Penile Skin Lesions After High-Risk Sexual Activity - Urology

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Penile skin laceration?


I'm sorry, Dr.
Du, but I would like to ask about a high-risk sexual encounter I had a few days ago.
The next day, I noticed some skin breakdown and three growths that look like granulation tissue below the glans.
Are these symptoms of a sexually transmitted infection? However, they are not painful, itchy, and have not increased in size.

A-Yuan, 20~29 year old female. Ask Date: 2017/12/11

Dr. Du Shixi reply Urology


Hello: A medical consultation is necessary for diagnosis, but treatment is definitely required due to the skin break.
If the individual has an infectious disease, your risk is also high, so please be cautious.
Wishing you good health.

Reply Date: 2017/12/11

More Info


After engaging in high-risk sexual activity, it is understandable to be concerned about any subsequent skin lesions or changes in the genital area. The appearance of lesions, such as the "meat-like" growths you described under the glans (the head of the penis), can indeed raise questions about potential sexually transmitted infections (STIs). However, it is important to approach this situation with a clear understanding of the various possibilities.

Firstly, the lesions you are describing could be a variety of things. While they may be concerning, not all lesions in the genital area are indicative of an STI. Common benign conditions include pearly penile papules, which are normal anatomical variations, or skin tags. However, given your recent high-risk behavior, it is prudent to consider the possibility of STIs, including genital warts (caused by the human papillomavirus, HPV) or other infections.

Genital warts typically appear as small, flesh-colored or gray growths and can be painless. They may not always cause discomfort, which aligns with your description of the lesions being non-painful and non-itchy. However, the absence of pain or itching does not rule out the presence of an STI. Other STIs, such as herpes or syphilis, can also present with lesions, though they often come with additional symptoms like pain, itching, or systemic symptoms (fever, malaise).

It is crucial to remember that many STIs can be asymptomatic, especially in their early stages. Therefore, even if you do not experience any discomfort, it does not mean that an infection is not present. The best course of action is to consult a healthcare provider for a thorough examination and appropriate testing. They may perform a visual inspection of the lesions and recommend tests for common STIs, including HIV, syphilis, gonorrhea, chlamydia, and HPV.

In terms of self-care, it is essential to maintain good hygiene in the genital area. Keeping the area clean and dry can help prevent irritation and secondary infections. Avoiding tight clothing can also reduce friction and discomfort. If you notice any changes in the lesions, such as increased size, pain, or discharge, it is important to seek medical attention promptly.

Lastly, if you are feeling anxious about the possibility of an STI, it is important to address these feelings. Anxiety can exacerbate physical symptoms and lead to a cycle of worry. Engaging in open conversations with a healthcare provider can help alleviate concerns and provide clarity on your health status.

In summary, while the lesions you are experiencing could potentially be related to an STI, they could also be benign. The best approach is to seek medical evaluation to determine the nature of the lesions and receive appropriate testing and treatment if necessary. Regular STI screenings are recommended, especially after high-risk sexual encounters, to ensure early detection and treatment of any infections.

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