About once or
twice a month, I see a young male in his late teens or early 20s who come to me
to evaluate a bump or lesion on his penis. Interestingly, many of these men
have sought evaluation before and STILL don't know what they have.
Here are the
most common causes of this symptom:
grouped lesions on the penis that are painful? Think about genital herpes as the cause. These lesions can also occur on the buttocks or anal area. The
initial outbreak may be associated with fever. Herpes is the most common STD in
and most genital lesions in men are herpes.
Have a bump
that looks like a wart or has a cauliflower appearance? You may have genital
warts. Warts are caused by certain strains of human papillomavirus --
different ones than those that cause cervical cancer in women. In most cases,
the warts do not cause symptoms, but occasionally they can burn, itch or be
tender. They can also produce a discharge. The lesions may be tan, pink or
The term, persistent genital arousal disorder (PGAD) refers to a problem only recently identified, but which appears to affect many more women than first envisaged. Since first being described by psychiatrist Professor R. Leiblum in 2001, PGAD has attracted the attention of many hundreds of women many of whom express huge relief at finally having their situation recognized.
Originally called "persistent sexual arousal syndrome" (PSAS), Leiblum now believes the ‘sexual syndrome' element is inaccurate because the problem is not sexual so much as it is an issue of unremitting genital sensations that have no particular cause and which extend over long periods of time.
But is there a difference between say being a nymphomaniac or saying you have PGAD? Yes, says Leiblum, who points out that so-called nymphomaniacs always identify sexual thoughts or fantasies and who experience sexual excitement. This is not the case with PGAD, which is described as an uncomfortable, unwe...
Wondering if you should be
tested for herpes? Well, it's a
controversial question, but here's a partial list of those who might be a good
candidate for the blood test.
1. First of all, if you are asking the question, you should get the
test. Put those concerns to rest.
2. If you've had any sexual
partners in the past and you wonder if you may have gotten herpes without
3. If you've had a partner in
the past who has herpes, you might want to be tested to be sure you don't have
4. If you are currently in a
relationship with a partner who has genital herpes and you are wondering how to
reduce the risk of transmission, your first logical step is to determine if YOU
HAVE ALREADY BEEN AFFECTED!! Why in the
world would you go through the trouble to reduce your risk of getting the infection
if you already have it!
5. Anyone who has been
diagnosed with herpes by a visual examination alone and wants confirmation...
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