[Question #3633] Pimple on Penis Head

34 months ago
Hello, Please try not to go to hard on me for asking yet another question. Just under 2 months after my first ever sexual experience, I found a big pimple filled with puss on my shaft (looked just like face acne). I freaked out and asked a few questions on here, but then got the western blot test at the University of Washington 7 months later which came back negative for both hsv1 and hsv2. This has made me comfortable as it's 99% accurate.

I have fordyce spots all over my penis, and after my WB I've enjoyed the assumption that it was an inflamed fordyce spot or simply a pimple. I even had another inflamed fordyce spot, but didn't freak out, as I literally watched it form back into the fordyce spot that it is today. I admittedly sometimes struggle with personal hygiene, and have skipped showers after workouts which I've suspected to cause inflamed fordyce spots or "pimples".

Now, as my title shows, I've experienced a new problem. Last week I experienced a very small white head on the head of my penis, not at the very tip of the head but also a bit farther up than where pearly papules would be. Out of shock and instinct I immediately popped the pimple, and white pasty puss came out, exactly as it does on my face acne. The next day I took it to a doctor. She swabbed it but said: a) There was no puss or juice left to swab since I popped and cleaned it, and b) reoccurring outbreaks often give negative results. She also mentioned that it "didn't look like herpes" in her opinion. The test came back negative but as the doc mentioned, there was really nothing to swab.

My question is: Is it even possible to get a pimple on the head of your penis??? There's obviously no hair follicles there. As docs have told me in the past my pictures of symptoms "don't look like herpes", and my western blot came back negative, I finally accepted that I don't have it. Then boom, I get a white head on the head of my penis. Is this possible? This is ruining my mental health.
34 months ago
Quick side note:

The first “sexual encounter” I’m speaking of was receiving oral from a girl who did tell me she has gotten cold sores before.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
34 months ago
Welcome back to the forum, but sorry you found it necessary.

The penis is actually a fairly common site for pimples, and your description is typical for a pimple, right down to your description of the expressed material looking the same as a facial pimple. Herpes doesn't behave this way at all; herpes lesions never contain thick, white material that you can press out. The only thing I'll add is this:  if both (or is it 3?) episodes have been at pretty much the same spot, then probably it's a small sebaceous cyst that periodically enlarges or gets infected. This is essentially the same thing as a pimple and is equally harmless. If and when it occurs again, keep hands off entirely and see a doctor to get it examined. Your test results prove for sure this isn't herpes!

In any case, there's nothing more this forum can do. We cannot diagnose genital lesions and don't try. We can only give general advice; the rest is up to you. Therefore, this will have to be your last question about penile pipmles and the sexual exposure that preceded the first episode. The forum does not permit repeated questions on the same topic or exposure -- and I put your herpes/chapstick thread in the same category as this one. This will have to be your last one; future new questions from you about non-sexual risks of HIV, herpes or any other infection, testing, and so on will be receive no reply and no refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

I do hope this additional discussion has been helfpul.

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34 months ago
Thanks for the response. 

I do indeed understand that this will be my last question on this site, and I acknowledge that this genital acne has created an anxiety/obsession that can’t be tolerated anymore on this site. 

For my follow up question, I’m simply wondering if it’s actually possible for normal pimples to appear on the head (glans) of the penis. The pimples haven’t been in the same spot so it’s not one cyst that keeps reforming.

Again I understand this is my last thread here, and I will respect this and not post again. Thanks for your help and assurance.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
34 months ago
No, it is not impossible for pimples to occur on the glans penis. It's an uncommon site, however. If the problem continues, I suggest seeing a dermatologist to make sure you don't have some less common problem. But I will also point out that on my bookshelf next to the computer I am responding on is book title Atlas of Genital Dermatology. Of its 300 pages filled with photos, only 15 pages deal with STDs. That shows you that the large majority of genital skin problem are not STDs and having nothing to do with sex.

I do hope your conversations on the forum have been useful. Best wishes and stay safe.
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