6 skin rashes that can signify your partner (girlfriend / boyfriend) has cheated on you

STD Triage App.png

STD Triage™ users are anonymous. 75% of queries sent in are of hair problems or rashes that have suddenly appeared, 25% of queries are of probable STDs, that the user needs to rule out with further, tests and diagnosing at the doctors office. Sometimes we receive cases about their partner. Below you can read some questions that we have received over a four year period.

How many people cheat on their partner, girlfriend or boyfriend?

It is estimated that roughly 30% to 60% of all married individuals will engage in infidelity at some point during their marriage (see Buss & Shackelford for review of this research on Americans). If you consider that close to half of all of all marriages ending in divorce, then these numbers are probably on the conservative side as people are more likely to stray as relationships fall apart.

You need to verbally communicate with your partner!

Don’t be too quick to judge your partner; some diseases contracted during sex encounters may stay hidden, with no symptoms for years. It means that your partner may have already contracted a disease before meeting you and due to some unforeseen reason, the disease has been reactivated, because of stress on the immunesystem. Your partner might have known of the disease when he/she was younger, so it is important to have an open dialogue with your partner.

 

Ask a dermatologist anonymously

 

The following images courtesy of First Derm skin guide

1. Herpes simplex (Herpes simplex virus 1, 2)

Skin and mucosal contact

Online Dermatologist question
I am a 27 year old male. I have had this rash for 2 months now. It is sore, irritated and painful. I have been in a stable relationship for 5 years. I have been tested for Gonorrhea, Chlamydia and HIV, the results were negative. I went to my family doctor and they did not have an answer to my rash. Please help!

Received 5th February 2013 at 8:22 pm
Answered 5th February 2013 at 11:45 pm

Online Dermatologist answer
It may be herpes genitalis infection, which is triggered by the Herpes simplex virus. The virus can be latent in the body for years and can recur. Certain triggers can cause the herpes virus to travel back through the nerve to the surface of the skin, otherwise known as a recurrence. Recurrences can and do happen, even for people who have normal immune systems. Triggers are physical and emotional stress, infection, tissue damage, changes in the immune system and fatigue. It can be treated with oral antiviral medicines. I recommend you contact a dermatologist or an STD clinic for testing with PCR, further treatment and information.

 

2. HPV (Human Papillomavirus) – genital warts

Skin and mucosal contact

Online Dermatologist question
I am 34 years old female. This is a recurring problem, thought it was hemorrhoids; it is at the bottom of my abdomen, inside, down towards my anus. It hurts and I have difficulty going to the toilet and even wear underwear. It is painful like stinging cuts. I work out a lot and it might have to do with my sweaty pants rubbing against my underwear? I do not know if there is a wound that has become like this? What do you think?


Received 11th June 2014 at 7:12 am
Answered 11th June 2014 at 8:41 pm

Online Dermatologist answer
Thanks for your query. This is possibly condyloma, a sexually transmitted disease caused by the Human Papillomavirus (HPV). Condylomas can appear on the skin in any part of the genital area. The warts can vary in size but are usually flesh-colored and cauliflower-like on the surface. To avoid further spread of the virus, condom use is recommended. They can be treated in many ways. A common technique is to have them removed by freezing them with liquid nitrogen. I recommend you to see a dermatologist or visit a STD-clinic to confirm the assessment and get further treatment.

 

Ask a dermatologist today if you have concerns about your skin

 

3. Molluscum contagiosum

Skin contact

Online Dermatologist question
My husband is 55 years old and has molluscum contagiosum in his pubic hair and on his penis. He is being treated by a local dermatologist. He told me that he probably got if from using a dirty towel from a health club at the hotel he stayed in Barcelona. I have been reading online and it says the chances of him getting it from a dirty towel in the pubic area is slim to none. They are saying direct skin to skin contact. What do you think? P.S. Those photos are not of him. But the app would not let me send a question without a photo. He is being treated. I just would like to pay you for the answer to my question.

Received 28th August 2015 at 3:12 am
Answered 28th August 2015 at 9:41 am

Online Dermatologist answer
Thank you for submitting your question. The lesions in the pictures are undeniably Molluscum Contagiosum. Since the pictures are not from the patient you are asking about, that doesn’t necessarily mean that his current lesions are Mollucums. That issue must be confirmed by a physician in person if or when the patient voluntarily pays him/her a visit, since other diagnostic options such as Enlarged Sebaceous Glands could be taken into consideration. If it were Molluscums, from a statistik point of view, contagion is more likely by skin to skin contact than by for example towels. Unfortunately we can’t make an appropriate evaluation without having more information about the circumstances surrounding this specific case and most of all without having direct contact with the concerned patient on a voluntary basis.

 

4. Scabies (Sarcoptes scabiei)

Skin contact

Online Dermatologist question
I have a couple red spots on my hips and above my groin area then a couple similar ones popped up on my penis about 3-4 weeks ago. I thought they’d go away, but they haven’t. I looked up herpes and genital warts, but neither sounds like what I have because they aren’t painful. The spots itch every once in awhile and when it is itched, the spots usually look more prominent. Sometimes it looks like it’s clearing up and then a day or two later the spots are back in the same exact areas and appear vividly. It doesn’t appear to be spreading to other parts of my crotch area. I have used hydrocortisone to ease the itching, permethrin cream which was for the bumps on my hips, clobetasol propionate and acne medication but nothing has made it permanently disappear. What else should I try?

Received 21st March 2016 at 8:12 am
Answered 21st March 2016 at 10:31 am

Online Dermatologist answer
Based on the information and images submitted, this is possibly SCABIES. Scabies are inflammatory lesions caused by a mite that digs burrows in the skin. This parasite is transmitted through direct physical contact with another person with scabies. The lesions cause itching which can be severe. The itch is more common during the evening/night. These lesions do not always itch however. Before treating the lesions, it is of utmost importance to confirm the assessment with a dermatologist in person. In addition, these lesions could be FOLLICULITIS (infection of the hair follicle) or an STD. You should see a dermatologist as soon as possible for evaluation, testing and treatment.

 

5. Crab louse, colloquially known as “crabs” or “pubic lice”

Skin contact

Online Dermatologist question
Originally diagnosed as shingles but no response to acyclovir and spreading across back of neck into scalp. About a month duration. No known food or drug allergies. No exposure to new products . Otherwise healthy 59 year old female. Slightly itchy red bumps. No fever. Concurrent cold symptoms like nasal congestion.

Received 21st March 2016 at 2:05 pm
Answered 21st March 2016 at 11:49 pm

Online Dermatologist answer
Hi and thank you for submitting your case. Based on the information and the images submitted, the option of LICE has to be ruled out; it is more frequent than what’s commonly thought. You will have to see your family doctor in order to have the assessment confirmed. If it is confirmed, the treatment of choice is normally head washes with Permethrin.

 

Ask a dermatologist today if you have concerns about your skin

 

6. Syphilis

Sexual intercourse Clinical manifestations of syphilis include the ulceration of the uro-genital tract

Online Dermatologist question
I am a 20 years old male. It doesn’t hurt it almost seems like a pimple. A condom broke last week while having sex and I’m worried

Received 16th June 2016 at 7:05 pm
Answered 17th June 2016 at 6:00 pm

Dermatologist answer
Based on the information and images submitted, this is possibly SYPHILIS: a sexually transmitted infection caused by a bacteria known as Treponema pallidum. The first sign of infection is usually a firm, painless ulcer or sore known as a chancre, which usually appears at the point of infection in the genital area. The infection can be treated with high doses of penicillin (antibiotics). I recommend that you see a dermatologist or go to an STD clinic as soon as possible. Testing is necessary to confirm the assessment.

 

Rashes that are not contracted through close contact, but is sometimes confused as an STD/ STI

 

Balanitis

Online Dermatologist question
I am a 27 years old male. I have small red sores on the head of my penis. They showed up about two weeks ago. went away for a couple of days and come back. Sometimes they will dry up and have flaky skin on them. There is no pain accompanied with these.

Received 15th July 2016 at 10:05 pm
Answered 16th July 2016 at 6:00 pm

Online Dermatologist answer
Thank you for sending your case. Based on the information and images, this is possibly BALANITIS. Balanitis is an inflammation of the foreskin and/or glans of the penis (the “head”). This condition is very common and not contagious. Treatment with topical steroids (eg hydrocortisone 1%, over-the-counter) twice daily for 1 week, then once daily for 1 week, then once every 2 days for 2 weeks is recommended. To avoid recurrences, use moisturizing cream several times daily. Also avoid exaggerated hygiene, which dries out skin. Use mild soap or only luke warm water when washing. During sex or masturbation, apply lubricant to avoid friction. If it doesn’t improve within a couple of weeks, I recommend that you see a dermatologist in person for a closer examination and to exclude other causes.

