years from this and I want to get rid of this problem at the earliest.

Do i need to avoid certain foods/drinks that are causing this issue?

And I also wanted to ask if CLOCIP-B that i am currently using, can i continue to use or i should stop using?

Answered by Dr. Nishad BN (6 hours later)

Brief Answer:
You can use any brands of aloe vera

Detailed Answer:
Welcome again.

You can use any brand of aloe vera. Various brands like green leaf , Biocare are available on market. You can also use coconut oil for local application in moderation.
There are no food restrictions. But better to avoid alcoholic drinks as it can stimulate this in some people. You can take anti oxidant supplements also.You can take anti oxidant formula which is readily available brand.
Clocip B is used for fungal infection. If there is symptoms like itching then you can apply this. If there is no itching or whitish appearance then no need to use it.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Nishad BN (10 hours later)

Today i woke up with swollen shaft,lot of white cheesy liquid all over the area and lot of pain. Lot of redness also. Infact its the foreskin which seems to be swollen and causing pain and irritation. Kindly suggest medication for immediate and permanent relief.

I’m a frequent traveler and at present I'm in Tanzania. Plz suggest medication which I could get from this region too.

Answered by Dr. Nishad BN (9 minutes later)

Brief Answer:
Most likely fungal(yeast) infection causing this.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Your problem can be most likely fungal (yeast) infection. Using anti fungal creams or ointments will be helpful. You can use Miconazole or Terbinafine (Lamisil) for this. These are available as over the counter.
Avoid soaps. Use warm water or saline for washing the area.

Let me know if anything not clear.
I am happy to help you.
Thanks.

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. Nagamani Ng