Symptoms After Unprotected Sex: When to See a Urologist - Urology

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After engaging in unprotected sex, it is not uncommon to experience various symptoms that may cause concern. In your case, you mentioned observing deep red to purple lesions that are clustered together, located just below the glans (the head of the penis), which become visible only when you retract the foreskin. Importantly, you noted that these lesions are not painful or itchy, and your urination remains normal.

Given your symptoms, it is advisable to consult a healthcare professional, specifically a urologist. Urologists specialize in the urinary tract and male reproductive system, making them well-equipped to evaluate and diagnose conditions related to the penis, testicles, and urinary system.
The appearance of lesions or unusual growths on the genital area can be attributed to various causes, including but not limited to:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are a normal anatomical variant and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. They are sebaceous glands and are also harmless.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray growths. They may be painless but can sometimes cause discomfort.

4. Herpes Simplex Virus (HSV): While typically associated with painful blisters, some individuals may experience atypical presentations.
5. Other Infections: Conditions such as balanitis (inflammation of the glans) or other sexually transmitted infections (STIs) could also present with lesions.

6. Folliculitis: Inflammation of hair follicles can lead to red bumps that may resemble lesions.

Since you have engaged in unprotected sexual activity, it is crucial to rule out STIs, especially if there is any possibility of exposure to infections. While your symptoms may not currently be painful or bothersome, some infections can remain asymptomatic initially and lead to complications if left untreated.

When you visit a urologist, they will likely perform a physical examination and may recommend laboratory tests, including swabs or blood tests, to check for STIs such as chlamydia, gonorrhea, syphilis, and HIV. They may also consider a biopsy of the lesions if there is any suspicion of a more serious condition.

In summary, while your symptoms may not seem urgent, it is always better to err on the side of caution when it comes to sexual health. Early diagnosis and treatment can prevent potential complications and ensure peace of mind. Therefore, I strongly recommend scheduling an appointment with a urologist to discuss your symptoms and receive appropriate care.