Blotchy red rash/irritated skin on penile head (lasted for over 3 moths now)?

I did have those pains for about the first year AFTER the HPV diagnosis, they went away eventually (mainly after my successful treatment for SIBO about eight months later). The weird thing is that I also suffered from chronic rib/ spine/ joint pain since the diagnosis of HPV that sporadically resolved once I recovered from the Shingles this year.

None of my doctors can explain that, it was like chronic inflammation that just went away. Perhaps that was due to the antiviral I took (1 gram of Valacylacor over 4 weeks) or perhaps my immune system just settled down. )

Not sure about phantom pains. Are they regular? Besides the phantom pains, are your symptoms purely cosmetic? How long have you gone without rubbing creams on?

i am just chiming in that i did experience "phantom pains" that are very subtle. i mainly feel these as a quick, sharp but subtle pain on one side of glans. it's so minor that im not even sure if its worth mentioning.

on a side-note... there appear to be 5 conventional drugs meant to deal w this (HPV): Kaletra, Tazarotene, Interferon, Imiquimod & 5-FU. Kaletra is an HIV drug... Tazarotene is another lesser known drug that some have used for HPV treatment. My dermatologist thinks four of these drugs are ineffective for dealing w HPV & a potential association w cancer in situ.

He says 5-FU is effective & is to be considered the atomic bomb when it comes to fighting HPV ( .He put me on it... & wow, it was quite an e experience to say the least. To him, 5-FU should only be employed when all other options have been exhausted. It wipes the skin clean by inhibiting malignant, pathological skin cells from reproducing by damaging their ability to make RNA. It's supposed to only target bad cells but... it seemed to go a little farther than that in my case. ive never been thru anything like that in my life, but i am glad i completed the treatment.

Does anyone like or dislike any of those 5 drugs for their experience in fighting HPV & the resulting visual symptoms of Erythroplasia of Querat (reddish skin on glans, possibly accompanied by small bumps or a single small wart)?

Why do you say you are glad you went through the treatment?

I ask because I thought you mentioned all symptoms came back after? Do you think if you used a better application schedule of the FU5 you could have avoided the chemical burns and possibly beat this?

I have read of another guy who posted similar symptoms, used Imiquimod which also caused chemical scarring but cured him.

from the way you have described it, your condition sounds identical to mine. recently i have been getting a sharp but dull pain in my upper left thigh. I have also had some some random shooting pains in the genital region in the past, the exact location is hard to pin point though.

I disagree with the hpv theory as I have never had sex or any sexual experiences. I personally believe this is caused by bacteria hiding in the prostate. incase u are wondering I have been dealing with this for roughly 2 years now

I have thought about mycoplasma genitalium infection also. Nobody really tests for it in North America and it can cause unexplained Urethritis symptoms and Balanitis.

I know I have HPV symptoms going on down there too but they could be exagerated by an underlying infection which is preventing body from fighting the hpv.

Some of my symptoms are in fact suggestive of an irritated prostate also.

I think I will try and get some testing done for some of the lesser tested STD.

I believe the rash is an external representation of something that is occurring internally. in the early days of this nightmare I had an itch in my urethra almost constantly. all the symptoms I have had with this have been internal. the rash has never been itchy, irritated, etc. when the rash first developed I did notice a tingling or crawling sensation on the head of my penis but that is it. since then nothing. only internal issues. I am curious, when your rash first manifested did you experience a tingling/crawling sensation on your glans? I have visited many urologists and dermatologists here in Australia. it is very very hard to find a good doctor. I too have considered the possibility that this is caused by mycoplasma but I am not sure how to go about getting the correct testing. What tests have you had done?

you are having the similar issues yet you have never had sex?

That's correct. Furthermore, when the rash first appeared it looked identical to OP's picture.

To add another wrinkle to this, my rash looks very similar to the OP's original post as well. Mine is just closer to the corona and around the opening as well. I have been sexually active, and I have visited numerous urologists in the United States that I've done a thorough examination of my prostate, bladder, urethra, and all of that. I have taken numerous antibiotics and antifungals, along with medicines for cystitis, BPH, and related things. I've been given a diagnosis of at least five different things, none of which actually seem to meet my symptoms exactly. Mine seems to be more of a pelvic floor dysfunction and then anything else. But that does not explain the rash.

I have not had any warts in the area, so no one has tested me for HPV. I have been tested through blood , urine, and semen for just about everything else. Even saw an infectious disease doctor who didn't think anything in the DNA sequencing tests I had on my samples was causing my issues.

My dermatologist gave me a couple of topical steroid creams and neither of them have helped much. That's why I'm going for the biopsy tomorrow. here's how I look right now:

were you diagnosed with prostatitis? I have had a cytoscopy due to internal pain associated with this issue but it was inconclusive. I am still getting internal pain underneath the pubic bone to this day which makes me think it has to be prostate related. let me know how the biopsy goes best of luck to you

I was, yes. Even though the prostate felt fine. Even though a CT showed normal size. Even though a rectal ultrasound showed nothing structurally wrong. Even though urine and semen tests found nothing (urine) and very low concentrations of a couple things that an infectious disease doctor said was nothing. So, prostatitis was the diagnosis when they had no clue. I was also diagnosed with IC and with NGU. The doctors had no clue. Saw multiple urologists, dermatologist, neurologist, orthopedist, primary care, osteopathic medicine, you name it. Had x rays, CT scans, MRI, cystoscopy (which was the worst experience of my life and I still have nightmares about). Was finally given two medicines to test out, one for smooth muscle and another for skeletal muscle. the smooth muscle med did nothing, and the skeletal one helped a little. this pointed towards pelvic floor dysfunction and not IC.

All of this to say that there is still no answers to the redness, even with all of that. Derm is having me test a couple things before the biopsy. If/when I have it,

Very informative post. You're obviously persevering to find an answer.

I understand the NGU diagnosis, but why the IC diagnosis? Are you experiencing that much pain/tenderness internally around prostate or bladder?

nope. and the cystoscope didn't see any lesions in my bladder either. this uro just had it set in his mind. so I followed up with an IC specialist at a top 10 University hospital near me. she's the one they have me the two medicines to help diagnose.

If you believe your issue is prostatitis, perhaps visit prostatitiscure.com

it is a clinic in China. read some of the testimonials on the website. many people say that previous urologists they visited failed to find a pathogen when testing them. the website also has some comprehensive information regarding prostatitis and it is one of the main reasons I believe this issue is prostate related.

there is always a cause and effect.

also, did any of the urologists you visited bother to test fluid from your prostate?

I do not believe that the issue is prostatitis if I am honest. Everything I have been through says that it is not. None of the urologists specifically tested prostate fluid. They said that since I sent a semen sample for next gen PCR/Dna testing, anything in the prostate would be detected in the semen.

Totally get the random, sharp paint in the anus area. Like a bolt.