Penile Bumps: Causes and Concerns After Oral Sex

Q: Penile Bumps: Causes and Concerns After Oral Sex

Hello： If there are no sexually transmitted infections, it is likely a common infection. <br>Maintain cleanliness and dryness. <br>If there is no improvement, seek medical attention. <br>(If it is genital warts, they will grow larger but will not turn red.) Wishing you good healt

Pearly penile papules?

I would like to ask the doctor, after having oral sex with a sex worker in early April, I was diagnosed with candidal balanitis at the end of May.
Today, I noticed a bump on the mid-shaft of my penis that looks like an acne pimple.
However, all other tests conducted at the end of May were negative.
What could this situation be? Is it possible that it is another disease? Thank you, doctor.

Mr. Lu, 20~29 year old female. Ask Date: 2019/06/08

Dr. Du Shixi reply Urology

Hello: If there are no sexually transmitted infections, it is likely a common infection.
Maintain cleanliness and dryness.
If there is no improvement, seek medical attention.
(If it is genital warts, they will grow larger but will not turn red.) Wishing you good health.

Reply Date: 2019/06/08

More Info

When it comes to penile bumps and concerns following oral sex, it's essential to approach the situation with a clear understanding of potential causes and implications. Based on your description, it seems you have experienced a previous diagnosis of candidal balanitis (yeast infection of the glans) after engaging in oral sex with a sex worker. Now, you are noticing a bump on the shaft of your penis that resembles an acne pimple.

Firstly, it’s important to recognize that the appearance of bumps or lesions on the penis can arise from various conditions, some of which may be benign, while others could indicate an infection or sexually transmitted infection (STI). Here are some possible explanations for the bump you are observing:
1. Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the genital area. It often appears as small red or white bumps and can be caused by irritation, friction, or infection.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are a normal anatomical variant and are not associated with any disease or infection.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may not always be painful or itchy but can be concerning due to their association with STIs.

4. Herpes Simplex Virus (HSV): If the bump is painful, blister-like, or associated with other symptoms (such as itching or burning), it could be a sign of a herpes outbreak. Oral sex can transmit HSV, especially if the partner has an active outbreak.

5. Other STIs: Other infections, such as syphilis or molluscum contagiosum, can also present with bumps on the genital area.
Given that you had a negative STI screening in May, it is possible that the bump is not related to an STI, especially if it has appeared recently. However, it is crucial to monitor the bump for any changes in size, color, or associated symptoms (such as pain, itching, or discharge).

Recommendations:
1. Consult a Healthcare Provider: It is advisable to see a healthcare professional, preferably a urologist or a dermatologist specializing in sexual health. They can perform a physical examination and may recommend tests to determine the nature of the bump.

2. Avoid Self-Diagnosis: While it can be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or misinterpretation of symptoms.

3. Practice Safe Sex: To reduce the risk of STIs, always use protection during sexual activities, including oral sex. This is particularly important if you are unsure of your partner's sexual health status.

4. Monitor Symptoms: Keep track of any changes in the bump or any new symptoms that may arise. This information will be helpful for your healthcare provider.

5. Educate Yourself: Understanding the various STIs and their symptoms can empower you to make informed decisions about your sexual health.

In conclusion, while the bump you are experiencing may not necessarily indicate a serious condition, it is essential to seek medical advice to rule out any potential issues. Early diagnosis and treatment can help prevent complications and provide peace of mind.

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