Hello,
You have noticed painful black spots on the penis and the skin is dry even after moisturizing. It is not itchy but black spots are painful when rubbed. The dark spots are commonly caused by a condition known as
angiokeratoma of Fordyce. The spots on penis can be itchy or not itchy. It is a harmless condition and does not hurt on intercourse.
Identifying the causes is important. It could be STDs such as genital warts or syphilis. Since it is hurting on getting rubbed wear fabrics that are soft. Avoid any sexual activity for a couple of days. Get clinically examined by a
urologist since you are sexually active and get STD tests done to detect or rule out STIs, if reports are positive you will be treated with antivirals and antibiotics.
To get rid of pain, you can take
Combiflam, one SOS when needed, do not touch or scratch. It can be removed permanently by
laser treatment,
cryotherapy, ED and C, electrodessication and curettage. Take care of your hygiene, take regular baths.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician