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Sexually Transmitted Diseases/fordyce spots or molluscum contagiosum

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penil shaft
penil shaft  
penil shaft
penil shaft  
QUESTION: Hi, I'm a 30 years old men.
I have 5-6 small white pimple on my penil shaft.
Do you think it's molluscum contgiosum , fordyce spots?
They are painless, they are non-itchy.

I have them since 3-4 weeks and I can see that there are 2-3 that start to grow on the other side of my penil shaft.

ANSWER: Hello Alex,
I don't think they are either molluscum contagiosum or fordyce spots. They look like small sebaceous cysts-- oil glands that created a cystic structure on the skin, and don't do anything (no itch, no pain or discomfort, don't interfere with erections or sex, etc.).  Apply moist heat to the area and massage the skin to try to disrupt the plugged oil glands. If no benefit after a few weeks of trying, than you may wish to visit a dermatologist, who can apply a treatment to make them resolve.

These are merely nuisance bumps, and are not related to any STD.

Good luck!
--mark


---------- FOLLOW-UP ----------

penil shaft
penil shaft  
penil shaft
penil shaft  
QUESTION: Thank you for your answer.

On the other side of my penil shaft I have very small pimples that were not there 1 week ago.

ANSWER: Hello Again, Alex,
Skin blemishes come and go day-by-day on all areas of the skin, including the face, and penis. They may be pimples, hair bumps, retained oil glands, or rashes from other causes. Apply a moist heat compress to the affected area, and it should resolve in a week or so.

Good luck!
--mark


---------- FOLLOW-UP ----------

bumps
bumps  

bumps
bumps  
QUESTION: I have 4-5 new bumps and I'm stressed .
I took few pictures from an other angle.

Answer
Hello Again, Alex,
Your 4-5 new bumps may still be sebaceous glands as mentioned above.  New photographs were not transmitted. There is nothing to stress about.  If you feel you need to see a doctor, find a dermatologist, who may have some options to correct these cosmetic blemishes.

Good luck!
--mark  

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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

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