 

Ask a dermatologist today if you have concerns about your skin

 

Fordyce Spots (sebaceous (oil) glands

Online Dermatologist question

I am a 24 year old male. Odd lesion on glans of penis. Painless and no itch, not noticeable when flaccid at all. Only noticeable when erect and half erect. Can you advise me what this is? Wart?

Received 15th July 2015 at 8:09 am
Answered 16th July 2016 at 3:36 pm

Online Dermatologist answer
Based on the information and images provided, these spots are most likely FORDYCE SPOTS: sebaceous (oil) glands that are present in most individuals. They appear as small, painless, raised, white bumps and can appear on the scrotum and shaft of the penis, as well as the inner mucosa of the lips on the face. These spots are a normal anatomic occurrence.

 

Enlarged sebaceous glands

Online Dermatologist question
I am a 34 year old male. Bumps on the base of my penis and shaft. No itching or pain experienced. No redness or rupture of any bumps. I noticed them around 6 months ago and really concerned I might have an STD. I have given blood and been tested for STDs all tests came back negative. The doctor did not inspect the bumps though. I have not had unprotected sex the last 6 months.

Received 15th July 2016 at 1:53 am
Answered 15th July 2016 at 11:02 am

Dermatologist answer
Based on the pictures and the information sent in, these are ENLARGED SEBACEOUS GLANDS, quite common and completely normal. Their function is to lubricate. They don´t require any treatment. Neither are they contagious or have any relation whatsoever to sexually transmitted diseases.

 

Folliculitis

Online Dermatologist question
I am a 24 years old male. I have a rash above my genitals it seems to be increasing, reaching the lower part of penis, not sure what it is. It’s not due to shaving, as I only did that now to make it more visible to show. In terms of medication I’m currently on is acitretin (25 mg) daily & dovobet, both for psoriasis.

Received 1st July 2015 at 10:05 am
Answered 1st July 2015 at 6:00 pm

Online Dermatologist answer
Thank you for sending your case. Based on the information and images, this is possibly FOLLICULITIS. Folliculitis is a very common skin condition. It is caused by an inflammation of the hair roots. Disruption of the skin can cause small sores in the skin allowing bacteria and other irritants to enter and inflame the hair follicles. It can be both infectious or noninfectious. I would recommend applying a topical steroid cream (eg hydrocortisone 1% sold over-the-counter) twice daily for a week to start with, then once daily for another week, then every other day for two weeks. Also, keep the area clean with antibacterial soaps or solutions (e.g. Chlorhexidine). Also, avoid shaving until the lesions have cleared. If it does not improve within a few weeks, see a dermatologist in person.

 

Ask a dermatologist today if you have concerns about your skin

 

Skin tags (acrochordon)

Online Dermatologist question
I am a 40 years old woman. I have been experiencing discomfort over the last week when I took a closer look noticed that there was a growth on my minor labia.

Received 1st December 2014 at 10:09 am
Answered 2nd December 2014 at 8:00 am

Online Dermatologist answer
From information and images, it is possibly SKIN TAG (ACROCHORDON), a benign outgrowth of the skin which can appear anywhere on the body (e.g. neck, armpits, trunk or the genital area). In the case of vaginal skin tags, the most likely time for these to appear is often after pregnancy but also due to to hormonal changes. They can sometimes become irritated due to friction. Treatment is not necessary but can be done by a dermatologist through cauterization (burning), cryosurgery (freezing) or excision (minor surgery). If it grows, changes or you continue with discomfort.

 

Pearly Penile Papules

Online Dermatologist question
I am a 39 year old male. At the base of the head of the penis, there are little white heads (hair like). Have had this for years. No pain or itching, but visually not good. It’s on both sides and after constant scrubbing nothing happens.

Received 21st June 2015 at 4:53 pm
Answered 21st June 2015 at 6:42 pm

Online Dermatologist answer
Based on the information and images submitted, Possibly Pearly Penile Papules that are small dome-shaped to thread-like skin-coloured bumps they are typically located on the sulcus or corona of the glans penis. The papules are commonly arranged all the way around the head of the penis in one or several rows. Penile papules are a normal anatomic variant and no treatment is needed. Av cosmetic reason can be treat by electrosurgery or laser.

