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What are the causes of the black spots on my penile foreskin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have noticed some black spots on my foreskin. It is causing pain. I am concerned about whether they might be related to an infection or if they are normal?
Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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Hello,

I am glad you chose icliniq for your medical-related queries.

I understand your concern.

I have reviewed the picture (attachment removed to protect the patient’s identity). If there was unprotected sex, one should consider the possibility of a sexually transmitted infection. The following tests are recommended:

  1. TPHA (Treponema Pallidum Hemagglutination) test.
  2. Human papillomavirus (HPV) DNA (deoxyribonucleic acid) PCR (polymerase chain reaction) test.
  3. Herpes Simplex Virus (HSV) one and two IgG (immunoglobulin G).
  4. Herpes Simplex Virus (HSV) one and two IgM ((immunoglobulin M) serum.
  5. Chlamydia Trachomatis IgG test.
  6. HIV (human immunodeficiency virus) one and two antibodies screening test.
  7. HbsAg (Hepatitis B surface antigen) test.
  8. Urine complete.

If the situation does not involve unprotected sex, it could be a simple bacterial infection. In such cases, I suggest using Mupirocin ointment for local application and taking Doxy (Doxycycline) 100 mg tablets twice a day for five days. If you experience itching, consider the possibility of a fungal infection. For this, you can apply Candid B (a combination of Clotrimazole and Beclometasone) ointment locally and take a Cetirizine tablet once at night for itching relief. Consult your specialist doctor, discuss with them, and take the medicines with their consent. Make sure to wash your genitalia twice a day, in the morning and at night, using normal water (avoid using extremely cold or hot water). Also, refrain from using heavily pH-balanced soap.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Patient's Query

can i get a prescription ?
Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
hi I'm sorry prescription option only available in video consultation. kindly call customer service regarding prescription for chat consultation
Medically reviewed by iCliniq medical review team
Published At November 5, 2023
Reviewed At January 16, 2024

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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