Skin Issues Near Genitals and Red Spots on Hands: What to Know - Urology

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There are growths on the skin near the genitals, and I have recently noticed some red spots on my hands?


Hello, doctor.
I would like to ask you a few questions.
First, I want to mention that I had a steady partner (but we haven't been able to meet recently).
Our condom use habits haven't been very good, and sometimes in the heat of the moment, we might not clean ourselves properly before engaging in sexual activity.

1.
About a month ago, I noticed a small raised bump near the skin around my penis (not on the penis itself) that was a bit itchy.
After scratching it a few times, it disappeared on its own.
Now, more than a month later, I occasionally notice a small red swollen area with a red dot on my arm every day.
After scratching it, the red dot breaks (with hardly any bleeding), and the swelling subsides after a few hours.
Could this possibly be syphilis or another sexually transmitted infection?
2.
Additionally, if I want to seek medical attention, should I just go to a general dermatology or urology clinic, or would it be more appropriate to visit a specialized STD clinic at a larger hospital?
3.
Lastly, I want to know if I am overreacting.
If it is indeed syphilis or another STD, at what point should I seek medical attention based on the symptoms?

Ali, 20~29 year old female. Ask Date: 2020/06/28

Dr. Du Shixi reply Urology


Hello: 1) Syphilis may have symptoms that disappear without treatment, but it is not as you described.
However, the premise of sexually transmitted infections (STIs) is that the sexual partner has an STI.
If you are concerned, STIs can be diagnosed through blood tests; they cannot be determined by appearance alone.
2) You can visit the urology department of a hospital, but it is recommended to inform the physician about your concerns in addition to describing your symptoms, so that testing can be conducted.
3) The manifestations of STIs can vary widely, but they often include urethral discharge, lesions or blisters on the genitals and surrounding areas, swelling, pain, and rashes.
Wishing you good health.

Reply Date: 2020/06/28

More Info


When it comes to skin issues, especially those near the genitals and on the hands, it’s essential to approach the situation with caution and awareness. Based on your description, there are several potential concerns that could be at play, and I’ll address each of your questions in detail.

1. Skin Issues Near Genitals: The small raised bump you experienced near your penis that was itchy and then disappeared could have several causes. Common possibilities include folliculitis (inflammation of hair follicles), genital warts (caused by HPV), or even a mild fungal infection. The fact that it resolved on its own is a good sign, but it’s crucial to monitor for any recurrence or new symptoms. If you notice any persistent changes, such as new bumps, sores, or unusual discharge, it’s advisable to seek medical attention.
Regarding the red, swollen spots on your arms that occasionally appear and then resolve, this could be a form of dermatitis or an allergic reaction, especially if they are triggered by scratching. However, the concern about sexually transmitted infections (STIs) like syphilis should not be dismissed entirely. Syphilis can present with various skin manifestations, including rashes, but these typically occur in stages and are often accompanied by other systemic symptoms.
2. Where to Seek Medical Attention: It’s wise to consult a healthcare provider if you have concerns about STIs or skin issues. You can start with a general dermatologist or a urologist, as they can evaluate both skin and genital concerns. If you feel more comfortable, visiting a specialized STI clinic or sexual health center may provide you with more targeted care and testing options. These clinics often have experience dealing with sensitive issues and can offer a more comprehensive approach to diagnosis and treatment.

3. When to Seek Medical Attention: It’s better to err on the side of caution when it comes to potential STIs. If you experience any of the following symptoms, you should seek medical attention promptly: persistent sores or bumps, unusual discharge from the penis, pain during urination, or systemic symptoms like fever or fatigue. Waiting for severe symptoms to appear before seeking help can lead to complications, especially with infections like syphilis, which can progress if left untreated.

In addition to these points, it’s essential to maintain good hygiene practices, especially in intimate areas. Using protection during sexual activity is crucial in reducing the risk of STIs. If you have concerns about your sexual health or practices, consider discussing them with a healthcare provider who can provide guidance tailored to your situation.

Lastly, remember that skin issues can often be multifactorial, involving environmental, allergic, and infectious components. Keeping a diary of your symptoms, including when they occur and any potential triggers, can be helpful for your healthcare provider in making an accurate diagnosis.

In summary, while your symptoms may not immediately indicate a severe condition, it’s essential to monitor them closely and seek medical advice if they persist or worsen. Early intervention can lead to better outcomes and peace of mind.

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