Sexually Transmitted Diseases/dry ulcer on penis no sex for 1 year

Advertisement


Question
dry "ulcer"?
dry "ulcer"?  

not white when dry
not white when dry  
3 weeks ago I found a dry , painless, ulcer-like thing, around 8mm long and 3mm wide with ever so slightly raised red borders. I mentioned ulcer-like because it only turns white when its wet and almost unnoticeable when dry, except for the red borders. I showed it to my family doctor and she gave me Foskina (Mupirocin Betamethasone Dipropionate). I also tested negative for syphilis blood test. I haven't had sex for more than a year (14 months), so I was wondering what could this be? I have been masturbating frequently, reusing a handkerchief to wipe my semen off, i mentioned that cause the day after, a lump appeared and flaked off and reappeared as an "ulcer" after a week. Please Help me, i think my doctor seems inexperienced with these kinds of situations.

Answer
Hello Tom,
Combination antibiotic-steroid creams/ointments are never a good idea, in my opinion, as one is for skin infections, and one is a strong anti-inflammatory/steroid.  Betamethasone is RARELY needed or should be used on the skin of the penis, as long term use may cause chronic and irreversible changes in the skin. Any why an antibiotic, if an infection is not present?

It would be helpful to know if you have any other skin rashes or conditions, or take any medications for anything else. Any itchiness of this particular bump, or any bug bites?  The bottom line, is that it probably is NOT related to an STD.

Good luck!
--mark  

Sexually Transmitted Diseases

All Answers


Answers by Expert:


Ask Experts

Volunteer


Mark P. Behar

Expertise

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!

Experience

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.

Organizations
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)

Publications
Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Education/Credentials
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

©2016 About.com. All rights reserved.