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Sexually Transmitted Diseases/red spots on head of penis - painless, no itch


Hello sir. For the past few days I have noticed small red spots on the head of my (uncircumcized) penis. There is no feeling to them (no pain, no itchiness etc.), and they do not seem to change (though there seem to be a few more of them now than a few days ago). Most of them do not seem to be raised/bumps. I have been having unprotected sex lately with a single partner who has said she has no STDs.

Other than their appearance, I have not noticed any other symptom on my penis or anywhere else.

I plan to go to a doctor to be sure, but would love to get some input so I can relax a bit until I can see one. I am worried it's an STD.

I have an attached an image.

Thank you for any information.

Hi Pete,
Your problem is a common one, as evidenced by similar concerns expressed by other writers, and addressed elsewhere in this questions.  Uncirc'd penises seem to be more commonly effected, because there is a layer of unkeratinized epithelial cells that may partially wear away from friction during sex or exposure to mouth, vagina, or anus.  The small areas that are thinner, appear red. Not related to STDs. Use sufficient lubrication, such as a silicone based lube, and give yourself a few weeks for the skin to rebuild itself.  When washing, retract foreskin and use plain water, without soap, than gently dry. When urinating, pull back foreskin before peeing, urinate, then shake excess drops before returning foreskin, as urine may mix with germs usually found on the glans (head) that can slow the restoration of a normal looking penis.

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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