hi Dr. Gian

i have noticed little white puss filled sacs forming on my testicles and shaft of penis, they don't ever go away their just constantly there, they do not hurt, it just has been itching a lot lately. Do you have any idea on what they can be. thanks for ur help

sincerly "concerned"

Dr Gian,

I have two questions. I'm pretty sure one is an STD/STI and I'm pretty sure the other isn't.

The one that isn't:

While I was still a virgin I started getting monthly styes on my eye, around about the same time as my period. This then stopped, but then I started getting bumps on the outer lips- you know where the hair is- of my vagina- the bumps are slightly sore vary in size but generally about the size of a pea, sometimes much bigger. After a while, If I squeeze the bumps puss oozes out. The bump then goes down only a little bit, and stays one size for a long time. The number of bumps varies. Sometimes there is just one bump at times even three.

I have had this stuff for several years, I'm now 22. I've never seen a doctor about it. Do you have any idea what it could be? I have often found hair on these raised puss-filled bumps, and taken the hair out with a tweezer- upon doing that I have found that at the bottom of the root there is clumped up shiny white stuff.

I thought it could be ingrown hair or something, but what does it sound like to you?

The one that is:

I started having an abnormal yellowish, greenish, thin and runny discharge a couple of weeks after the last time I had unprotected sex with my boyfriend. I decided to see how this discharge would 'pan out'. The discharge got thicker over time, and at times there was intense itching inside the labia majora- on the hairless side.

When this thing itches (which is not often), there appear millions of shiny, tiny bumps seemingly below the top layer of skin, even on my clitoris and on my labia minora. The itching is incredibly intense and when it does occur, it is usually at night.

I went to have a pap smear, and I had got "category two" results (before the bumpy itching), the doctor thought it was fungul, and gave me capsules to insert. The discharge diluted and seemed that it would clear, but only momentarily. But it came back, and the discharge seems to get heavier just before my period.

What is this Dr Gian?

Hi

I think you are right on both counts. In the first case you may be dealing with a hair follicle infection called folliculitis. Bacterial folliculitis is commonly due to Staphylococcus aureus. If the infection involves the deep part of the follicle, it results in a painful boil. Recommended treatment includes careful hygiene, antiseptic cleanser or cream, antibiotic ointment, and / or oral antibiotics.

As far as the other observation of “shiny, tiny bumps” and in view of your PAP test results it is possible that you are dealing with very small genital warts unconcealed by the inflammation and infection and vaginal discharge which may be fungal and/or due to vaginitis. You need to follow up with your Physician.

In good health.

Dr. Gian