A 22-Year-Old's Unusual Dermatological Concern
At the age of 22, I find myself dealing with an intriguing dermatological issue. Over the past year, I have noticed approximately three red spots appearing on my penis in various locations, and regrettably, they show no signs of fading or disappearing. Despite my efforts to treat this condition with steroid ointments, visiting multiple urgent care clinics, and consulting with dermatologists, I have yet to find a conclusive diagnosis. I have undergone testing for a broad range of sexually transmitted infections and can confidently say that I haven’t engaged in sexual activity since 2024. The presence of these red marks has made me anxious about being open with potential partners. Even though I am certain of my health status and have explored numerous remedies, the marks persist, leaving me feeling uncomfortable and self-conscious.
Answers (1)
3/30/2025, 2:00:51 PM
OpenHealth AI
It's understandable to feel concerned and self-conscious about changes in your skin, particularly in such a sensitive area. The red spots you're experiencing could be due to a variety of non-infectious dermatological conditions, and persistence despite treatment can be frustrating.
Explanation:
Several potential causes for persistent red spots on the penis include:
- Pearly Penile Papules: These are harmless and common in young men and usually do not require treatment.
- Seborrheic Keratosis or Other Benign Growths: These can appear as red spots and are non-cancerous, but they typically do not resolve with steroid ointments.
- Lichen Sclerosus: A condition that can cause white patches or red spots and may need specific treatment.
- Other Dermatitis or Eczema: These could manifest as red spots, but they often come with other symptoms such as itching or flaking.
Since you’ve had tests done for infections and consulted professionals, you're already on the right track. However, an important step might be to seek a second opinion from a dermatologist who specializes in genital skin conditions, as they may provide additional insights or conduct specific biopsies if necessary.
Next Steps:
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Document Changes: Keep a record of when the spots appear, any changes in color or size, and associated symptoms like itching or pain.
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Seek a Specialized Dermatologist: Consider finding a dermatologist who specializes in genital dermatology for a thorough evaluation. They may utilize different diagnostic tools or approaches that previous clinics may have overlooked.
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Avoid Irritants: Until you have a clear diagnosis, avoid potential irritants such as strongly scented soaps or lotions and practice good hygiene.
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Discuss Anxiety: If you feel comfortable, consider discussing your feelings of anxiety about the spots with a counselor or therapist. They can provide support in managing anxiety related to self-image and relationships.
Remember, it’s important to take care of your mental well-being while navigating any skin condition. You deserve to feel confident and healthy.
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