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Forum Name: Urology Topics

Question: Black spot at base of pubic hair after sex followed by pain


 anonymous321 - Fri Nov 13, 2009 8:39 pm

Hello,

First of all, thank you in advance to anyone reading this post in an attempt to advise me.

7 weeks ago I had protected sex using a condom. This was the only time I've had sex in the last several years. Two days later I felt a minor pain in my groin area and discovered that it was coming from what looked to be a tiny black mound (small raised dot, like a black/purplish pimple but smaller) that had formed at the base of a pubic hair (which was at the base of my penis shaft). I should note that there was most likely skin on skin contact during the sex, and now I fear that I hadn't rolled the condom far enough down (the location where the black dot appeared wasn't covered by the condom). From that day onward, every so often I've been feeling a dull stinging pain in my penis and testicles. It also seems that my groin is more sensitive to heat, if I sit with a laptop above my groin (fully clothed) I soon feel minor pain in my testicles and groin. I also notice minor pain if I have a very full bladder. My testicles seem to be far more sensitive, if I sit with them squished or pressured, I seem to notice and feel pain far quicker and more acutely than I had prior to the sexual encounter. Several days after discovering the black dot I noticed a minor discoloration on the tip of my penis in two different spots.

In the following two weeks I underwent a comprehensive STD test (though I believe that herpes wasn't tested for) and the results were negative. My sexual partner also claims to have had a negative STD test approximately a month prior to our encounter and hasn't been with anyone since. I asked the doctor what she thought the small black mound at the root of a pubic hair was and she said she believed it to be something like an irritated hair follicle, or something along those lines, and said it was nothing to worry about.

Approximately two weeks after discovering the black spot it has faded, shrunk, is no longer raised, and is barely noticeable. But now it has been seven weeks and I've continued to experience pain and would very much appreciate any advice I can get. The minor discoloration on the tip of my penis also remains. I'm pretty certain that this is related to the sexual encounter, seeing as I noticed the spot and started feeling differently almost directly afterwards. The fact that I tested negative for STDs was nice, but I feel that something had definitely happened to me as a result of the sex. Is it possible that I got a bacterial infection? Please let me know if there is anymore information that I can provide and thanks again for reading.
 Dr.M.jagesh kamath - Wed Nov 25, 2009 3:28 am

User avatar Hello,It looks to me you are having an anxiety state than anything else.The description of the pimple is that of a folliculitis and should not cause you problems now that it has settled.The minor discoloration is best ignored.The only thing you need to do is to get tested again if you have been recommeded to do so by your heath provider, just to make sure you are free from any problem.Best wishes.
 anonymous321 - Wed Nov 25, 2009 3:59 pm

Thank you for your reply doctor.

From a reply that you'd written to another post, I learned of the inflammation urethritis and believe that this may be what I have. The pain I have in my testicles and groin has continued and my symptoms seem to be in line with urethritis (minor pain with a full bladder and when urinating, frequent urination, a tingling/burning sensation in my groin and testicles). Although minor, this pain is very apparent and definitely began immediately following my sexual encounter. I haven't had any discharge from the opening at the tip of my penis but at one point recently have had a small amount of thick white liquid that I squeezed out of a cone of skin on the shaft of my penis (similar to popping a pimple/whitehead). This small cone of skin sticks out right around the ring where my foreskin was circumcised, which I've had for as long as I can remember, and believe to be a result of my circumcision. In your opinion, does this seem in line with urethritis?

I plan on going to an urgent care center early next week to have my symptoms looked at, and to be tested again.

Thanks again for your reply.

Best,
Anonymous

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