Can Keloids Near the Genitals Increase STD Risk?

Bacterial invasion issues in keloids?

The area near the penis and perineum has undergone surgery 9 months ago, but a keloid has formed in the surrounding skin and is painful.
If sexual intercourse occurs, can pathogens from sexually transmitted infections enter through the keloid? Thank you.

Maike, 50~59 year old female. Ask Date: 2018/09/04

Dr. Wu Yuxin reply Dermatology

Sexually transmitted pathogens enter through mucous membranes or breaks in the skin.

Reply Date: 2018/09/04

More Info

Keloids are raised scars that occur due to an overproduction of collagen during the healing process. They can develop in various areas of the body, including sensitive regions like the genitals. Your concern about whether keloids near the genitals can increase the risk of sexually transmitted diseases (STDs) is valid, and it’s important to understand the implications of having keloids in such sensitive areas.

Firstly, keloids themselves do not directly increase the risk of contracting STDs. However, the presence of a keloid can indicate that there has been some form of trauma or surgical intervention in that area, which may have implications for skin integrity. If the keloid is painful or if there are any open wounds or irritation associated with it, this could potentially create a pathway for pathogens to enter the body during sexual activity.
When engaging in sexual intercourse, if there is any disruption to the skin barrier—such as from friction, irritation, or an open sore—there is a possibility that bacteria or viruses could enter the body. This is particularly true if the keloid is inflamed or if there is any associated skin condition that compromises the integrity of the skin.
Moreover, certain STDs can be transmitted through skin-to-skin contact, which means that any area of compromised skin could theoretically be at a higher risk for infection. For example, human papillomavirus (HPV), herpes simplex virus (HSV), and syphilis can be transmitted through direct contact with infected skin or mucous membranes. Therefore, if the keloid is causing pain or if there are any lesions or breaks in the skin, it is advisable to exercise caution during sexual activity.

It is also important to consider the overall health of your immune system and any other risk factors you may have. Individuals with compromised immune systems or those who are not in good health may be at a higher risk for infections in general, including STDs.

If you are experiencing pain from the keloid or if you have concerns about its appearance or any associated symptoms, it is crucial to consult with a healthcare provider. They can assess the keloid and determine if any treatment is necessary, which may include options like corticosteroid injections, silicone gel sheets, or surgical removal, depending on the severity and symptoms.

In summary, while keloids themselves do not inherently increase the risk of STDs, any associated skin issues or trauma could potentially create a risk factor. It is essential to maintain good hygiene, monitor the keloid for any changes, and consult with a healthcare professional for personalized advice and treatment options. Always practice safe sex to minimize the risk of STDs, regardless of the presence of keloids or other skin conditions.

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