Penile Ulcers: Causes, Symptoms, Treatment

What is a Penile Ulcer?

A penile ulcer is an open sore or lesion on the skin of the penis. It may appear as a single painful or painless wound or as multiple ulcers. These lesions are often a sign of an underlying infection, and in some cases, can indicate a serious sexually transmitted infection (STI).

Common Causes of Penile Ulcers

Penile ulcers can be caused by several conditions, most commonly sexually transmitted infections. The primary causes include:

• Herpes Simplex Virus (HSV) – Causes painful, recurrent blisters or sores.

• Syphilis – A bacterial infection that presents initially as a painless ulcer (chancre).

• Chancroid – A bacterial STI that causes painful, soft ulcers.

• Lymphogranuloma Venereum (LGV) – A chlamydial infection causing small, often unnoticed ulcers.

• Granuloma Inguinale (Donovanosis) – A rare STI causing beefy red ulcers.

Other non-infectious causes may include trauma, allergic reactions, skin conditions like lichen planus or psoriasis, and even certain cancers (e.g., squamous cell carcinoma).

Symptoms You Shouldn’t Ignore

Depending on the cause, symptoms may vary but can include:

• Open sores or lesions on the penis

• Pain or discomfort during urination or intercourse

• Swelling or redness around the ulcer

• Discharge or foul odor from the sore

• Swollen lymph nodes in the groin

• Fever or fatigue (in systemic infections)

STDs That Present with Penile Ulcers

Penile ulcers are often a symptom of deeper infections or systemic illnesses. Common associated conditions include:

• HIV (due to immunosuppression, ulcers may appear atypical or persistent)

Early detection of these conditions is vital, as many are highly contagious and can be transmitted through unprotected sexual contact.

Diagnosis and Prognosis

Diagnosis involves a thorough clinical examination, sexual history, and laboratory tests, such as:

• Swab for HSV PCR or culture

• RPR/VDRL and TPHA for syphilis

• HIV and other STI screening

• Biopsy in chronic or suspicious ulcers

Prognosis largely depends on early detection and proper treatment. Most STI-related ulcers respond well to medication, but a delay in treatment can lead to complications like scarring, strictures, or systemic spread.

Treatment Options for Penile Ulcers

Treatment is based on the cause:

• Antiviral therapy for herpes (e.g., acyclovir, valacyclovir)

• Antibiotics like penicillin for syphilis, and azithromycin for chancroid

• Wound care and hygiene to prevent secondary infections

• Counseling and partner notification in STI cases

Why Choose DrSafeHands for Penile Ulcer Treatment?

At DrSafeHands, we provide confidential, stigma-free care for anyone experiencing symptoms of penile ulcers. With a digital-first approach and clinics in all major metro cities, we offer:

• Expert online consultations with qualified doctors

• Home sample collection for STI panels, including herpes, syphilis, and HIV

• Accurate diagnosis with quick turnaround of results

• Customized treatment plans including prescriptions and follow-up

• Free pre- and post-test counseling to ensure informed decisions

We handle numerous cases of penile ulcers every month, and our experience helps us diagnose accurately and treat promptly, all while respecting your privacy.

When to Consult a Doctor?

Any ulcer, especially one that does not heal in a week or recurs frequently, must be evaluated. Ignoring it can lead to complications and increase the risk of transmitting infections to partners.

Conclusion: Penile ulcers are more common than most people think—and are often a sign of underlying STIs. The good news? With early intervention and expert care, most causes are easily treatable. At DrSafeHands, we’re here to guide you every step of the way—with empathy, expertise, and complete discretion.