Sexually Transmitted Diseases/Red dots on the glans and foreskin



Under glans and foreskin
Under glans and foresk  
Hi, my name is Johnny, I'm 24, from Brazil, and I'm uncircumcised, I have had sex without protection about 90 days ago, but since there I haven't had sex at all, these last 30 days I Have noticed these little red spots (some a little bumpy others not) on my glans and foreskin, in the beginning it was only 3 and only in the foreskin, next day I realized the number of dots had grown and had spread to the glans, fews days later it had spread to the whole glans, some more days it suddenly started disappearing without any treatment, when there was almost no dots, it started spreading all over again, I thought that it could be candidiasis balanits, so I started using an anti fungal ointment and it really helped, next day my glans was almost clear of the dots, but not completely as you can see in the pictures they are still appearing but a lot slower than before I started using  the ointment, here in Brazil it takes months until you can see a doctor so I'm still waiting for my appointment, I would really appreciate your opinion and whether you think it is serious or not, because I've almost gone crazy thinking about it. Thanks.

Hello Johnny,
The red spots do not appear to be related to STDs, but as you have benefited from the topical antifungal medication, I would continue using it.  You mentioned you haven't had sex recently, but does this include masturbation? The top layer of skin cells from the glans (head) and inner side of the foreskin are unkeratinized, and are easily dislodged during friction from sex or just normal day-to-day rubbing of penis against clothing. Keratin is a component of the skin that makes it drier and tougher, and less able to be disrupted or injured.  

It is NOT serious, but it is somewhat of a nuisance.  Nothing to worry about, just let things heal up by using plenty of lube (silicone is probably the best, although the most expensive) during sex. Wash with plain water, and use the antifungal as you have done.  

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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