Sexually Transmitted Diseases/Possible STD or maybe Yeast infection


Calloused looking head
Calloused looking head  

Red spots on head
Red spots on head  
I am a 20 year old male from Los Angeles

About 3 months ago I had unprotected sex with a woman. Shortly afterwards I noticed the head of my penis was itching. It itched for a few days then the itching subsided a bit. But occasionally it will itch again. I've also found that I have a few red bumps on my penis. They don't contain any fluid nor do they hurt at all. Almost all of the bumps are invisible when my penis is flaccid except for a few. I find I often have thick cheesy like material under my foreskin, and when I masturbate the meatus region gets very calloused and wrinkled looking like I've included in the images. I have never had any burning during urination. I also have these 3 red bumps bunched together on the left side of the area of the head near the frenulum I was wondering if that is anything to be concerned about they don't itch or hurt either and they aren't fluid filled either.

Please help me I'm losing my mind over this! I suspect it may be balanitis or yeast infection and I read somewhere that yeast infection may be an indicator of a weakened immune system so I tested for HIV two days ago and it was negative but I haven't tested for anything else. I haven't yet seen a doctor about this.

Hello Jacob,
You may have a mild irritation of the glans and foreskin called "balanitis" with the usual cause being a skin fungus. NOTHING to freak about. Use a topical cream for athlete's foot, such as terbinefine (Lamisil), tolnaftate (Tinactin), miconazole (Micatin). Clean the skin when showering daily, with just plain water, no soap, and after fully dried, apply the cream. Give yourself a week or two of this therapy, and everything should return to normal. It is NOT a STD. And it is certainly nothing to lose your mind over. Yeast balanitis is NOT usually associated with a weakened immune system; thrush (which involves the mouth and throat), may be.  That's why you should see a knowledgeable health care provider, who can reassure and inform you.

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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