 

Hemorrhoids

Online Dermatologist question
I am a 29 years old male. A couple of months ago I started using a “cleansing” pill which makes you poop often and a lot. I started noticing extra “skin” in the anal area and since then it has been progressively getting worse. I sometimes see blood in the bowel movements and when I wipe so these things make me think it’s “hemorrhoid piles”. They aren’t painful, but one of the small bumps itch. Would like to know what these are and what I should do?

Received 1st December 2014 at 10:05 am
Answered 2nd December 2014 at 8:00 am

Online Dermatologist answer
Thank you for sending your case. Based on the information and images, this is possibly a HEMORRHOID. Hemorrhoids are enlarged and sometimes inflamed blood vessels in the anal region. These can lead to bleeding (bright red), especially after wiping, itchiness and/or fecal incontinence. In more advanced cases, the blood flow in these vessels can stop (thrombosis) causing swelling and pain. In mild cases, a barrier cream containing zinc oxide is recommended. If it itches, a mild topical steroid cream (eg hydrocortisone 1%, over-the-counter) can be helpful. Several over-the counter products are available including vasoconstrictors (eg Preparation H), hemorrhoidal preparations with local anesthetics and combinations. Non-steroidal anti-inflammatory drugs such as ibuprofen, acetaminophen or aspirin taken orally can also be helpful. If symptoms don’t improve, see your physician. In advanced cases, surgery (rubber band ligation, sclerotherapy, cauterization, excision, etc) may be required.

 

Vaginitis

Online Dermatologist question
I am a 20 years old female. First it started off with itching and burning between my thighs and the genital area and then I was discharging a lot like foaming white discharge and it turn green with a foul smell . I changed my soap and started using an antibacterial soap from dove. And then when I was in the shower scrubbing my vagina, it started burning, I was scrubbing it too hard and it was red and inflamed and bleeding! I don’t know if I was scrubbing to hard or! Can you please tell me what I have? I am sexually active!

Received 1st April 2015 at 11:55 am
Answered 2nd April 2015 at 4:00 am

Online Dermatologist answer
Based on the information and images submitted, this is possibly VAGINITIS. Vaginal thrush is a fungal infection caused by overgrowth of the Candida species yeast. This condition is very common in young women and symptoms include itching, soreness and irritation in and around the vagina. It also causes vaginal discharge, which is odorless and often (but not always) white and thick like cottage cheese. Sexual intercourse can be painful or cause discomfort. Recommended treatment includes intravaginal creams or suppositories which are sold over-the-counter and are effective in most cases. If it doesn’t improve, see your gynecologist, dermatologist or visit a STD clinic for testing to confirm vaginitis and/or rule out other diagnoses. Oral antifungal medication might be needed.

 

Intertrigo

Online Dermatologist question
I am a 53 years old male. The lesions are in the right and left groin, more severe in the right groin (the first picture attached). There are also on the scrotum and around the base of the penis (see second picture) as well as above the pubic area where there is a big fold of skin due to reparation surgery. The lesions appeared on the 23rd of October in the right groin and they were much smaller than now and pink. On the 29th they appeared in the left groin, and above the pubic area and on the scrotum and around the penis base after applying calendula cream from Holland &Barrett.. I don’t know if there was any connection but they got worse. Then Fucicort was applied and the lesions look like this today. I would like to know what it is, if it is an allergy to the calendula cream or it is a fungal infection or anything else. I weigh 138 kg and have lots of fat and folds of skin on the thighs and on my belly.

Received 17th September 2015 at 12:01 pm
Answered 17th September 2015 at 4:07 pm

Online Dermatologist answer
Thank you for sending your case. Based on the information and images, this is possibly INTERTRIGO. Intertrigo presents as a red, painful rash (dermatitis) associated with multiple causes such as bacteria or fungi. It usually occurs in skin folds, or where skin is in contact with other parts of the skin (e.g. groins, inner thighs, genitalia, under the breasts). Intertrigo in the groins or genital area is commonly known as “jock itch”. Intertrigo can be exacerbated by excessive chafing or moist conditions. Treatment involves keeping the area dry and application of an antifungal cream (2% miconazole nitrate) combined with a mild steroid cream (1% hydrocortisone). These products are sold over-the-counter. Apply twice daily for a week to start with, then once daily for another week, then every other day for two weeks. If the rash persists, gets worse, or relapses, you should see a dermatologist in person.

 

Ask a dermatologist today if you have concerns about your skin

 

Psoriasis

Online Dermatologist question
I am 49 years old male It’s on my private part area and it itch and hurts when I scratch a lot.

