What Causes Red Blotches On Tip Of Penis?

Posted on Mon, 6 Apr 2015

Question: Hi there.

I had unprotected sex with a girl about a month ago. Ever since I have had red blotches on my penis head and on the underside of my foreskin. Some times dots but most of the time blotchy patches.

When I apply hydrocortisone 1 percent cream the redness dissapears but then comes back
after I stop using it.

it is not an std because I have been tested for everything and it come back negative.

Could this be thrush?

Also I do have eczema on my penis shaft which I have had for over a year but I do not think this is related.

Answered by Dr. Bharatesh Devendra Basti (21 minutes later)

Brief Answer:
Send details and clear photos.

Detailed Answer:
Hi XXXX
Thank you for query. I am Dr Bharatesh D Basti answering your query.
Welcome to health care magic.
I have gone through the details.
Please send following for clarification:
- Symptoms
- Duration
- Clear photos of lesions
- Partner history(h/o fungal infection or white discharge)
- any h/o diabetes or other disease/illnesses.

It may be due to fungal infection or due to irritation/ friction .
You can get back for any clarification with details and clear photos.I will try to help you.
Thank you
Dr Bharatesh D Basti
Dermatologist and venerologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (10 minutes later)

I only have 2 follow up questions.

how do I upload a photo on here?

Not really any symptoms. Sometimes itches but very rarely.

It gets worse after I masturbate.

It has been coming and going since I had sex 5 weeks ago. It goes away after a few days of using hydrocortisone but then comes back a day or 2 later after I stop using it.

and I dont think I have diabetes or any other disease as far am I am awarem

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
Likely fungal infection.

Detailed Answer:
Hi
Thank you for follow up query.
I have gone through the photos.
It may be due to fungal infection or irritation.Likely fungal infection.

Wear loose cotton inner wears.
Do not cause irritation or friction.
Clean area with warm water twice daily.
Do not use harsh soaps.
I would have advised topical antifungal cream like clotrimazole ( candid) cream.
If need be oral antifungal like flucanazole 150 mg weekly once for 4 weeks.
Treat partner if any for fungal infection.
Avoid intercourse for now.

You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (7 minutes later)

Thank you.

is masturbation likely to make the irritation worse and more inflamed?

Because I have noticed that when I masturbate it flares up.

Also will I be able to get the anti fungal cream and oral tablet from the chemist?

Answered by Dr. Bharatesh Devendra Basti (4 minutes later)

Brief Answer:
Yes can worsen it.

Detailed Answer:
Hi
Thank you for follow up query.
Yes it can cause irritation or friction and can worsen it.
Antifungal cream may be available as OTC.Oral may need prescription.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar