[24M] With red and irritated penis with tiny red bumps

Patient Description

A 24-year-old male reports experiencing redness and irritation on his penis for the past four days. The symptoms include tiny red bumps on the head of the penis that are slightly painful and a red, irritated patch of skin on the side of the penis. The irritation began gradually after using new condoms for the first time, the day before the symptoms started. The patient has not used the condoms since. He has applied raw unrefined coconut oil to the affected area. There is no itching, swelling, unusual discharge, or pain during urination. The patient has a new sexual partner, and neither has been tested for sexually transmitted infections (STIs) recently. Additionally, the patient reports experiencing fever and body aches but no other symptoms such as sores, rashes, or unusual discharge. He has not traveled recently and has no pre-existing conditions or chronic illnesses. The patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you described, here are some possible explanations:

  1. Allergic Reaction or Contact Dermatitis:

    • Rationale: The irritation and red bumps started shortly after using a new type of condom. This suggests a possible allergic reaction to the material or lubricant in the condom.
    • Typical Treatments: Avoiding the allergen (in this case, the new condoms), applying over-the-counter hydrocortisone cream, and using hypoallergenic products in the future.
  2. Sexually Transmitted Infection (STI):

    • Rationale: Given the presence of a new sexual partner and the symptoms of fever and body aches, an STI such as herpes or another infection could be a possibility.
    • Typical Treatments: Testing for STIs, followed by appropriate antibiotic or antiviral treatment if an infection is confirmed.

What you can do

For the red and irritated penis with bumps:

  • Avoid the new condoms: Since the irritation started after using them, it's best to stop using them and switch to hypoallergenic condoms.
  • Keep the area clean and dry: Gently wash the affected area with mild soap and water, and pat dry.
  • Apply a soothing ointment: You can continue using coconut oil if it provides relief, but consider switching to an over-the-counter hydrocortisone cream if the irritation persists.
  • Avoid sexual activity: Until the irritation and bumps have resolved, it's best to avoid sexual activity to prevent further irritation and potential transmission of any infections.

For the fever and body aches:

  • Stay hydrated: Drink plenty of fluids to stay hydrated.
  • Rest: Ensure you get adequate rest to help your body recover.
  • Over-the-counter pain relief: Consider taking acetaminophen (Tylenol) or ibuprofen (Advil) to help reduce fever and body aches.

What you should look out for

Given the symptoms and the potential for an STI or allergic reaction, you should seek medical care if you experience any of the following:

  • Worsening symptoms: If the redness, bumps, or pain worsen or do not improve with home care.
  • New symptoms: If you develop new symptoms such as unusual discharge, severe pain, or additional rashes.
  • High fever: If your fever persists or becomes very high.
  • Swollen lymph nodes: If you notice swelling in your groin or other areas.

Remember, while I can provide some guidance, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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7 mo ago

Top picked over-the-counter products for Eczema: American Academy of Dermatology Guidelines

People Also Ask


Can an allergic reaction to condoms cause redness and irritation on the penis?

Yes, an allergic reaction to condoms, particularly those made from latex or containing certain lubricants, can cause redness, irritation, and bumps on the penis. Switching to hypoallergenic condoms and avoiding the allergen can help alleviate symptoms.


What are the common symptoms of a sexually transmitted infection (STI) that I should be aware of?

Common symptoms of STIs include unusual discharge, sores or blisters on the genitals, itching, burning during urination, and flu-like symptoms such as fever and body aches. It's important to get tested if you suspect an STI.


Is it safe to use coconut oil on irritated skin, and are there better alternatives?

Coconut oil can be soothing for irritated skin, but if symptoms persist, an over-the-counter hydrocortisone cream may be more effective. It's important to ensure the area is clean and dry before applying any ointment.


When should I see a doctor for symptoms like fever and body aches along with genital irritation?

You should see a doctor if your symptoms worsen, if you develop new symptoms like unusual discharge or severe pain, if your fever persists or becomes very high, or if you notice swollen lymph nodes. These could indicate a more serious condition that requires medical attention.


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