[Question #5174] Strange Spots on Penis
77 months ago
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Hello experts,
1. I have multiple tiny dots on penis head (its white/yellowish/pale pink in color - very difficult to explain) and appears like small tiny bumps. It is there since Nov-2018. Sarted couple of weeks after I visited a massage parlour where we were both naked and there was skin to skin contact/rubbing occured, but there was no intercourse. Finally she gave a hand job. Once I noticed these bumps I got anxious and visited multiple doctors, did multiple tests for all STD/STI in 2, 3, 6 and 8 months time window. All came back negative and some doctor said bumps on my penis is fordyce spot and some Lichen nitidus. During this time I was feeling some wiered sensation in my penis and scortum area, like pain/pressure etc - and doctors mentioned it could be due to stress. Even after more than a year now I have these tiny dots on penis head, which don't hurt or itch.. it got spread into foreskin too - so I decided to check with another dermatologist, who took a sample from my foreskin and did a biopse - Diognisis result was Lichenoid dermatitis. They said it is not harmful or contageous or std/sti related
But my question to you is, is there any std/sti which will cause white/yellow pin head spots on penis and stay for more than a year. Also I have tiny white dots on shaft of my penis. Biopse was done on sample from foreskin, but these dots are on penis head which can't be sampled for test. I would like to know if I need to undergo any other test to rule out any possibliity of contageous infection before resuming sex with my partner.
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Edward W. Hook M.D.
77 months ago
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Welcome to the Forum. You have my sympathy- clearly following the event you describe above you have been overcome by unwarranted concern about STI. You indicate that you have repeatedly tested for STIs and been seen by a number of doctors all of whom have done their best to assure you that the bumps you have noted are NOT an STI. You need to accept these assessments. I suspect that following the encounter you describe you inspected your penis far more closely than you had in the past and noticed the normal bumps and irregularities that are present on the normal penis. There are no STIs which would cause the sorts of lesions No further testing is needed.
My sincere advice is that you should speak with a trusted, confidential counselor, explaining the nature of exposure and the evaluations you have had in order to get professional help in addressing the events that you have described. From what you say, there is no medical reason to not resume normal sexual activities with your regular partner. EWH
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77 months ago
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Hi Doctor Hook,
Thank you for your quick response - I am a bit confused with your advice. Are you saying there are chances of infection for my encounter?
My reason for asking question on this forum was to clear my last doubt after reaching out to counsellors - and explaining my encounter, evaluations. While they said there is no risk, they also mentioned that they are not sure why these bumps occur.
I would like to confirm from you/your team, if my condition (which has persisted for more than a year) sounds like or anyways related to any kind of infection (STI) or yeast infection and if it might be contagious (multiple pin head sized bumps on penis head, when I pull my foreskin I can see similar white/yellowish dots on the skin and minute white dots on shaft skin - no pain or itching).
As already mentioned Biopse was performed on sample from foresking, as they cannot take sample from head of penis. I would love to know if these are normal skin variant/condition. Also please note that initially I was anxious, but over time and multiple test/counselling I don't have anxiety anymore - even during normal mindset, I can assure that these bumps were not present before it occurred only a year back.
Apologies for reverting back on the same topic, but I would like to get better clarity on my condition to take right next steps.
Extract from your response:
My sincere advice is that you should speak with a trusted, confidential counselor, explaining the nature of exposure and the evaluations you have had in order to get professional help in addressing the events that you have described.
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Edward W. Hook M.D.
77 months ago
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My goodness, I cannot understand who you could misinterpret my assessment so completely. Nothing i said implied that the irregularities you have noted are an STI! From what you have said it is clear the this is NOT an STI. Having said that, it is apparent that you are having trouble accepting this. - you need to. I suggested professional counseling to help you accomplish this. EWH---
76 months ago
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Hi Doctor,
Thank you! Last set of questions. I’ve read that HPV causes flesh coloured warts (single or multiple) on penis.
1. I’m worried what I have could be that (because of its appearance), could you please help me understand how I can get it diagnosed.
2. My main concern is that I should not pass it on to others. How can I ensure it’s not spread
3. Can you please let me know how HPV warts looks on penis, so I can compare and get understanding.
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Edward W. Hook M.D.
76 months ago
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1. A dermatologist or sexual health expert can help evaluate these spots. It s unlikely that they are warts.
2. Make a diagnosis first, then review the many, many other exchanges on this web site to understand why even if they are warts, it should not concern you.
3. Again, please have a trained clinician look at the spots that worry you. EWH
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