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Concern Regarding a Spot on the Penis

4/3/2025, 6:00:34 PMMale25-34

Attention: This discussion may reference visual material related to male anatomy. As a 34-year-old male, I maintain an active sexual life with other men. I stand 6'3" and weigh 185 pounds, and I identify as Caucasian. I do not consume alcohol or use tobacco, though I do utilize 5mg THC gummies several evenings a week for relaxation purposes. I am not on any medications, apart from my daily multivitamin. For the past fortnight, I have noticed a small blemish on the tip of my penis, positioned slightly to the right of the urethra. This was not present prior to two weeks ago. When I first observed it, I sought help at an urgent care facility where I underwent a series of STI/D tests, all of which returned negative results. The attending physician reassured me that there was no cause for alarm but did not provide a specific diagnosis. I experience no burning, itching, or discomfort associated with the spot. Its size appears unchanged since its appearance, and the texture of the area feels consistent with the surrounding skin. Color-wise, it is somewhat lighter than the adjacent skin and is marginally raised. I am curious about potential explanations for this condition, whether it is indeed a cause for concern, and if seeking a second opinion is advisable. This is a new experience for me, which contributes to my unease. I would appreciate clarity on whether this is potentially harmless or if I should pursue further consultation to address my concerns.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

4/3/2025, 6:01:02 PM

OpenHealth AI

It's understandable to feel concerned about new changes in your body, especially in sensitive areas. Based on your description, the small blemish you observed could be harmless, especially since your STI tests came back negative, you aren’t experiencing any discomfort, and the spot hasn’t changed in size or texture. However, it’s essential to be informed about potential explanations and appropriate next steps.

Explanation:

The spot could be due to several benign conditions including:

  1. Pearly Penile Papules: These are small, harmless bumps often found on the shaft of the penis and can sometimes be mistaken for abnormalities.
  2. Sebaceous Cysts: These are small, non-infectious bumps due to blocked oil glands.
  3. Folliculitis: This can occur from inflammation of hair follicles, sometimes after shaving or friction.
  4. Hyperpigmentation: Areas of lighter or darker skin can develop due to various factors and are usually harmless.

While the previous examination and STI testing reassure you of your current health status, it's valid to seek more clarity if uncertainties remain.

Next Steps:

  1. Monitor the Spot: Over the next few weeks, keep an eye on the spot for any changes in size, color, or texture. Note if any symptoms develop such as itching, pain, or discharge.

  2. Avoid Irritants: Ensure the area stays clean and dry. Avoid harsh soaps or materials that could cause irritation.

  3. Document Changes: Keep a simple diary to log any observations. This information could help should you decide to consult a healthcare provider again.

  4. Consider a Second Opinion: If you remain concerned or if the spot changes, do not hesitate to seek a second opinion, particularly from a dermatologist or a urologist specializing in male genital health. They can provide a thorough evaluation and may perform a skin examination or a biopsy if necessary.

  5. Practice Safe Sex: Continue using protection during sexual activities to lower the risk of STIs and other infections.

Remember, it’s always better to ask questions and seek clarification than to sit with uncertainty. Your health and peace of mind are important.

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