Urological Concerns: STDs Without Sexual Activity? - Urology

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Hello Dr.
Lin:
Q1.
Can you get a sexually transmitted infection (STI) without engaging in sexual intercourse?
Q2.
Recently, I have noticed small dot-like lesions on the glans, which are similar in color to the surrounding skin.
Initially, there was only a small area, but it seems to have increased after engaging in masturbation.
What could be the reason for this? They are not painful or itchy, and they do not resemble blisters that would burst; they are just small raised bumps.
Q3.
I have not undergone circumcision, but I can easily retract the foreskin.
Is it safe to apply talcum powder on the area and then retract the foreskin back?
Thank you, doctor, for taking the time to answer my questions.

Xiao Yu, 20~29 year old female. Ask Date: 2004/11/03

Dr. Lin Hexing reply Urology


Hello, Xiaoyu: 1.
The chance of contracting a sexually transmitted infection without sexual intercourse is very low.
2.
The small spots on the glans you described are normal and will become more noticeable with increased friction.
3.
If the foreskin can be retracted without being too tight, it is advisable to keep it retracted for better hygiene.

Reply Date: 2004/11/03

More Info


Hello,
Thank you for your questions regarding urological concerns and potential sexually transmitted diseases (STDs). Let's address each of your inquiries one by one.

Q1: Can you get STDs without sexual activity?
Yes, it is possible to contract certain STDs without engaging in traditional sexual intercourse. Some infections can be transmitted through skin-to-skin contact, sharing personal items (like towels or razors), or through oral sex. For example, herpes can be transmitted even when there are no visible sores, and HPV (human papillomavirus) can be spread through direct contact with infected skin. However, the risk of transmission is significantly lower without sexual activity compared to situations involving penetrative sex or oral sex.

Q2: I have noticed small, dot-like bumps on my glans. What could this be?
The appearance of small, dot-like bumps on the glans can be concerning, but it is important to note that not all bumps are indicative of an STD. These could be pearly penile papules, which are harmless and common in many men. They are small, white or skin-colored bumps that typically appear around the corona of the glans. However, if the bumps are new, changing, or accompanied by other symptoms (like pain, itching, or discharge), it is advisable to consult a healthcare professional for a proper diagnosis. Conditions such as genital warts, folliculitis, or other dermatological issues could also present similarly, so a medical evaluation is essential.

Q3: Is it safe to apply talcum powder to the glans and then retract the foreskin?
Using talcum powder or any powder on the genital area can be a personal choice for some individuals to reduce moisture and friction. However, it is crucial to ensure that the powder is safe for use in sensitive areas. Many healthcare providers recommend avoiding talcum powder due to potential health risks, including respiratory issues if inhaled and possible links to certain cancers. Instead, consider using cornstarch-based powders, which may be safer. If you choose to use powder, apply it sparingly and ensure that it does not enter the urethra. Always consult with a healthcare provider if you have concerns about hygiene practices or if you experience any irritation.

In summary, while STDs are primarily transmitted through sexual activity, certain infections can be contracted through other means. The bumps you are experiencing may or may not be a cause for concern, and it is best to seek a professional evaluation. Regarding the use of powder, consider safer alternatives and consult a healthcare professional for personalized advice.

If you have further questions or concerns, please do not hesitate to reach out to a healthcare provider for more detailed guidance tailored to your specific situation. Your health and well-being are important, and professional advice can help you navigate these concerns effectively.

Best wishes for your health!

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