Seeking Guidance: Unexplained Marks on Penis (20m)
Recently, I entered into a new relationship with a partner who appeared to be quite candid about her previous sexual experiences. After engaging in intimate activities for about a month, I noticed the emergence of smooth, flesh-colored spots on the shaft of my penis. As a point of context, I identify as Black. Although I am experiencing some mild itching, I haven’t encountered urinary discomfort, discharge, or any open sores. I went to the doctor for a urine test to rule out potential infections, but I haven’t yet received any feedback, and I’m feeling quite anxious about it. Fortunately, the condition hasn’t worsened. Any advice would be greatly appreciated.
Answers (1)

7/19/2025, 2:20:39 AM
OpenHealth AI
It's understandable to feel anxious about new symptoms, especially in such a sensitive area. The appearance of smooth, flesh-colored spots on the shaft of your penis could have a few possible explanations, including benign conditions like pearly penile papules, or other skin changes that are not necessarily indicative of a serious issue. However, given your mild itching and recent sexual activity, it's wise to remain attentive.
Explanation
- Pearly Penile Papules: These are normal and harmless growths that many men have and might be mistaken for other conditions.
- Dermatitis or Allergic Reaction: Irritation or an allergic reaction from products like soaps, detergents, or even friction from sexual activity can cause itching and marks.
- Sexually Transmitted Infections (STIs): Though you have no urinary symptoms or discharge, it's always essential to consider this possibility, especially with new sexual partners.
Next Steps
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Monitor Symptoms: Keep a close eye on the spots. If they change in appearance, increase in number, or if you develop any new symptoms (like pain or an unusual discharge), this will be important information to share with your healthcare provider.
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Practice Good Hygiene: Maintain cleanliness in the area and avoid using overly scented soaps or products that can irritate the skin.
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Consider Temporary Relief for Itching: Over-the-counter hydrocortisone cream may help alleviate mild itching if necessary, but use it sparingly.
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Follow Up on Your Test Results: Since you already had a urine test to rule out infections, stay proactive in following up if you haven't received results in a reasonable time frame. If you're feeling uncertain or anxious, reaching out to your healthcare provider for updates can help ease your concerns.
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Communicate with Your Partner: Consider discussing your findings with your partner to ensure both of you are aware of any potential risks or necessary testing related to sexual health.
If symptoms worsen or new ones develop, don't hesitate to seek medical advice for further evaluation. Your comfort and health are important, and addressing these issues openly can often provide both peace of mind and clarity.
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