Brief Answer: Friction injury/fungal infection based on observat Detailed Answer: Hi, Thanks for writing back. I went through the attached photos and your query and understood your concern. I hope the lesion is present only in skin withoul any deeper tissue involvement and you have not yet applied any cream. The lesion has no inflammatory signs and also acute onset. So the probable chances based on observation are friction injury or due to fungal infection. If fungal lesion, you may experience itching some times during humid condition and this will disappear with application of topical antifungal cream like ketoconazole / clotrimazole for 7 days. Friction injury will disappear on its own or if any signs & symptoms then need to use medication. Topical steroids will help in faster recovery as it prevents inflammatory features. Ointments and creams with combination of steroid and antifungal are available. Using this will help you. As it is a prescription drug you can consult your doctor once for examination and prescription. Kindly check for inguinal region for any swelling (lymphnode) and in the surronding areas for any ulcer or swelling or any other lesion. If nothing present then no need to worry. Be relaxed. Keep the area dry and clean and wear sun dried inner wears. Kindly get back if you find any other lesions as explained or any fever. Hope this information helps you. Feel free to ask if any further queries. Wish you good health and faster recovery. Regards

---

Brief Answer: May be trauma. Can have sex with precautions Detailed Answer: Hi, Since there are no other features i had asked in the previous explanation, the problem suggest mostly due to trauma. In STDs there wil be associated symptoms. You can apply glycerine or the ointment explained before. You can have sex with precautions. Use well lubricated condoms during sex. Wash your penis with soap and water after sex and dry it with good cotton cloth. Hope this helps you. If you have any further queries feel free to ask us. Wish you faster recovery and good health. Regards

---

Brief Answer: Early stage of condyloma accuminatum? Observe Detailed Answer: Hi, Yes, very early stage of Condyloma acuminatum may be possible. Usually this occurs in clusters (Involvement of more than 1 area rather than one is more common) and hard to touch with filiform, fungating, cauliflower, or plaque like presentation. Since you presented with only one lesion with acute onset with out much elevated typical surface, our diagnoses may be wrong. For my patients with condyloma acuminatum I usually rule out STD like HIV as this can spread faster in immunosuppresive patients. Treatment is based on the type of lesion, involves agents that directly ablate the lesions (eg, surgical excision, chemical ablation, and cryotherapy). Since your lesion is very early and small you need to observe it with regular outpatient followup to rule out any complication and if the size grows with typical elevated presentation the ablation the lesion can be done. The chance of recurrence of lesion after ablation is also present. There is no permanent cure and in many patients this won't grow further. So observation is the key just to check for its growth and any complication. You should ask your partner also to check for any lesion as it more commonly spread through intercourse. Use condoms during sex. I hope this information helps you. Feel free to ask if any further queries. Wish you good health and faster recovery. Regards

---