Sexually Transmitted Diseases/BUmps on the penis head


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Hi Mark!!

My case is somehow similar with these cases below,

so I never knew when did these appear bcos I don't take much time looking at my genitalia but i noticed it once while watching porn and masturbating and i am so embarrassed now, and i've seen in the vid the male's dick which is kinda different when i compare it to mine so there i noticed the tiny bumps on mine and since then i was so worried i could die, i began researching and so i began to wonder if its herpes but then i found out that i couldn't get herpes bcos i never had intercourse in my life im only 17 still virgin so its kinda impossible to be herpes but it worries me alot so i attached some pics hope you could help thank you very much BTW merry christmas and happy new year.
and also some weird small pimple like at the back of my penis.

==> Andrei"

Hello Pete Andrei,
The two dermatology cases you listed offer excellent advice, and are from an expert. If  you are not sexually active with any other female or male, than you do not  have a sexually transmitted infection, which requires sexual contact with someone else to occur.

The photographs you have shared appear to be absolutely normal appearing skin. Even the second group of photos, with the bottom right one with a circled area of bumps, appear to be normal in appearance. Sometimes, adjacent to the "medial raphe" of the underside of the penis, there may be a cluster of very tiny ~1mm flat bumps. ("Raphe" is the line where the tissues merge when growing together during embryological development when cells are differentiating into different tissues and organ systems.) These flat bumps are normal variations in the skin-- not "weird small pimples", even though they may look like warts, which are caused by a sexually transmitted virus.

Good luck!

Sexually Transmitted Diseases

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered 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.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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