Genital Ulcers: Causes, Symptoms, and Concerns

Ulcers on the genital organs?

Hello: My boyfriend has developed an ulcer on his genitalia, located in the fold beneath the glans.
It progressed from discomfort to an ulcer in less than a week! Both my boyfriend and I are responsible individuals and have not been unfaithful; I also do not have any symptoms.
How could he have contracted this condition? He hasn't had a blood test, so we don't know if it's a sexually transmitted infection.

Xiao Nu Zi, 20~29 year old female. Ask Date: 2005/10/19

Dr. Hong Zhengsheng reply Dermatology

Dear Madam,
Based on your description, there are several possible skin conditions: 1.
Syphilis 2.
Drug rash 3.
Skin tumors 4.
Genital herpes (the above are more common skin diseases, and there are some that are rare or have not yet occurred in Taiwan).
I recommend that when you notice the symptoms described, you should promptly consult a dermatologist at a public hospital under the Department of Health in your city or county.
All of our physicians are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.
Sincerely,
Hong Zhengsheng

Reply Date: 2005/10/19

More Info

Genital ulcers can be a concerning symptom for both individuals and their partners, and understanding their causes, symptoms, and implications is crucial for appropriate management and treatment. In your boyfriend's case, the ulcer located on the underside of the glans (the head of the penis) could be attributed to several potential causes.

Firstly, it is essential to recognize that genital ulcers can arise from various conditions, including sexually transmitted infections (STIs), non-sexually transmitted infections, inflammatory conditions, and even trauma. Some common STIs that can lead to genital ulcers include herpes simplex virus (HSV), syphilis, and chancroid. Herpes typically presents as painful blisters that can rupture and form ulcers, while syphilis may start as a painless sore known as a chancre. Other non-infectious causes could include Behçet's disease, fixed drug eruptions, or even friction from sexual activity or tight clothing.

Given that both you and your boyfriend have maintained a monogamous relationship, it is understandable to question how he might have contracted an infection. However, it is important to note that some STIs can remain asymptomatic for extended periods, meaning that one partner may be infected without showing any signs. Additionally, certain infections can be transmitted through non-penetrative sexual activities or even through skin-to-skin contact.

In terms of symptoms, genital ulcers may be accompanied by other signs such as pain, itching, or swelling in the affected area. Systemic symptoms like fever, malaise, or swollen lymph nodes may also occur, depending on the underlying cause. It is crucial for your boyfriend to seek medical attention as soon as possible to obtain a proper diagnosis. A healthcare provider will likely perform a physical examination and may recommend laboratory tests, including blood tests and swabs of the ulcer, to identify the causative agent.

Treatment will depend on the underlying cause of the ulcer. For example, if the ulcer is due to a herpes infection, antiviral medications such as acyclovir can help manage symptoms and reduce the duration of outbreaks. If it is due to syphilis, antibiotics like penicillin are effective in treating the infection. Non-infectious causes may require topical treatments or other interventions based on the specific diagnosis.

In the meantime, it is advisable for both of you to refrain from sexual activity until a diagnosis is made and appropriate treatment is initiated. This will help prevent potential transmission of infections and allow for healing.

Lastly, it is essential to address any concerns about stigma or anxiety related to STIs. Open communication between partners is vital in navigating these situations, and seeking support from healthcare professionals can provide reassurance and guidance.

In summary, genital ulcers can arise from various causes, and it is crucial for your boyfriend to seek medical evaluation to determine the underlying issue. Early diagnosis and treatment are key to managing symptoms and preventing complications.

Similar Q&A

Understanding Painful Sores in the Genital Area: Causes and Concerns

Doctor, I've been experiencing some itching in my genital area since my period started a few days ago. I noticed some pain while urinating and it also hurts when I touch the area while showering. Upon checking with a mirror, I found several sores that look like mouth ulcers....

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it seems you may have a skin abrasion in the vulvar area. I recommend avoiding friction and simply patting dry after using the restroom to keep the area dry. However, you can take a sitz bath. Generally, it should improve within 2-3 days. If ther...

Understanding Multiple Ulcers on the Foreskin: Causes and Concerns

At the beginning of July, while on a flight, I may have accidentally sustained a penile injury due to the seating arrangement, but I didn't think much of it. On July 12 and 19, I had sexual relations with two partners, using condoms (but not during oral sex). On July 23, I b...

Dr. Du Shixi reply Urology
Hello: 1) The likelihood of balanitis is high, but sexually transmitted infections cannot be ruled out; a blood test is necessary for confirmation, though it is unlikely to be caused by events in July. 2) Any history of unprotected sexual activity poses a potential risk. 3) Maint...

Understanding Urethral Ulcers: Symptoms and Treatment Options

Hello doctor, I went to the hospital for an examination a few days ago, and the doctor informed me that I only have urethritis. However, despite taking my medication and applying the ointment, the area around my urethral opening is still red and swollen, and it looks like there a...

Dr. Du Shixi reply Urology
Hello: It is likely that both factors are involved. If there has been unsafe sexual behavior, please return for a follow-up (be sure to inform the physician about the ulcer and unsafe sexual practices). If there has been no sexual activity, try to keep the area dry and clean; if ...

Understanding Penile Ulcers: Causes, Symptoms, and Treatment Options

I have a lesion on my penis. I went to the hospital, and the doctor said it was an ulcer. However, after applying medication for two weeks, it hasn't healed. It is not painful or itchy, there is no discharge, and it hasn't grown larger. Could this be balanitis or penile...

Dr. Du Shixi reply Urology
Hello: If you have engaged in sexual activity, it is important to inform your physician. For ulcers that are difficult to heal, further examination is necessary, as visual assessment alone is not sufficient. It is recommended that you visit a urology department at a hospital. Cur...