[Question #4377] Red spots on penis head

30 months ago
Hi Drs.

Around one week ago, I visited a massage parlor. The lady gave me back massage for 15 mins. She played with by testicles intermittently with her bare fingers 5-6 times. I lightly rubbed my fingers on her legs/inner thighs. Then she turned me over. After that, she took off her shirt, I pressed her breasts with one hand and started masturbating myself with my other hand. I asked her not to masturbate me. But in between, she rubbed my bare penis with her hand 7-8 times (< 15 seconds or so), after which I stopped her. I might have squeezed her buttocks with my hands in between too (she had not taken her underwear off, from what I remember).  After reaching home, I immediately washed my penis 2 times with dove and applied gentamicin cream to my penis head (I am uncircumcised and have had some balanitis under the foreskin). I applied gentamicin 2 more times the following day and day after to make sure I don't get a bacterial infection under the foreskin.

2 days after the exposure, I saw some slightly raised 3-4 small red papules or bumps, on my penis head. They remained almost same for a day when I saw an RN. She suggested it doesn't look like Herpes to her. But today the area has become darkish red color, and am seeing another slightly raised red bump on left side. They don't hurt when poked. My glans skin has become pretty dry and the RN suggested to apply some coconut oil. 
1. Does this sound like an STI (Herpes or some other bacterial STI)? I was not able to see her fingers for any bumps or rash.
2. What tests do you recommend?
3. What could be possible cause of this issue?
My last sexual exposure before this was more than 7 months ago. I had tested negative for all common STDs > 3 months after that exposure.

30 months ago
Sorry doctors couple more details..I felt slightly feverish/cold next day after the exposure which continued for couple days. I also observed  a drop of clear fluid on my penis head when I woke up one morning. I am hoping it was pre-ejaculate fluid? I did not observe it today morning. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
30 months ago
Welcome to the forum. Thanks for your question.

This was a zero risk exposure for any and all STIs. No STIs are transmitted by hand-genital contact or exposure of the genital area to partners' skin. Without vaginal, anal or oral penetration, there is no STI risk.

If you are uncircumcised, the most likely explanation for these symptoms is some sort of non-STD inflammation (balanitis, the medical term for skin inflammation of the head of the penis), such as a yeast infection or just nonspecific inflammation. Either way, local hygiene will probably clear it up -- i.e. retract the foreskin and wash with soap and water twice a day. If that doesn't do it, return to the nurse or clinic for further evaluation. However, I am very confident this is not herpes or any other STD. I'm also confident you're just examining yourself more closely than normal and noticing normal events (e.g. pre-ejaculate fluid in the morning, which is normal after the erections that usually occur normally during REM/dream sleep).

Those comments pretty well cover your questions, but to assure no misunderstanding:

1) This is not herpes or any other STI.
2) No testing of any kind is needed.
3) See above about possible causes.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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