You are here:

Sexually Transmitted Diseases/flat white spots/discoloration follow-up


first photo
first photo  
Hi Mark,

I recently asked you a question regarding this image. it won't let me ask a follow up for some reason, I've re-attached the photo. I went and was tested for every STD imaginable and came back with the news that I didn't have any. Went and did blood test and came back negative for herpes as well.

The doctor at the clinic told me nothing was wrong at all and that as you get older, your skin can change pigment. I'm asking for a second opinion, is there any type of cream/lotion I can put on this spot to make it disappear/fade/vanish? It just looks unsightly, maybe I'm obsessive but is there anything at all that I can do?

Am I worrying over nothing?


Hi Jon,
The fur color of pet dogs and cats gives the animals distinctive and individual character, and human skin does similar things!  The skin of the penis, like everywhere else, may have many cosmetic irregularities, including thinning and thickening, increased or decreased pigment, appearance of what looks like bumps, etc. Your penis looks fine, aside from this mild cosmetic variation, which gives your penis a unique character and appearance.

There are creams that can increase or decrease pigment (if pigment cells exist in that part of the skin), as well as tattoos that may be applied for more permanent coverup. However, a far better option is to just accept that the skin is uniquely you, and that is all there is to it. If your obsessiveness becomes disruptive, than you may wish to speak with a therapist.

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.

[an error occurred while processing this directive]