Skin Rashes and Health Concerns in Young Adults

Please ask your question?

Hello, I previously visited a urologist because I am still a virgin and have no experience with sexual activities.
The doctor mentioned that the most likely cause of my issue was bathing in hot springs, as I go twice a month, or it could be due to poor hygiene related to smegma, which I hadn't cleaned properly, leading to an infection.
I developed a lump, and after surgery, the doctor said it was a wart, but it hasn't recurred in over a year.
Additionally, for insurance purposes, I went to a family medicine clinic to get tested for HIV and other STIs.
Although I have never engaged in sexual intercourse, I was worried about possibly contracting something.
The test results came back negative.

However, I sometimes have one or two pimples on my shoulders, and I recently read that such symptoms could indicate a rash.
Should I get tested again, or is it something I shouldn't worry about? The previous doctor interpreted my negative result and advised me not to spend more money on tests, stating that at just under 18 and with no sexual experience, the likelihood of infection is zero.
He said I should be reassured by the negative result.

Now, I'm unclear about what the rash could signify.
I have experienced similar issues in the past, with only one or two spots that would go away after applying medication.
A dermatologist previously said it was just simple folliculitis.
I haven't had any fever or other pain.
My mother mentioned that it could be due to wearing too many clothes, as she also experiences folliculitis.
I would like to ask for your opinion, doctor.
Thank you.

Yan, 10~19 year old female. Ask Date: 2020/12/24

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on the situation you described, it is likely that you are experiencing folliculitis.
As for sexually transmitted infections, if you have not engaged in sexual activity, it is almost impossible for you to contract an STI, so there is no need to worry.
Thank you for your question.

Reply Date: 2020/12/24

More Info

Understanding skin rashes and health concerns, especially in young adults, can be quite complex. It’s essential to approach these issues with a clear understanding of the underlying causes and appropriate management strategies.

From your description, it seems you have had a history of skin issues, including a previous diagnosis of a condition referred to as "菜花" (which translates to "cauliflower" and is often used to describe genital warts caused by the human papillomavirus, or HPV). It’s reassuring that you have not experienced a recurrence of this condition for over a year, which suggests that your immune system is managing well.
You mentioned that you sometimes develop a couple of pimples on your shoulders, which you are concerned might be indicative of a more serious condition. However, based on your previous consultations, it appears that these could be simple folliculitis or acne, which are common skin issues, especially in young adults. Folliculitis occurs when hair follicles become inflamed, often due to bacteria, irritation, or blockage. It’s not uncommon for individuals to experience these types of skin issues, particularly if they wear tight clothing or do not maintain proper hygiene.

Regarding your concerns about HIV and other sexually transmitted infections (STIs), it’s important to note that the risk of contracting such infections is significantly lower in individuals who have not engaged in sexual activity. Your previous tests were negative, and given your lack of sexual experience, the likelihood of having contracted an STI is minimal. However, if you continue to experience anxiety about this, it might be beneficial to have a follow-up consultation with a healthcare provider for peace of mind.

As for the skin rashes you are experiencing, here are some recommendations:
1. Hygiene: Ensure that you maintain good hygiene, especially in areas prone to sweating and friction. Regularly washing your skin with a gentle cleanser can help prevent the buildup of oils and bacteria that contribute to acne and folliculitis.

2. Clothing: Wear loose-fitting clothing made from breathable fabrics to reduce irritation and allow your skin to breathe. Tight clothing can trap sweat and bacteria, leading to flare-ups.

3. Moisturizing: If your skin tends to be dry, consider using a non-comedogenic moisturizer to keep your skin hydrated without clogging pores.

4. Avoid Picking: Refrain from picking at or squeezing pimples, as this can lead to further irritation and potential scarring.

5. Consult a Dermatologist: If your skin issues persist or worsen, it would be wise to consult a dermatologist. They can provide a more accurate diagnosis and recommend appropriate treatments, which may include topical antibiotics or other medications.

6. Monitor Changes: Keep an eye on any new symptoms or changes in your skin. If you notice any unusual growths, persistent rashes, or other concerning signs, seek medical advice promptly.

In conclusion, while your concerns about skin rashes and health are valid, it seems that your current symptoms are likely manageable with proper care and attention. Regular check-ups with healthcare providers can help ensure that any potential issues are addressed early on. Remember, maintaining a healthy lifestyle, including a balanced diet, regular exercise, and adequate hydration, can also contribute positively to your skin health.

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