[21M] With penile discomfort and lesions post-shaving and unprotected sex

Patient Description

A 21-year-old male reports experiencing discomfort on the penile shaft with visible skin lesions for one week. The lesions appeared suddenly after shaving and having unprotected sex with a new partner. The patient has been using hydrogen peroxide and zinc oxide for relief. There is no itching, discharge, or other symptoms like fever or swollen lymph nodes, except for a bump on the neck. The patient has no history of similar symptoms, sexually transmitted infections, or chronic medical conditions. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on your symptoms and recent activities, here are some possibilities:

  • Folliculitis: This is an inflammation of the hair follicles, often caused by shaving. It can result in red, raised bumps and mild discomfort.

    • Treatment typically involves keeping the area clean and avoiding further irritation. Over-the-counter creams may help.
  • Razor Burn or Irritation: Shaving can sometimes cause irritation, leading to bumps and discomfort.

    • Treatment includes using soothing lotions or creams and avoiding shaving until the skin heals.
  • Sexually Transmitted Infection (STI): Given the recent unprotected sexual encounter, an STI could be a possibility, even if there are no other symptoms.

    • Testing is important for diagnosis. Treatment depends on the specific infection.

What you can do

  1. Keep the Area Clean: Gently wash with mild soap and water.
  2. Avoid Irritation: Refrain from shaving the area until it heals.
  3. Use Soothing Products: Continue using zinc oxide or consider an over-the-counter hydrocortisone cream.
  4. Seek Medical Advice: It's important to consult a healthcare provider for a proper diagnosis and STI testing.
  5. Track Symptoms: Use MDandMe to journal your symptoms and share this information with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If the lesions increase in size, become painful, or start to discharge.
  • New Symptoms: Such as fever, swollen lymph nodes, or additional skin changes.
  • Persistent Symptoms: If there's no improvement after a few days.

Remember, it's important to see a healthcare professional for a formal diagnosis and treatment.

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6 mo ago

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People Also Ask


What are the common causes of skin lesions on the penile shaft?

Common causes of skin lesions on the penile shaft include folliculitis, razor burn, sexually transmitted infections, and allergic reactions. It's important to consider recent activities, such as shaving or unprotected sex, when identifying the cause.


How can I differentiate between folliculitis and a sexually transmitted infection?

Folliculitis often presents as red, raised bumps that may be itchy or tender, usually following shaving or friction. STIs may have additional symptoms like discharge, pain during urination, or systemic symptoms like fever. Testing is necessary for a definitive diagnosis.


What are the recommended treatments for razor burn or irritation on sensitive skin?

For razor burn or irritation, it's recommended to keep the area clean, avoid further shaving, and use soothing lotions or creams like aloe vera or hydrocortisone. Avoiding tight clothing and using a sharp, clean razor can also help prevent irritation.


When should I seek medical attention for skin lesions or bumps?

You should seek medical attention if the lesions worsen, become painful, start to discharge, or if you develop new symptoms like fever or swollen lymph nodes. Persistent symptoms that do not improve with home care also warrant a medical evaluation.


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