Sexually Transmitted Diseases/Spot on genitals


Spots on Genitals
Spots on Genitals  
QUESTION: Hi I'm 19 years old. I have flat dark spots on the head of my penis. They are painless and have been there for about a year and a half. They haven't hurt me at all. The borders are irregular in shape. It appears a few more spots have shown up since I first noticed them a year ago. Could it be genital warts or melanoma possibly? There are also tiny little bumps all around my penis head that don't hurt at all. If u think you know what it is please let me know I'm nervous. Also I have never had intercourse but have given and received oral sex once which was 3years ago. I attached pictures. Thank you.

ANSWER: Hello Steve,
Melanoma of the penis is extremely rare, especially in a guy of your age. Go to and search for "melanoma" to find out about this skin cancer. You may also look up genital warts from this site as well. The image shown looks like a normal variation in the skin UNRELATED to anything like warts or other diseases or treatable conditions. All skin of the body may develop little blemishes that come and go.  Nothing to worry about!

Good luck!

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More spots
More spots  
QUESTION: Hi. Here are more spots. What might they be? And how do you think I can get rid of them?

Hi Again, Steve,
Those little dark spots are normal blemishes that sometimes happen.  They do NOT reflect anything abnormal or pathological. If you were to closely examine another body part, you may see similar types of benign blemishes. It does NOT reflect a sexually transmitted infection.  

Good luck!

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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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