Hello doctor, First, I went to the doctor for extremely itchy scrotum that felt as if it had cuts in it and red spots on my penis that dry white. My itchy scrotum is now healed but I have got little cuts at the base of my penis and those spots will not go. He gave me scabies cream but I do not know if it is working. Is this an STD? I am scared. I am currently using Permethrin cream.
Hi. I have reviewed the attached photograph (attachment removed to protect patient identity) and I can see few red erosions at the base of the penis. They can be either an irritant reaction to something you have applied over the penis or due to herpes virus infection which is an STD (sexually transmitted disease). In herpes infection, there are small fluid-filled blisters to start with followed by erosions which are painful and heal over two to three weeks. To confirm herpetic infection you can go for ELISA (enzyme-linked immunosorbent assay) test, HSV 1 (herpes simplex virus), IgG, HSV 1 IgM, HSV 2 IgG, and HSV 2 IgM. In scabies, there is excessive itching on the body especially at night, positive family history of scabies and itchy red bumps on the body including penis and scrotum but cuts or erosions are not seen in scabies. On the erosions, you should apply topical antibiotics like Mupirocin or Neosporin (Neomycin) ointment. I hope this helps. Irritant, Herpes virus. ELISA for herpes virus. Irritant contact dermatitis. Herpes genitalis. Mupirocin ointment or Neosporin ointment. Wash the area with plain water, avoid soap on the affected area. After seven days.