July 11, 2019 at 9:29 am #43446
Otherwise healthy, 29yo white male, uncircumcised
No history of STI
Monogamous relationship for 1.5 years w/ partner who had oral cold sores (HSV-1)
After breakup 4 months ago, 4 partners in ~3 months, in this sequence
– Tested, no STIs, no HSV testing
– 1 one time, protected sex, no oral (Partners A, B)
– 1 multiple times unprotected sex w/ unprotected oral (Partner C) — usually ~1week in between protected sex w/ unprotected oral (Partner D)
Known information about partners:
A, B, D, nothing
C (friend) was tested before we began having sex, no STIs detected but no HSV testing done, had 2 recent monogamous partners so generally trust her. History of UTIs.
Incident of concern:
– Last week multiple days of unprotected sex with Partner C
– 1 day after final intercourse (particularly intense) I noticed some tenderness on my penis around the shaft below the head.
– Washed and noted some peeling, put some Eucerin cream on it and left it overnight
– AM I noticed more tenderness and peeling, continued to wash away skin
– Later in afternoon noticed some red rash with a couple small pimple resembling bumps, no pain or tenderness (photo https://ibb.co/BygLfGz). Bumps mostly above penis, around pubic bone area
– Washed and left as is
– Washed shaft again and the peeling was mostly done, tenderness still there but no pain
– Decided to get a full panel of STI tests via STDtest.com doctor via LabCorp
– Went to Physician Assistant walk in appt, got fluid sample taken from the 3 small bumps, not much/any fluid draining, sent for HSV testing
– PA said peeling consistent with balanitis, recommended Antifungal
– Contacted Partner C – she noted some itching but not concerned, will see Dr
Day 4 (Today)
– No results yet on tests
– Using lotrimin on shaft
– No change in bumps/redness
– do bumps seem like HSV?
– anything else I can do?
July 11, 2019 at 9:45 am #43447
This completely sounds like balanitis to me as well. The peeling and sloughing of skin as well as little red bumps are the key diagnostic component. This sounds absolutely nothing like herpes to me. You could do antibody testing if you want a clearer picture, but it isn’t going to reflect the input of your most recent contacts.
July 11, 2019 at 10:07 am #43448
OK thank you.
The Physician’s Assistant indicated that balanitis is typically on the shaft/head, and the redness/bumps at the base of the genitals (seen in the photo I provided) aren’t typically associated with that condition. This lead to the question of if those bumps would be something else. Online (a scary place) I haven’t seen photos/explicit descriptions of bumps of that nature being associated with balanitis. Is there a suspected cause for these? Or does balanitis not follow as strict of symptoms as the PA described.
Thanks for being a resource 🙂
I’ll update the forum based on my testing results.
July 11, 2019 at 2:42 pm #43452
Well, that’s correct, balanitis is mostly seen on the head of the penis, not the shaft but fungal infections, like those that cause balanitis, can be seen on the shaft of the penis as well. Disconcerting that the antifungal hasn’t worked but perhaps it is too early. However, with that clarification of location, I think it is wise that testing was done of the bumps for herpes but I would be surprised if it came back positive but good that it was done anyway. Do you know if partner C has been tested at all for herpes since all of this started? Please keep me updated on the results of any testing.
July 11, 2019 at 2:51 pm #43455
Just got good news.
Negative results back on HSV-1 and 2 testing from the PA’s topical sampling of bumps.
Negative results back on blood/urine testing for 10-panel STIs. HSV was tested for using IgG.
Partner C was not tested for HSV most recently but also showed no signs of it (at this time and prior to this).
While no testing is perfect, so far all signs point to the rash/bumps being just irritation, likely due to balanitis, which is a relief.
Anything you’d suggest in closing? Should partner C get tested? or does that seem unnecessary?
Thanks for the guidance.
July 11, 2019 at 2:54 pm #43457
good news, I didn’t think it would be positive, given all you said.
I don’t think there is anything else to do right now, no. If things change go in to see your clinician but for now, I think you are OK
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- This reply was modified 1 month, 2 weeks ago by Terri Warren.
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