Concerns After Unprotected Sex: Itchy Symptoms and Small Bumps - Urology

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On January 24th of this year, I had unprotected sexual intercourse due to a condom break.
Recently, I've been experiencing itching in the genital area, but I'm not sure if it's psychological.
Today, I noticed small continuous bumps, about 1mm in size, on the glans, but they are so small that I'm unsure if they were there before or if they have developed recently.
Here is a picture I took today: http://m.imgur.com/a/fH6BQ.
This was my first sexual experience, and my partner claims they have not had sexual intercourse in the past year and has no other physical discomfort.
Although I trust my partner, I would like to consult with you about this.
Thank you.

QQ, 10~19 year old female. Ask Date: 2016/02/08

Dr. Xu Weikai reply Urology


Hello, it appears that you may have a pearl adenoma.
As for the other itching symptoms, they could be due to other infections, such as fungal, candidal, or bacterial infections.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Please note that online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.

Reply Date: 2016/02/08

More Info


After experiencing unprotected sex due to a condom failure on January 24, you are understandably concerned about the symptoms you are currently experiencing, including itching and the appearance of small bumps on the glans of your penis. It is important to approach this situation with caution and seek medical advice, as sexually transmitted infections (STIs) can sometimes present with subtle symptoms.

Firstly, the itching you are experiencing could be attributed to several factors. It may be a sign of an STI, such as herpes or HPV, or it could be a reaction to irritation from soaps, lotions, or even friction. The small bumps you mentioned, measuring about 1mm, could potentially be pearly penile papules, which are harmless and common anatomical variations, or they could be indicative of an infection. Since you are unsure whether these bumps are new or pre-existing, it is essential to have them evaluated by a healthcare professional.

Given that this is your first sexual encounter, and considering the circumstances surrounding it, it is wise to get tested for STIs. While your partner claims to have had no sexual activity in the past year, it is crucial to remember that some infections can remain asymptomatic for extended periods. Testing for common STIs, including chlamydia, gonorrhea, syphilis, and HIV, is advisable. Additionally, testing for herpes simplex virus (HSV) may be warranted, especially if you develop any sores or blisters in the future.

The timeline for STI symptoms can vary significantly. For example, symptoms of chlamydia and gonorrhea can appear within a few days to a couple of weeks after exposure, while herpes symptoms may take longer to manifest. If you notice any sores, blisters, or persistent itching, it is crucial to seek medical attention promptly.

In terms of your current symptoms, if the itching persists or worsens, or if you notice any changes in the bumps, it is essential to consult a healthcare provider. They can perform a physical examination and may recommend tests to determine the cause of your symptoms. If an STI is diagnosed, appropriate treatment can be initiated, which is crucial for your health and the health of any future partners.

In the meantime, it is advisable to avoid any sexual activity until you have been evaluated and tested. This will help prevent any potential transmission of infections and allow you to address your symptoms without further complications.

Lastly, while it is natural to feel anxious about the situation, try to remain calm. Many STIs are treatable, and early intervention can lead to better outcomes. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional who can provide you with the necessary guidance and support. Your health and well-being are paramount, and taking proactive steps now will help ensure a healthier future.

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