Itchy Red Spots on the Penis: Causes and Treatment Options

Q: Itchy Red Spots on the Penis: Causes and Treatment Options

Hello： 1. What type of skin disease is this? → This platform cannot provide a diagnosis; it is recommended to seek medical attention. 2. If I need to see a doctor, should I go to a dermatologist or a urologist? → Either is acceptable. 3. Can I buy medication o

Itching on the penile skin?

Initially, I experienced itching in the buttocks, followed by a raised red spot that appeared on the inner thighs and beneath the scrotum, which was very itchy.
Recently, I noticed red spots on the glans that resemble acne, and now these red spots have turned into blisters that are neither itchy nor painful.
Additionally, small red spots have emerged, and the areas on the inner thighs and beneath the scrotum continue to itch, with occasional itching on the skin of the penis.
I would like to ask the doctor what kind of condition this might be.
Given the current severe pandemic situation, I am hesitant to visit a doctor.
The initial red spots on the glans were noticed a few days after oral sex with my wife.
My questions are: 1.
What type of skin condition could this be? 2.
If I need to seek medical attention, should I see a dermatologist or a urologist? 3.
If I don't see a doctor, can I buy over-the-counter medication to apply? What type of medication would be most appropriate?

Ayou, 30~39 year old female. Ask Date: 2021/07/02

Dr. Du Shixi reply Urology

Hello: 1.
What type of skin disease is this? → This platform cannot provide a diagnosis; it is recommended to seek medical attention.
2.
If I need to see a doctor, should I go to a dermatologist or a urologist? → Either is acceptable.
3.
Can I buy medication over the counter at the pharmacy without seeing a doctor? What type of medication is better? → It is not recommended; you should see a doctor first.
Currently, wear loose-fitting underwear, avoid soap, and clean with water, then dry thoroughly.
If any wounds appear, pay attention to wound care.
Try to keep the area dry.
Wishing you good health.

Reply Date: 2021/07/02

More Info

Itchy red spots on the penis can be concerning and may arise from various causes. Based on your description, it seems you are experiencing a progression of symptoms that started with itching in the buttocks and has now involved the inner thighs, scrotum, and glans (head of the penis). The appearance of red spots that resemble pimples and the subsequent development of blisters can indicate several potential conditions.

1. Possible Causes:
- Contact Dermatitis: This is an allergic reaction that can occur due to irritants or allergens, such as soaps, detergents, or even certain fabrics. It can cause redness, itching, and sometimes blisters.

- Fungal Infections: Conditions like candidiasis (yeast infection) can lead to red, itchy spots, particularly in warm, moist areas like the groin.
- Bacterial Infections: Folliculitis or other bacterial infections can cause red bumps or pustules on the skin.

- Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or genital warts, can present with red spots or blisters on the genital area.

- Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are often mistaken for an infection.

2. When to Seek Medical Attention:
- Given the symptoms you describe, it is advisable to consult a healthcare professional. While the current pandemic may make you hesitant to visit a doctor, many clinics offer telehealth services, which can be a safe way to discuss your symptoms without an in-person visit.

- You should consider seeing a dermatologist for skin-related issues or a urologist for concerns specifically related to the genital area. Both specialists can provide appropriate evaluations and treatments.

3. Over-the-Counter Treatments:
- While it may be tempting to self-treat with over-the-counter medications, it is crucial to identify the underlying cause of your symptoms first. If you choose to use topical treatments, consider:
- Antifungal creams (like clotrimazole or miconazole) if you suspect a fungal infection.

- Hydrocortisone cream for inflammation and itching, but use it sparingly and not for prolonged periods.

- Antihistamines can help alleviate itching if the cause is allergic.

4. Precautions:
- Avoid sexual contact until you have a clearer understanding of your condition, as some infections can be transmitted to partners.

- Maintain good hygiene by keeping the area clean and dry, and avoid using harsh soaps or products that may irritate the skin.

5. Conclusion:
- It is essential to get a proper diagnosis to ensure effective treatment. While self-medication can provide temporary relief, it may not address the underlying issue, which could lead to complications if left untreated. If your symptoms worsen or do not improve with over-the-counter treatments, please seek medical attention promptly.

In summary, while you may be experiencing discomfort and uncertainty regarding your symptoms, it is crucial to prioritize your health by consulting a healthcare professional who can provide a proper diagnosis and treatment plan.

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