Received 17th October 2015 at 7:01 pm
Answered 17th October 2015 at 11:07 pm

Online Dermatologist answer
Based on the information and images submitted, this is possibly PSORIASIS, a chronic non-contagious inflammatory disease of the skin which can present at any age. Red patches usually with white scales are seen on different skin areas, sometimes like in your case on the scalp and in the genital area. Nevertheless, it can appear anywhere on the skin. A variable amount of itching can be experienced or none at all. Sometimes there are more family members with the condition. I recommend that you see a dermatologist or your family physician in order to obtain prescriptions. If there is waiting time to get an appointment you may apply mild steroid cream such as 1% Hydrocortisone cream (available over-the-counter without a prescription) twice daily during the first week, then once every day during a couple of weeks and later every other day.

 

Vitiligo

Online Dermatologist question
I am 28 years old male. Not itchy or painful. Not raised and doesn’t feel different from skin around it. I can’t begin to guess how long it’s been there but I guess 12-24 months. I tried Tea Tree OIL which seems to have made it worse. Foreskin is very dark in comparison to rest of body. The close surrounding skin to pink patch is especially darker. I’ve had a history of Guttate Psoriasis which was around 7 or 8 years ago. Administered light treatment and it eliminated it. I’ve also had Cholonergic Urticaria which lasted around 3 months. eventually treated and cleared by 1-1.5 months of 3 powerful antihistamines. This was 10 months ago.

Received 4th May 2015 at 7:11 pm
Answered 5th May 2015 at 11:17 am

Online Dermatologist answer
Thank you for sending your case. Based on the information and images, this is possibly VITILIGO: Vitiligo is an autoimmune disorder in which the immune systems affects your own melanocytes (the skin’s pigment-producing cells) “turning them off”. Other diagnoses could be considered such as postinflammatory depigmentation or PITYRIASIS ALBA, which leaves white patches in the skin sometimes even after having had a very mild case of dermatitis in the area. If you or your family members have had a history of autoimmune diseases, for example thyroid disorders, a visit to your physician may be recommended. Blood tests can be carried out to check your general health. Vitiligo can unfortunately not be cured, but several treatments can be used to try to restore the lost pigmentation in your skin. If the patch grows or new patches appear in other areas, see a dermatologist in person to confirm or rule out the assessment.

 

Lichen planus

Online Dermatologist question
I am a 51 year old male. I have had unprotected sex. I had a yeast infection about 3 weeks ago. I got treatment for that. It cleared. Right after that my perineal area started itching and became raw feeling. That ended but I have this raw almost but not quite cracked area that won’t go away. I don’t know what it is.

Received 11th April 2016 at 7:11 am
Answered 11th April 2015 at 11:17 pm

Online Dermatologist answer
Thank you for sending your case. Based on the information and images, this is possibly LICHEN PLANUS: a chronic inflammatory condition of the skin, which can affect a number of body parts. Common locations are the underside of the forearms and the inside of the cheeks, but it can also affect both men and women in the genital area. In men, it can appear on the foreskin and/or the head of the penis and around the anus. In women, the lesions can appear around the vagina or anus. The lesions are commonly slightly raised and redish-violet in color. Itching is not uncommon. Trauma in the area can sometimes cause more lesions to appear so it is important to avoid scratching. Lichen planus can be treated with topical steroid creams (eg hydrocortisone 1%, over-the-counter), but may need a stronger steroid cream that requires a prescription. Moisturizing cream can also be applied. If it doesn’t improve, visit a STD clinic or see a dermatologist.

 

Lichen sclerosus et atrophicus

Online Dermatologist question
I am a 32 year old male. My foreskin is red and white in slices.

Received 15th September 2015 at 11:11 pm
Answered 16th September 2015 at 6 :12 am

Online Dermatologist answer
Thank you for sending your case. Based on the information and images of your penis, this is possibly a LICHEN SCLEROSUS ET ATROPHICUS. An inflammatory condition of unknown origin that sometimes can be uncomfortable but not dangerous. Has nothing to do with a Sexually Transmitted Diseases (STD), it is a skin condition that also can engage other parts of the body surface. First choice treatment is strong cortisone creams that you should apply twice daily during a period of time and then withdraw the intensity of the applications progressively. The thing is that you can not get these creams over-the-counter. You will need to see a physician in order to have the assessment confirmed and the cream prescribed.

 

Ask a dermatologist today if you have concerns about your skin