[20M] Experiencing testicular discomfort and penile skin bumps

Patient Description

A 20-year-old male reports a recent onset of testicular discomfort described as a tingling and stinging sensation, predominantly on the left side, which is exacerbated by walking and alleviated by sitting and hot showers. Additionally, the patient has observed 2-3 small, soft bumps on the shaft of the penis, which are pimple-like in color and have slightly increased in size over 1-2 days. The bumps are painless and have not been accompanied by fever, rash, swollen lymph nodes, or unusual discharge. There is no severe pain or rapid change in the lesions. The patient has had unprotected sexual activity with a new partner approximately one month after the last STI treatment. No known drug allergies or medications are reported, and there is no family history of testicular conditions or sexually transmitted infections.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions are possible:

  • Genital Herpes: This is a sexually transmitted infection that can cause small, painful blisters or sores on or around the genitals. These sores can appear as a group of small, pimple-like bumps. The virus can cause tingling or itching before a breakout of sores.

    • Treatment typically involves antiviral medications to help reduce the severity and frequency of outbreaks.
  • Syphilis: A sexually transmitted infection that can present with a painless sore or rash on the genitals. However, the primary stage sore (chancre) of syphilis is typically singular and painless, and the secondary stage rash is usually non-itchy and involves other parts of the body.

    • Treatment usually involves antibiotics, often penicillin.
  • Genital Warts (HPV infection): These are small, flesh-colored or gray swellings in your genital area. They can be small or large, raised or flat, or shaped like a cauliflower.

    • Treatment can involve topical medications or procedures to remove the warts.

What you can do

  1. Avoid sexual contact while you have sores on your genitals or until you have discussed your symptoms with a healthcare provider.
  2. Keep the area clean and dry to prevent secondary infections.
  3. Over-the-counter pain relievers may help with discomfort.
  4. Seek medical attention as soon as possible. A healthcare provider can examine the bumps and may perform tests to determine the cause.

What you should look out for

  • If the bumps become painful, bleed, or increase in size or number
  • If you develop other symptoms such as fever, headache, muscle aches, or flu-like symptoms
  • If you notice similar bumps or sores in your mouth or anal area

Please remember this is not a definitive diagnosis. It's 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?

Common symptoms of genital herpes include small, painful blisters or sores on or around the genitals, tingling or itching sensations before a breakout, and sometimes flu-like symptoms such as fever and swollen lymph nodes.


How can genital warts be treated?

Genital warts can be treated with topical medications prescribed by a healthcare provider, or through procedures such as cryotherapy, surgical removal, or laser treatments to remove the warts.


What should I do if I suspect I have an STI?

If you suspect you have an STI, it's important to avoid sexual contact, keep the affected area clean, and seek medical attention for testing and appropriate treatment. Early diagnosis and treatment can prevent complications and transmission to others.


Can testicular discomfort be related to an STI?

Testicular discomfort can sometimes be related to an STI, especially if accompanied by other symptoms like sores or unusual discharge. However, it can also be caused by other conditions such as infections, injuries, or testicular torsion. A healthcare provider can help determine the cause.


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