AboutMark Behar Expertise Almost any question or concern about sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), gay men's health issues.
Experience Family Practice PA since 1981;
Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answer STD questions submitted to their web site.
Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.
Organizations Distinguished Fellow, American Academy of Physician Assistants; Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.;
Wisconsin Academy of Physician Assistants;
Florida Academy of Physician Assistants;
American Society of Colposcopy and Cervical Pathology (ASCCP)
Publications Journal of the American Academy of Physician Assistants (JAPA)
Education/Credentials Physician Assistant Certified, since 1982;
Masters in Physician Assistant Studies;
Colposcopy Recognition Award, American Society of Colposcopy and Cervical Pathology (ASCCP);
Awards and Honors Colposcopy Recognition Award (CRA), from the American Association of Colposcopy and Cervical Pathology
Past/Present Clients Brady East STD Clinic, Milwaukee, WI
Question In the past I had unprotected sex. Although there is no pain, recently I have noticed while urinating a small red rash or red dots appear on the end of my penis. Any suggestion to what this may be will be gratefully received.
GRAHAM 29 DURHAM UK
Answer Hello Graham,
You need to provide me with more details about your symptoms:
Provoke-- occurred only after urinating? etc.
Quality-- itchy? numb? you already said it wasn't "painful". swelling? how big are the red dots-- 1-2mm? elevated or totally flat? waxy? etc.
Region-- under foreskin (do you have a foreskin?), on underside? on head or shaft? spreading at all? etc.
Severity-- symptoms mildly annoying, or just cosmetic? etc.
Temporal qualities-- Duration of "rash"; how soon did they appear after having sex or urinating? etc.
Associated factors-- been camping in the woods? recent oral, anal, or vaginal sex? inadequate lubrication during sex? new cosmetics or soaps? etc.
The information you provided isn't enough to figure out much of anything. It could be a normal variation, it could be a mild irritation. It could be the sign of a skin condition. It doesn't sound like the usual presentation of an STD, though.
