[23M] With persistent scabs on penis tip

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Friction or Irritation: Given your history of rough intercourse and masturbation, the bumps and scabs could be due to friction or irritation. This can cause small abrasions that may scab over and take time to heal, especially if the area continues to be irritated.

  • Treatment: Avoiding further friction by abstaining from sexual activity and masturbation for a while may help. Applying a gentle, fragrance-free moisturizer can also aid in healing.

• Folliculitis: This is an inflammation of the hair follicles, often caused by friction, sweating, or bacterial infection. It can result in small, red bumps that may scab over.

  • Treatment: Keeping the area clean and dry, and using an over-the-counter antibiotic ointment may help.

• Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small bumps on the genital area. They may not be painful but can persist and sometimes multiply.

  • Treatment: A healthcare provider can offer treatments such as topical medications, cryotherapy (freezing), or other procedures to remove the warts.

• Herpes Simplex Virus (HSV): Although you mentioned no pain, herpes can sometimes present as small, crusty sores that may not be painful in all cases.

  • Treatment: Antiviral medications prescribed by a doctor can help manage outbreaks.

What you can do

Here are some steps you can take to help manage your symptoms:

1. Avoid Irritation: Refrain from sexual activity and masturbation to allow the area to heal.
2. Keep Clean and Dry: Maintain good hygiene by gently washing the area with mild soap and water, and keeping it dry.
3. Moisturize: Apply a gentle, fragrance-free moisturizer to help with healing.
4. Over-the-Counter Treatments: Consider using an over-the-counter antibiotic ointment if you suspect a minor infection.

What you should look out for

Seek medical attention if you notice any of the following:

• The bumps or scabs worsen or spread to other areas.
• You develop pain, itching, or burning sensations.
• You notice any new symptoms such as fever, swollen glands, or flu-like symptoms.
• The bumps do not improve or heal after taking the above measures.

Remember, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment. They can perform tests if necessary and provide you with the best course of action.