Penile Ulcers: Causes, Symptoms, and Treatment Options - Urology

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Penile ulcers can be concerning and may arise from various causes, including infections, inflammatory conditions, and dermatological issues. Based on your description of white spots, pus, and itching at the base of the penis and pubic area, there are several potential diagnoses to consider.

1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial infection. It can present as red, itchy bumps that may develop pus. If the lesions are localized around hair follicles, this could be a likely cause.

2. Genital Herpes: This sexually transmitted infection (STI) is caused by the herpes simplex virus (HSV). It typically presents with painful blisters or ulcers on the genital area, which can be itchy and may ooze. Even with condom use, transmission can occur, especially if the virus is present on skin not covered by the condom.

3. Syphilis: This STI can cause painless ulcers known as chancres. These typically appear at the site of infection and can be mistaken for other conditions. A syphilis test would be necessary to rule this out.

4. Candidiasis (Yeast Infection): This fungal infection can cause itching, redness, and white patches or discharge. It is more common in individuals with compromised immune systems or those who are on antibiotics.

5. Contact Dermatitis: Irritation from soaps, lotions, or other products can lead to itchy, inflamed skin. If you have recently changed any personal care products, this could be a possibility.

6. Lichen Planus: This inflammatory condition can affect the genital area and may present as white patches or lesions. It is often itchy and can be chronic.

Given that you had protected sexual intercourse about a month ago, it is still possible to contract STIs, as condoms do not provide complete protection against all infections. The presence of pus and itching suggests an inflammatory or infectious process, which warrants further evaluation.


Recommendations:
1. Seek Medical Attention: It is crucial to consult a healthcare provider for a proper examination and diagnosis. They may perform a physical examination and possibly take swabs or samples from the lesions for laboratory testing.

2. Avoid Self-Diagnosis: While it is tempting to self-diagnose based on symptoms, many conditions can present similarly. A healthcare professional can provide a definitive diagnosis.

3. Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to refrain from sexual activity to prevent potential transmission of infections.

4. Maintain Hygiene: Keep the area clean and dry. Avoid using harsh soaps or lotions that may irritate the skin further.

5. Document Symptoms: Keep track of any changes in your symptoms, including the appearance of the lesions, any associated pain, or systemic symptoms like fever. This information can be helpful for your healthcare provider.

In conclusion, while folliculitis is a possibility, the symptoms you describe could also indicate a sexually transmitted infection or another dermatological condition. Prompt medical evaluation is essential for accurate diagnosis and appropriate treatment.