Concerns About Genital Bumps After First Sexual Encounter: What to Do?

Q: Concerns About Genital Bumps After First Sexual Encounter: What to Do?

Hello： Engaging in unprotected oral sex can potentially transmit diseases, not only sexually transmitted infections (STIs) but also skin infections. <br>The presence of 3-4 tiny bumps on the glans may indicate a skin infection; if it were herpes, there would be blisters. <br>If y

Genital lesions suspected to be herpes?

I have no previous sexual experience.
Four days ago, I had sexual intercourse for the first time with an online acquaintance.
We performed oral sex without a condom and vaginal intercourse with a condom.
After the encounter, I experienced a burning and stinging sensation on the glans, which has persisted for four days.
I do not have pain while urinating, but upon examination, I noticed 3-4 very small bumps on the glans.
I am unsure if these bumps were present before or developed afterward.
Today, I visited a urologist, and during the examination, the doctor did not mention the bumps but suggested that there might be some skin irritation and prescribed oral medication.
However, aside from those 3-4 small bumps, there are no signs of skin breakdown.
I would like to know if I should see a dermatologist for further evaluation or go directly for a sexually transmitted infection (STI) screening.
Thank you.

Mr. Tao, 20~29 year old female. Ask Date: 2018/11/14

Dr. Du Shixi reply Urology

Hello: Engaging in unprotected oral sex can potentially transmit diseases, not only sexually transmitted infections (STIs) but also skin infections.
The presence of 3-4 tiny bumps on the glans may indicate a skin infection; if it were herpes, there would be blisters.
If you have not informed your doctor about engaging in unsafe sexual practices, and your condition worsens after taking medication, you should seek medical attention again.
Wishing you good health.
Currently, maintain cleanliness and dryness.
You may refer to the following descriptions of risk behaviors:
- No risk: masturbation
- Low risk: mutual masturbation, light kissing, mutual rubbing, sexual activity with condoms
- Moderate risk: deep kissing, oral sex, withdrawal method
- High risk: sexual activity without any protective measures, resulting in wounds or bleeding.

Reply Date: 2018/11/14

More Info

It's understandable to feel concerned after your first sexual encounter, especially when experiencing unusual symptoms like bumps on the genital area. Here’s a comprehensive approach to addressing your concerns, along with some medical insights.

Understanding the Symptoms
1. Genital Bumps: The appearance of small bumps on the glans (tip) of the penis can be alarming. These bumps could be a variety of things, including:
- Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans and are completely normal.

- Folliculitis: Inflammation of hair follicles can cause small, red bumps, often due to irritation or infection.

- Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or genital warts (caused by HPV), can present as bumps or lesions.

2. Burning Sensation: The burning or stinging sensation you’re experiencing could be due to:
- Irritation: This could result from friction during intercourse, especially if lubrication was insufficient.

- Infection: A urinary tract infection (UTI) or STI could also cause discomfort.

Next Steps
1. Consult a Healthcare Provider: Since you’ve already seen a urologist, it’s important to follow their advice. If you’re still concerned about the bumps, consider:
- Follow-Up Appointment: Return to your urologist for a follow-up, especially if the bumps change in appearance or if you develop new symptoms.

- Dermatologist Consultation: If the urologist does not provide a satisfactory explanation, seeing a dermatologist may help, as they specialize in skin conditions and can offer a more detailed examination of the bumps.

2. STI Testing: Given that you had sexual contact, it’s prudent to get tested for STIs, even if you don’t have symptoms. Many STIs can be asymptomatic, and early detection is crucial for effective treatment. Testing typically includes:
- Blood Tests: For HIV, syphilis, and hepatitis.

- Swabs: For gonorrhea and chlamydia.

3. Monitor Symptoms: Keep an eye on any changes in your symptoms. If the bumps become painful, change in color, or if you experience additional symptoms like discharge, fever, or increased pain, seek medical attention promptly.

Preventive Measures
1. Safe Sex Practices: Always use protection, such as condoms, during sexual activity to reduce the risk of STIs. Ensure that both partners are aware of each other’s sexual health status.

2. Communication: Discuss any concerns with your partner. Open communication can help both of you feel more comfortable and informed about your sexual health.

3. Hygiene: Maintain good genital hygiene. After sexual activity, clean the area gently with mild soap and water to prevent irritation.

Conclusion
While it’s normal to feel anxious after your first sexual experience, it’s essential to take proactive steps regarding your health. If you’re still worried about the bumps or any discomfort, don’t hesitate to seek further medical advice. Remember, early intervention can make a significant difference in managing any potential health issues.

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