[Question #6084] Male STD Possibility?

19 months ago
I am a 20 year old heterosexual, circumcised male, I have had sex with many partners and have had unprotected sex on a few occasions (the girls i was with all did not look like they had any STD when looking at their vaginas). A few months ago (6-7 months) I started to notice a white patch starting to appear on the left side of my glans, it was puffy and spread a little bit over my glans so much so that my papules were not visible anymore, which i self-diagnosed as lichen sclerosus as it fit all of the symptoms. I treated with topical corticosteroids daily and then weekly, and it has gone away and my papules look normal. However, it has left some "scarring" in the form of a a darkened area of the glans which i could describe as brown-ish. The other day while i was masturbating, the left side of my penis (i am right handed) started to hurt as if it was a friction burn so i left it alone and today i discover that there are 3-4 red spots on thin skin under my glans and also on my shaft. Also, my shaft has been looking dry I am extremely worried that this could be a serious STD and need an answer as to what it could be.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
19 months ago
Welcome to the forum. Thanks for your question.

Unfortunately, I can't help as much as you might like. STDs are the only topic for this forum, and I can assure you that no STD has the appearance you describe. We don't get into diagnosis or other advice for non-STD problems. There are just too many possibilities to judge accurately based on a written description. (I have a book titled Genital Dermatology Atlas. As that name implies, it is filled with photos and descriptions of genital skin problems, and of its 300 pages, only 15 pages cover STDs.) My advice is that you s stop trying to figure this out by online searching or on this or any other forum and see a doctor in person, ideally a dermagolotist.

That said, I do have some STD-related advice. First, you need to get into the condom habit. Unprotected sex with multiple partners is inherently risky, and inspection of a partner' genitals provides no assurance about the likelihood of having any STD. Some STDs might show up on such inspection, but only rarely. Second, because your sexual lifestyle clearly puts you at substantial risk of STD, I would advise periodic STD testing, maybe once a year or so; if not done recently, you should do it now. Current and future routine testing should include a urine test for gonorrhea and chlamydia and blood tests for HIV and syphilis -- just common sense, better safe than sorry. 

Sorry I can't help much with your main question, but I hope these comments are a little bit helpful. Let me know if anything isnt' clear.

HHH, MD
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