Persistent Red Spots on Glans: Could It Be a Sexually Transmitted Infection? - Urology

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When it comes to concerns about sexually transmitted infections (STIs) and the symptoms you are experiencing, it's essential to approach the situation with a clear understanding of how STIs are transmitted and what symptoms may indicate.
From your description, you have persistent red spots on the glans (the head of the penis) and have engaged in unprotected oral sex. You also mentioned experiencing generalized itching and the presence of movable lumps near your neck. These symptoms can understandably cause concern, especially given your recent sexual history.

First, let's discuss the potential for STIs. STIs can be transmitted through various forms of sexual contact, including oral, vaginal, and anal sex. Unprotected oral sex can indeed pose a risk for several STIs, including gonorrhea, chlamydia, syphilis, and herpes. The red spots on your glans could be indicative of several conditions, ranging from an STI to non-infectious causes such as irritation or an allergic reaction.
The presence of movable lumps in your neck could suggest lymphadenopathy, which is often associated with infections, including STIs. In particular, syphilis can cause swollen lymph nodes, and the initial stage of syphilis may present with a painless sore (chancre) at the site of infection, which could be on the genitals or elsewhere.
The itching you are experiencing could also be related to an STI, but it can also be due to other factors such as skin irritation, allergies, or even a yeast infection. It's important to note that not all STIs present with obvious symptoms, and some individuals may be asymptomatic while still being infectious.

Given that you have already consulted a physician and are awaiting results for syphilis and HIV, it is crucial to follow through with any additional testing your healthcare provider recommends. Testing for other STIs, such as gonorrhea and chlamydia, may also be warranted based on your sexual history and symptoms.
In terms of treatment, if you are diagnosed with an STI, the appropriate treatment will depend on the specific infection. Many STIs are treatable with antibiotics, while viral infections like HIV and herpes require different management strategies.
In the meantime, it is advisable to avoid any sexual contact until you have received your test results and have consulted with your healthcare provider about the best course of action. This will help prevent the potential spread of any infection to partners.

Lastly, if you notice any worsening of your symptoms, such as increased pain, discharge, or fever, you should seek medical attention promptly. Early diagnosis and treatment are key to managing STIs effectively and minimizing complications.

In summary, while your symptoms could be related to an STI, they could also stem from other causes. Awaiting your test results is the best course of action, and in the meantime, practicing safe sex and maintaining open communication with your healthcare provider will be essential in addressing your concerns.