[20M] Experiencing genital soreness and pimple-like bumps post unprotected intercourse

Patient Description

A 20-year-old male reports soreness and the presence of pimple-like bumps on the shaft of the genitals. These symptoms began in mid-February and consist of approximately five bumps, some skin-colored and others red or white, resembling pimples with pus. The patient notes soreness when touching these bumps, which are spread out and not in a linear arrangement. One bump is located near the pubic hair. The patient has had unprotected sex with multiple partners and uses Vicks to alleviate the soreness, which provides minor relief. There is no reported fever, swollen glands, pain during urination, or other associated symptoms. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not currently on any medications. The patient also mentions using blunts but does not report excessive use of recreational drugs or alcohol.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several conditions that could be causing your symptoms:

  • Genital Herpes: This is a sexually transmitted infection caused by the herpes simplex virus. It can cause small, painful sores or blisters on or around the genitals. These can sometimes be mistaken for pimples or ingrown hairs.

    • Treatment typically involves antiviral medications to help control outbreaks.
  • Molluscum Contagiosum: This is a skin infection caused by a virus. It can cause small, firm, and sometimes itchy bumps on the skin. These bumps can appear anywhere on the body, including the genital area.

    • Treatment can involve medications or minor surgical procedures to remove the bumps.
  • Genital Warts (HPV): This is a sexually transmitted infection caused by the human papillomavirus (HPV). It can cause small, flesh-colored or gray swellings in your genital area. The bumps can be large or small, raised or flat, or shaped like a cauliflower.

    • Treatment can involve medications or minor surgical procedures to remove the warts.
  • Folliculitis: This is an infection or inflammation of the hair follicles. It can cause small, red bumps or white-headed pimples around hair follicles.

    • Treatment typically involves topical antibiotics or antifungal creams.

Please note that these are potential explanations for your symptoms based on the information you've provided, and not a definitive diagnosis.

What you can do

It's important to see a healthcare provider for an evaluation. They can perform a physical examination and may also order some tests, such as a swab of a sore or blood test, to help make a diagnosis.

In the meantime, here are some general tips:

  1. Avoid sexual contact until you've been evaluated by a healthcare provider, as some conditions can be spread to others.
  2. Keep the area clean and dry.
  3. Avoid scratching or picking at the bumps, as this can lead to further irritation or potential scarring.
  4. Over-the-counter pain relievers can help with discomfort.

What you should look out for

Seek medical attention immediately if:

  • You develop a high fever.
  • The bumps become significantly more painful.
  • The bumps start to spread or multiply rapidly.
  • You notice any discharge from the bumps.
  • You develop any new or worsening symptoms.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of genital herpes?

Genital herpes typically presents with small, painful sores or blisters on or around the genitals, which can be mistaken for pimples or ingrown hairs. Other symptoms may include itching, burning, and flu-like symptoms during the initial outbreak.


How is molluscum contagiosum transmitted and treated?

Molluscum contagiosum is transmitted through direct skin-to-skin contact, including sexual contact, or by touching contaminated objects. Treatment can involve topical medications, cryotherapy, or minor surgical procedures to remove the bumps.


What are the signs of genital warts and how are they treated?

Genital warts are caused by certain strains of the human papillomavirus (HPV) and appear as small, flesh-colored or gray swellings in the genital area. They can be treated with topical medications, cryotherapy, or surgical removal.


What causes folliculitis and how can it be managed?

Folliculitis is caused by an infection or inflammation of the hair follicles, often due to bacteria or fungi. It can be managed with topical antibiotics or antifungal creams, and by keeping the affected area clean and dry.


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