Penile Ulcers: Symptoms and Potential STDs Explained

Penile ulcer

Hello doctor, on December 29, 2017, I received oral sex at a massage parlor (there is video evidence showing a condom was used).
On January 15, I went to another massage parlor and received oral sex without a condom.
Yesterday, I discovered a sore on my penis and have been experiencing some upper body soreness (which has lessened in the afternoon).
I consulted a doctor who diagnosed me with herpes and prescribed antibiotics.
They also requested urine and blood tests for further examination.
Just now, I've started to feel pain in my groin area.
Could you please tell me what type of sexually transmitted infection these symptoms might indicate? Thank you.

Hòuhuǐ, 30~39 year old female. Ask Date: 2018/01/30

Dr. Du Shixi reply Urology

Please cherish our online medical resources.
When asking the same question, please specify only one physician or nutritionist.
Hello: The penis can develop skin lesions due to sexually transmitted infections, with herpes being the most common, and syphilis can also cause this.
It is recommended to undergo STI testing, which can be handled by the urology department at the hospital.
However, you should mention any unsafe sexual practices.
Wishing you good health.

Reply Date: 2018/01/30

More Info

Penile ulcers can be concerning, especially when associated with potential sexually transmitted infections (STIs). Based on your description, it appears that you have already sought medical attention, which is an important first step. The symptoms you are experiencing, including the ulcer on the penis and groin pain, could be indicative of several conditions, including herpes simplex virus (HSV) infection, which is commonly associated with genital ulcers.

Understanding Penile Ulcers
1. Symptoms: Penile ulcers can manifest as painful sores or lesions on the penis. They may be accompanied by other symptoms such as itching, burning, or discomfort in the genital area. In some cases, systemic symptoms like fever or malaise may also occur, particularly if the infection is widespread.

2. Potential Causes:
- Herpes Simplex Virus (HSV): This is one of the most common causes of genital ulcers. It can be transmitted through sexual contact, even if protection is used, as the virus can be present on skin not covered by a condom. Symptoms may include painful blisters that eventually rupture, leading to ulcers.

- Syphilis: This STI can also cause ulcers, particularly during the primary stage, where a painless sore (chancre) appears at the site of infection.

- Other STIs: Conditions like chancroid (caused by Haemophilus ducreyi) and lymphogranuloma venereum (LGV) can also present with genital ulcers.

- Non-infectious Causes: Conditions such as Behçet's disease or trauma can also lead to ulcer formation.

Diagnostic Steps
Given your symptoms and history, your healthcare provider has appropriately recommended urine and blood tests. These tests can help identify the presence of STIs, including HSV, syphilis, and others.
- Urine Tests: These can help detect infections such as gonorrhea and chlamydia.

- Blood Tests: These are crucial for diagnosing infections like syphilis and herpes. A specific test for HSV can confirm if the ulcers are due to this virus.

Treatment
The treatment for penile ulcers largely depends on the underlying cause:
- Herpes: If diagnosed with HSV, antiviral medications such as acyclovir or valacyclovir are typically prescribed. These medications can help reduce the severity and duration of outbreaks.

- Syphilis: If syphilis is confirmed, penicillin is the standard treatment.

- Other STIs: Treatment will vary based on the specific infection identified.

Follow-Up Care
It is essential to follow up with your healthcare provider after the initial treatment. If your symptoms persist or worsen, further evaluation may be necessary. Additionally, if you experience new symptoms such as fever, swollen lymph nodes, or increased pain, you should seek medical attention promptly.

Prevention
To prevent future STIs, consider the following strategies:
- Safe Sex Practices: Always use condoms or dental dams during sexual activity to reduce the risk of transmission.

- Regular Screening: Regular STI screenings are recommended, especially if you have multiple partners or engage in high-risk sexual behaviors.

- Communication: Discuss sexual health openly with partners to ensure mutual understanding and safety.

In conclusion, while penile ulcers can be alarming, they are often treatable once the underlying cause is identified. It’s crucial to continue working closely with your healthcare provider to ensure proper diagnosis and management. If you have further questions or concerns, do not hesitate to reach out to your doctor for more personalized advice.

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