[30M] Suspected STI with occasional red spots on penis

Patient Description

A 30-year-old male suspects he has had a sexually transmitted infection (STI) for the past year and a half. The patient reports occasional red spots on the head of the penis but no other symptoms. There is no mention of pain, itching, discharge, or any systemic symptoms such as fever or weight loss. The patient has not indicated any prior treatment or evaluation for this condition.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Sexually Transmitted Infections (STIs): Certain STIs like herpes simplex virus (HSV), syphilis, or human papillomavirus (HPV) can cause red spots or sores on the penis. These infections can be asymptomatic for long periods.

    • Testing for STIs typically involves a physical examination, blood tests, and/or swabs from the affected area. Treatment depends on the specific STI but may include antiviral or antibiotic medications.
  • Balanitis: This is inflammation of the head of the penis, often due to poor hygiene or an allergic reaction. It can cause redness, swelling, and discomfort.

    • Treatment usually involves good hygiene practices and topical creams or ointments. In some cases, an underlying infection may need to be treated with antibiotics.
  • Dermatitis: This is a general term for skin inflammation and can be caused by irritants or allergens. It can cause red, itchy spots.

    • Treatment typically involves avoiding the irritant or allergen and using topical creams to reduce inflammation and itching.

What you can do

You should see a healthcare professional for a proper diagnosis. They may need to perform tests to identify the cause of your symptoms. In the meantime, you can:

  1. Maintain good hygiene: Clean the area gently with warm water daily. Avoid using scented soaps or lotions that might irritate the skin.
  2. Avoid sexual contact: Until you have a diagnosis, it's best to avoid sexual contact to prevent potentially spreading an STI.

What you should look out for

Please seek immediate medical attention if:

  • The red spots become painful or start to blister.
  • You develop other symptoms such as discharge from the penis, painful urination, or swollen lymph nodes in the groin.
  • The red spots do not improve or worsen over time.

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sexually transmitted infections (STIs)?

Common symptoms of STIs can include unusual discharge from the penis, painful urination, sores or blisters on the genitals, itching, and swollen lymph nodes. However, some STIs can be asymptomatic for long periods.


How can balanitis be prevented and treated?

Balanitis can be prevented by maintaining good hygiene, avoiding irritants, and ensuring proper drying of the area. Treatment often involves topical creams or ointments, and in some cases, antibiotics if an infection is present.


What are the potential causes of red spots on the penis?

Red spots on the penis can be caused by STIs such as herpes, syphilis, or HPV, as well as non-infectious conditions like balanitis or dermatitis. Allergic reactions or irritants can also lead to red spots.


When should I seek medical attention for symptoms on the penis?

You should seek medical attention if the red spots become painful, start to blister, are accompanied by discharge or painful urination, or if they do not improve or worsen over time.


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