Sexually Transmitted Diseases/Abrasion Bump on Glans?

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Question
bump
bump  
I started dating a girl about a month ago. Around two weeks ago we began having unprotected sex. I haven't been with anyone before her for at least a year and in the interim I had a full std checkup and came back clean.

The other day I went on a two hour bike ride, then an hour later hour and a half workout, followed by swimming in a pool. I didn't change my wet underwear and athletic shorts so I was wearing tight wet cotton with vigorous movement for about 7 hours.

When I took off my shorts to take a shower I noticed this bump on the glans. It is raised, doesn't seem to be fluid filled, but if I squeeze it there is a very small amount of clear fluid that surfaces from all over what looks like the abrasion - similar to what I've seen in irritated ski - it does seem to have a very small abrasion on the surface. It doesn't itch and isn't uncomfortable at all.

I am just worried I've gotten herpes from her or its a genital wart or early canchroid or something. It doesn't seem to be composed of tiny blisters or be fluid filled like herpes. It also doesn't seem crusty like warts and came up what seemed like instantly. Is this an abrasion or some kind of bacterial infection? Would an abrasion on the glans raise up and be so defined like this?

I've put some liquid bandage on it to hopefully prevent it from getting irritated so it will go down.

Answer
Hello Aaron,
The "bump" does not look like herpes, chancroid, syphilitic chancre, or warts. It may be a mild friction burn from your recent physical activities, or a mild skin infection. I would apply moist warm compresses, followed by antibiotic ointment. See what happens, and if things get worse, let me know!

Good luck!
--mark  

Sexually Transmitted Diseases

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Mark P. Behar

Expertise

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!

Experience

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.

Organizations
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)

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

Education/Credentials
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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