Sexually Transmitted Diseases/rash



about 6 months ago i noticed a rash on my glans. it is red, not itchy, and has spots that you notice more when erect. treatment ive used so far:
clotrimazole 1% for about 2 weeks- it helped but did not resolve issue.
clotrimazole 2% for about 3 weeks- again helped but didnt work.
lamisil for 2 weeks- again helped but did not work.
i then left it for about 3 months to see if it would go on its own, the condition didnt worsen or get better.
i am currntly using lamisil again for 3 weeks so far and on my glans it is getting better
im un circumcised and has had NO sexual contact what so ever.
ive also nnoticed a rash on my foreskin recently and have to been treating it with lamisil and it has seemed to help slightly. but even just moisterizing seems to help
as for the rash on my foreskin, should it be left alone to dry out and resolve itself?
how should i treat the rash on my glans?
i also have eczema on my arms if that is any help.
many thanks.

Hello George,
Since you have tried several different antifungal creams without benefit, and you do have eczema elsewhere, I think I would try a trial of a steroid cream which would be appropriate for such a skin condition. I do not know what is available in Great Britain, but I would try a medium strength steroid cream which may need a prescription from the doctor.  It does not look or sound like a herpetic infection, and HPV/warts generally do not have a red base.

Good luck!

Sexually Transmitted Diseases

All Answers

Answers by Expert:

Ask Experts


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

©2017 All rights reserved.