I am an afro carribean male aged 37, 5ft 6 in height and 15.9 st (99kg approx). I have no allergies or health problems. 6 months ago I noticed discolouration to my penis about 1-2m2. during this time it has gradually spread around the top part of my penis including the head and my fenulum which is now particularly sensitive. I have dark skin and what intially started as reddish pink, has now become very light in colour. I believe that the fading is now becoming localised and I don't expect it to develop towards the shaft etc. currently i would estimate that I have 2-3cm2 of what i understand to be vitaligo. I have my own theory as to why this has occured but no scientific proof. For a number of years I have had various encounters with several women. My belief is that this occured as a result of repeated receipt of fellatio. A number of these women were sex workers. I believe my immune system in this area weakened due to continuous exposure. I have always practiced safe penetrative sex, but not when it comes to oral.I would like to know if there is any reatment available, which is succesful in regaining pigmentation in this area? I have now found that intercourse is painful unless i use lubrication and/or a condom. I have a regular partner and would like to start a family.My biggest fear is having to undergo circumcision.I have been to see a dermatologist who prescribed a steroid cream, but only for two months and I saw no improvement. Having asked for a repeat I was refused. I was told that this was because it was unlikely to give me any future benefit.I have re-booked for 22/09/11 for a second opinion. If you could give me any advice in this matter I would be most greatful. Thank you.