Urological Infections: Risks and Concerns About Skin Lesions - Urology

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Infection issues


Hello doctor, I would like to ask if both parties do not have any sexually transmitted infections (STIs), can small wounds from acne potentially lead to an STI? Or is the infection the doctor mentioned referring to skin inflammation, etc.? If I have acne on my penis, is there a risk of it bursting during sexual activity? If it accidentally bursts, is the chance of contracting an STI high? Is the risk significant? Yesterday, I went to the clinic, and the doctor helped me extract the acne, which left it red; is this normal? Also, doctor, is syphilis primarily transmitted through sexual intercourse? Does one of the partners need to have syphilis for transmission to occur?

Nìmíng, 20~29 year old female. Ask Date: 2019/04/16

Dr. Du Shixi reply Urology


Hello: Lastly, I would like to ask if both parties do not have any sexually transmitted infections (STIs), can small wounds from acne potentially lead to STIs? --> No, the doctor mentioned that infections refer to skin inflammation, etc.
--> If there is skin inflammation and one has acne on the penis during sexual activity, is it likely to burst easily? --> It shouldn't be, acne is not that fragile.
If it accidentally bursts, is the chance of contracting an STI high? What is the likelihood of infection? --> From where could it be transmitted? If the sexual partner has an STI, is there a chance? Yesterday, I went to the clinic, and the doctor helped me extract the acne, and now it's red.
He said it would be red after extraction; is that normal? --> Yes, it's normal.
You should take care of the wound.
Doctor, is syphilis primarily transmitted through sexual activity? Does one person need to have syphilis for transmission to occur? --> Yes, sexual activity is the main route, and one person must be infected for transmission to happen.

Reply Date: 2019/04/16

More Info


Understanding urological infections and the risks associated with skin lesions, particularly in the context of sexual health, is crucial for maintaining overall well-being. Your concerns about the potential for sexually transmitted infections (STIs) arising from skin lesions, such as acne or pimples, are valid and warrant a thorough explanation.

Firstly, it is essential to understand that STIs are primarily transmitted through direct contact with infected bodily fluids or lesions. This includes sexual contact where there is an exchange of bodily fluids, such as during vaginal, anal, or oral sex. In the case of syphilis, for instance, the bacterium Treponema pallidum is transmitted through direct contact with syphilis sores, which are typically found on the genitals, anus, or mouth. Therefore, for syphilis to be transmitted, at least one partner must be infected.

Regarding your specific concern about the risk of infection from a pimple or acne lesion on the penis, it is important to note that while these lesions can be a source of discomfort and may become inflamed or infected, they do not inherently carry the risk of transmitting STIs unless they are in direct contact with an infected area or fluid. If you have a pimple that is squeezed or ruptured during sexual activity, the risk of infection increases if there is contact with an infected partner's bodily fluids. However, if both partners are free of STIs, the likelihood of transmission is significantly reduced.

When it comes to the redness and inflammation following the extraction of a pimple, this is a common reaction. Squeezing or popping a pimple can cause trauma to the skin, leading to temporary redness and swelling as the body responds to the irritation. It is crucial to maintain good hygiene after such procedures to prevent secondary infections, which can occur if bacteria enter through the open skin.

In terms of prevention, practicing safe sex is paramount. This includes using condoms consistently and correctly, which can significantly reduce the risk of STIs, including syphilis and others. Regular STI screenings for sexually active individuals, especially those with multiple partners, are also recommended to ensure early detection and treatment if necessary.

Moreover, if you notice any unusual lesions, persistent redness, or discomfort in the genital area, it is advisable to consult a healthcare professional. They can provide a proper diagnosis and treatment plan tailored to your specific situation.
In summary, while skin lesions like pimples can pose some risk during sexual activity, the actual transmission of STIs requires direct contact with infected fluids or lesions. Maintaining good hygiene, practicing safe sex, and seeking medical advice when needed are essential steps in managing your sexual health and reducing the risk of infections.

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