Prepuce Sore – Yellowish Discharge

[maurij]

Hi Terri

I only engage in receiving oral sex. I do not have intercourse protected or otherwise as i am very paranoid of a broken condom.

My last encounter was on May 27 – the girl performed fellatio on me but her mouth was dry and while she was performing i felt a tingling sensation on the right side of my penis. The next day i felt the same area itch, and when i inspected i had to roll the foreskin back to reveal a sore, yellowish in nature on my prepuce a few cm’s below the head of my penis on the right side.

There was a thick yellowish/white discharge from the sore. I have suffered from Balanitis before (confirmed by a doctor) who had given me anti fungal, anti-inflammatory cream which i applied on the sore and the itching stopped immediately. I continued this treatment twice a day, after cleaning the area with warm water. Roughly 2 weeks later the sore was healed and only a slight redness remained – there was no scabbing to my knowledge. I had noticed some redness on the lower half of my glans and i assumed this to be caused by the irritation from the cream.

Just last Friday – i noticed my prepuce starting to itch again – when i inspected i saw the same sore with a thick, whitish discharge on the opposite (left) side of my prepuce noticeable when retracted. The first one appeared on the right side and was now healed bar some red patches.

Also i noticed that the lower half of the glans had reddened. So now i have a a band of red patches on the lower half of my glands and a single sore on the left side. I continued with the same ointment. The itching stopped immediately after application, just as the one before. The discharge also stopped. It has gotten noticeable better and no scabbing. I am just confused to have the same sore appear on one side, heal and then appear on the other side.

Please advise. I am an expat and there is no herpes testing in the clinics in my area. I have tested for other STD’s and they are negative.

• This topic was modified 5 years, 3 months ago by maurij.

[Terri Warren]

I would advise you to be seen immediately by any clinician– A herpes expert is not necessary– And have this lesion swab tested both for herpes and for syphilis and if necessary for staph and strep. You need to get this sorted out and as soon as possible

Terri.

[maurij]

Hi Terri

Where i am they do not do swab tests – and there is not HSV testing in my locale. Only a blood test for STD’s including syphilis were done. The doctor asked if the discharge was watery and i said it wasn’t – it was just sticky and whitish. He advised it probably not herpes and asked me to continue with the ointment. As of now there is no discharge and no swelling – just patches and i don’t feel any sort of tingling, itching or discomfort unless when i put pressure on the lesions. Also no blistering or scabbing.

For me to do a proper HSV test i have to wait until i get back state-side. What course of action would you recommend in the meanwhile. Also based on my exposure – receiving oral sex does it seem likely that this is genital herpes? I have not had intercourse in a very long time.

[Terri Warren]

Boy, it’s so difficult to know what is going on here but it worries me a bit. Bummer you can’t get swab testing done. When was the last time you received oral sex?

Terri

[maurij]

Hi Terri

The last time i received oral sex was on May 27 2018 – i felt the tingling on the underside of my foreskin as her teeth was making contact. I assumed it to be from the friction. The very next day – not even 24 hours later the area had a slight tingly sensation. Do herpes either HSV 1 or HSV 2 onset this quickly?

It not hard or painful for me to retract my foreskin and that’s when i noticed a single lesion but it wasn’t a typical looking blister and stringy white stuff was oozing in pin drop quantities. If i touched it with my fingertip and pulled it away the texture was very similar to string cheese.

The ointment helped – i am uncircumcised and i do have issues with balanitis, but this is the first time i have seen any lesions on the underside of my foreskin. The sticky discharge stopped in a couple of days along with the lesion healing. The same lesion appeared again on the other/opposite side about a inch and a half away under the prepuce a few days later

When i do receive oral sex sometimes the girl pulls the foreskin down so hard it causes tears on both sides, especially if its vigorous. Could these tears become infected with maybe a fungal reaction?

When i compare the lesions to literature online it looks very similar to balanoposthitis or plasma cell balanitis – they don’t hurt at all except for the mild tingling when the lesion first appeared.

As of now the area is just red patches on both sides. No scabs. I have also read that herpes will only form on one side of the genital area. Is this accurate?

All i can say now it seems to be pretty much healed ( no discharge, slight redness) as the cream works but i still am not sure about the underlying condition that caused it. I have also read that receiving oral only poses a risk for HSV 1 on the genitals and not HSV 2?

Let me know your thoughts and suggested course of action. Clinics here are not equipped with HSV testing kits/reagents and you are my only source for advice.

[maurij]

Hi Terri –

Just to give you an update on this i went to another STD clinic and the doctor inspected the area and stated the lesions are not herpetic.

He ordered a syphilis test which was also negative. He concluded that this is bacterial while looking at the discharge which has sperm like consistency and game me a shot of Gentamycin along with oral antibiotics. His diagnosis was candidiasis

Would you concur with this?

[Terri Warren]

I have no idea – sorry. without seeing the lesion and being able to do swab tests for various organisms, I just don’t know.

This is your final post on this subscription.
Terri

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