Issues with Red Spots in the Genital Area
Greetings, I'm a 26-year-old man seeking advice. For approximately eight months, I've been dealing with peculiar red spots on my penis. I've consulted several medical professionals, yet none have provided a clear explanation for my condition. I have undergone comprehensive STD testing, all of which returned negative results. Additionally, I took tests for herpes and chlamydia, also yielding negative outcomes. Despite trying every available antifungal cream, I haven't experienced any improvement. The only product that seems to diminish the spots is a steroid cream, but they reappear as soon as I discontinue its use. The spots fluctuate in size and shift locations intermittently. I'm feeling quite frustrated due to the considerable amount of time and money I've invested without finding any answers. This ongoing issue has negatively impacted my relationship, as my girlfriend and I are unable to engage in sexual activity due to the condition worsening during intimacy. She has also been tested and is free from infections. Any insights or assistance would be greatly appreciated. Thank you!
Answers (1)
6/17/2025, 10:30:44 PM
OpenHealth AI
It sounds like you have been facing a challenging and frustrating situation with the red spots in your genital area, especially given how it has affected your relationships and daily life. Your experience, particularly the persistence and variability of the spots, can indeed be concerning and difficult to manage.
Explanation
Red spots in the genital area can result from various causes, including allergic reactions, dermatological conditions such as eczema or psoriasis, or irritation from products like soaps or detergents. Since you’ve had negative tests for STDs, this rules out many common infectious causes. The fact that a steroid cream helps indicates that inflammation might be a significant factor here; however, using steroids long-term is generally not recommended due to potential side effects and because they can mask underlying issues.
Next Steps
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Keep Monitoring: Make note of any changes in your symptoms, including when they worsen or improve. Keeping a record of your observations can provide valuable information should you seek further medical advice.
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Moisturize and Protect: Use gentle, fragrance-free moisturizers in the area to help soothe the skin. Avoid any products that may irritate the skin, including heavily scented soaps or lotions.
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Consider an Allergy or Irritant: Reflect on any new products (soaps, lubricants, etc.) you may have started using around the time the spots appeared. Trying to eliminate potential irritants could provide further clarity.
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Consult a Dermatologist: Since you've already seen various medical professionals, consider returning to a dermatologist, ideally one who specializes in genital dermatology or inflammatory skin conditions. They may suggest a biopsy or other treatments if warranted.
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Discuss Non-Steroidal Treatments: Ask about alternative treatments that target inflammation, such as topical calcineurin inhibitors, which can be effective for inflammatory skin conditions without the side effects of long-term steroid use.
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Support & Emotional Well-Being: This situation can be stressful and impact your relationship. Consider discussing the emotional aspects with someone you trust or seeking counseling to assist in navigating these challenges.
Please remember that these suggestions are based on general practices and may not fully apply to your unique situation. Prioritize your comfort and well-being as you navigate this. If you see new symptoms or if the condition worsens significantly, it's essential to seek professional help promptly. Take care!
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