Sexually Transmitted Diseases/Boyfriend

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My boyfriend of 8 months is complaining of itchy bumps on his penile shaft and around the base of the penis. They look as though they are coming to a head. However, he has been unable to "pop" any of them. I asked my gyno about the 1st picture I uploaded, she said it looked like molluscum contagiosum. I asked a nurse who used to work at Planned Parenthood about the 2 other pictures, she said it looked like pearly penile papules - but those only appear around the head of the penis. He also states there a few in his pubic hair.

Answer
Hi Kyra,

So after looking at the pictures for over 30 times, I think that they could be molluscum because they look a tad different from the typical inflamed sebaceous pores I normally look at. Molluscum appears in clusters and messing with them in anyway, by popping for example, will spread the virus to other areas. Which is why you leave them alone and if you chose to have intercourse, it has to be with a condom (or you will get it too). The good news with molluscum is that after the nodes heal, the immune system suppresses the virus forever and there are no more active outbreaks usually unless for some reason your boyfriend has a compromised immune system. Sometimes children get MC and then never get it again, but those who don't get it can get it as adults in the form of an STI. The main things to remember are never scratch, you an use a hydrocortisone cream applied lightly to the area to tone down the itchiness, you can even put tape over the area to help keep it safe from your fingernails if you want.

The best way to assess this, of course, is to have your boyfriend visit his primary care physician and to have a scrape to be 100% certain it really is MC instead of just clogged pores. Btw, there were some bumps at the bottom of the penis shaft that were whiteheads more so than nodes at the top of the shaft, but you still shouldn't pop them! Let me know if you have follow-up.

Cheers,

John

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John Brice

Expertise

Educated and certified in STI information, HIV and AIDS, and trained in comprehensive sex education for teens and young adults. Providing counseling in sexuality, sexual interests, and sexual orientations, pregnancy prevention, safer sex initiatives, and teaching health education seminars to adults ages 18-65 for the past 3 years. Serve underserved clients in homeless shelters, workplace readiness programs, and detention centers. Three term AmeriCorps domestic service volunteer and Peace Corps nominee for Health Service to Lesotho and Rwanda. Providing services to the GLBTQIA populations of which I am a member.

Experience

3 years as a volunteer Emergency Medical Technician (Advanced) for 3 years and comprehensive sex educator for 3 years and parenting educator for 3 years. *North Carolina State Certified Emergency Medical Technician, #P083512 *Certified Health Education Specialist, #22589

Organizations
*American Public Health Association *National Commission on Health Education Credentialing

Publications
American Public Health Association, Student Assembly, Quarterly Newsletter 2012-2014

Education/Credentials
*Doctor of Education (candidate), K-12 Teacher Leadership; Capella University *Master of Public Health, Social and Behavioral Sciences; Capella University *Master of Education, Curriculum and Instruction; Concordia University-Portland *Bachelor of Arts, Psychology and English; East Carolina University

Awards and Honors
Graduated with Distinction from Capella University AllExperts, Top Experts of 2014 (One and Multiple Categories)

Past/Present Clients
*Over 180 clients, lasting 30 sessions, in 5 locations during Florida service. *Over 150 clients, lasting 18 sessions, in 2 locations during South Carolina service.

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