[28M] With recent onset of bumps and sore on penis

Patient Description

A 28-year-old male reports the appearance of multiple bumps on his body and penis over the past three days, along with a sore on the shaft of his penis that appeared gradually this morning. The bumps and sore are neither painful nor itchy. The patient has noticed an increase in the number of bumps, with three additional bumps appearing since the initial onset. He also reports a swollen lymph node in his right armpit but denies having a fever. There is no pain during urination or unusual discharge from the penis. The patient has not been tested for sexually transmitted infections (STIs) since these symptoms started and has a history of chlamydia treated in 2019. He had an unprotected sexual encounter about three weeks ago and is not currently taking any medications.

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Arora's Assessment

What might be happening

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

  • Genital Herpes: This is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). It can cause sores and bumps on the genital area. The sores can appear gradually and may not always be painful or itchy initially.

    • Treatment: Antiviral medications can help manage outbreaks and reduce symptoms. It's important to see a healthcare provider for a proper diagnosis and treatment plan.
  • Syphilis: This is another STI that can cause sores (chancres) on the genital area. The sores are usually painless and can appear gradually.

    • Treatment: Syphilis is treated with antibiotics, typically penicillin. Early diagnosis and treatment are crucial to prevent complications.
  • Molluscum Contagiosum: This is a viral infection that causes small, painless bumps on the skin. It can be transmitted through skin-to-skin contact, including sexual contact.

    • Treatment: The bumps often resolve on their own, but treatments such as cryotherapy, topical therapies, or minor surgical procedures can be used to remove them.
  • Folliculitis: This is an infection of the hair follicles that can cause bumps on the skin. It can be caused by bacteria, fungi, or irritation from shaving.

    • Treatment: Mild cases often resolve on their own. Keeping the area clean and avoiding shaving can help. In some cases, topical or oral antibiotics may be needed.

What you can do

  1. Consult a Healthcare Provider: It's important to see a healthcare provider for a proper diagnosis and treatment plan. They can perform tests to determine the exact cause of your symptoms and recommend appropriate treatment.
  2. Avoid Sexual Contact: Until you have been evaluated by a healthcare provider, it's best to avoid sexual contact to prevent the potential spread of an STI.
  3. Keep the Area Clean: Gently wash the affected area with mild soap and water. Avoid using harsh soaps or scrubbing the area.
  4. Avoid Irritants: Avoid using products that may irritate the skin, such as certain soaps, lotions, or shaving products.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Increased Pain or Discomfort: If the bumps or sore become painful or uncomfortable.
  • Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills.
  • Discharge or Unusual Odor: If you notice any discharge or unusual odor from the sore or bumps.
  • Spreading of Symptoms: If the bumps or sore spread to other areas of your body.
  • Swollen Lymph Nodes: If you notice additional swollen lymph nodes or if the swelling in your armpit worsens.

Remember, while this advice can help guide you, it's important to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What are the common symptoms of genital herpes?

Common symptoms of genital herpes include sores or blisters on the genital area, which may be painful or itchy. Some people may also experience flu-like symptoms such as fever, body aches, or swollen lymph nodes. However, symptoms can vary, and some individuals may have mild or no symptoms at all.


How is syphilis diagnosed and treated?

Syphilis is diagnosed through a blood test that detects antibodies to the bacteria that cause the infection. It is treated with antibiotics, typically penicillin. Early diagnosis and treatment are crucial to prevent complications and transmission to others.


What is molluscum contagiosum and how is it transmitted?

Molluscum contagiosum is a viral infection that causes small, painless bumps on the skin. It is transmitted through direct skin-to-skin contact, including sexual contact, or by touching contaminated objects. The infection is generally harmless and often resolves on its own.


What steps can be taken to prevent folliculitis?

To prevent folliculitis, keep the skin clean and dry, avoid tight clothing that can irritate the skin, and use a clean razor if shaving. It's also helpful to avoid sharing personal items like towels or razors and to use antibacterial soap if prone to infections.


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