Could This Be a Syphilis Chancre?
34-year-old male, heterosexual seeking insight. I am wondering if this could be a syphilis chancre. An urgent care physician was unable to identify it properly and simply recommended a topical antifungal cream. The lesion is located beneath the head on the right side of my penis, and the photos were taken on the first day I noticed it. Prior to this, I did not observe any papules. There has been no change in appearance after one full day. It measures less than half the size of a dime and is devoid of any significant pain. The edges are slightly elevated, with a whitish border, while the central area closely resembles my usual skin tone, perhaps slightly smoother when pulled. Overall, it appears darker rather than red in color. The skin is intact with no discharge and I haven't experienced any severe itching. Additionally, there are no swollen lymph nodes, rashes elsewhere, or painful urination. Roughly 19 days ago, I had a possible exposure during receptive oral contact. I also have a history of eczema from childhood. Any feedback or shared experiences would greatly alleviate my anxiety. Thank you!
Answers (1)
7/18/2025, 7:01:39 PM
OpenHealth AI
Based on your description, it’s understandable to feel anxious about a potential syphilis chancre. However, not all lesions in the genital area are indicative of syphilis, especially if there is no accompanying pain or discharge, and given your history of eczema.
Explanation:
- Syphilis Chancres: These typically present as painless, firm sores. They often develop about three weeks after exposure and can occur in locations like the genital area. It’s also important to note that chancres can be mistaken for other skin conditions.
- Eczema: As you have a history of eczema, it's possible that this lesion may be related to that condition, especially if you've been experiencing dryness or irritation in the area.
- Observation Period: Since it has only been one day and there are no significant symptoms like pain or discharge, the situation warrants careful observation.
Next Steps:
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Monitor Symptoms: Over the next few days, keep an eye on the lesion for any changes in size, color, or sensation. Look for any new symptoms such as pain, discharge, or swollen lymph nodes.
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Avoid Irritants: Continue to keep the area clean and avoid any harsh soaps, fragrances, or topical products that might worsen irritation.
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Document Changes: If the lesion changes (grows, becomes painful, or starts oozing), take note of these changes.
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Seek Professional Follow-Up: If the lesion persists beyond a week without improvement or shows concerning changes, consider returning to a healthcare provider for a reassessment. Explain your recent exposure history and your concerns to ensure they perform appropriate tests.
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Consider Testing: Given your exposure risk, discussing testing for sexually transmitted infections (STIs), including syphilis, with a healthcare professional may be beneficial for peace of mind, even if the lesion resolves.
It's great that you're seeking clarity on this. Taking these steps will help you effectively monitor the situation while addressing your concerns. Remember, many skin lesions can resolve on their own, but being vigilant is key. Let me know if you have further questions or need more support!
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