Red spots on penis (glans and shaft)

[allen77]

Forgive me, I have posted this question on the regular forms but wanted to get professional advice.

A few years ago I had a breakout of some kind, on two separate occasions in which they were pretty close together, of a cluster of small red spots with a black center maybe a day or two after sex. Almost looked like thorns within these red dots or just a black pinhole. I even recall an odor along with this breakout. They did itch slightly but not very painful at all. I want to say that I had a hard time urinating (with no pain) some days prior to these spots appearing. These spots would start to heal and turn into more of a flat, round, shiny, flesh colored circle then disappear all together on their own. I think where the answer may lie is that my girlfriend chronically had bacterial vaginosis.

I cannot recall the actual time frame of the results but I did test for HSV-2 shortly after the break out and the test did come back negative. The physician that saw me didn't do a swab and also was not sure what the break out was after doing a quick exam.

Does this at all sound like herpes? A reaction from the BV?

[Bhupinder Kaur, MD]

Hello,
Apart from blood work, you can also get a skin biopsy done from a dermatologist as it will help in confirming the diagnosis. If it is itchy then fungal infections need to be ruled out by means of a KOH examination of skin scrapings.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[allen77]

Thanks again for your reply...you answered my other one too and I appreciate it.

I do not recall the "sores" ever causing pain. I have oral herpes and I know how painful that could be plus the look and feel of it of course.

Waiting on my blood work. I can speculate all day long...need my results.

[Bhupinder Kaur, MD]

Hello,
Without examination, confirmation of a diagnosis is tough but it can be contact dermatitis, rash due to friction rub, folliculitis, cysts ,molluscum contagiosum(multiple, small, dome-shaped papules, often with a central depression or plug) or genital warts(caused by HPV infection).

if the bumps are painful then herpes sores is an important possibility.

I hope it helps. Take care and regards.

[allen77]

ok this was not meant to be posted here. Sorry.