Hello. Thank you for posting your query at DoctorSpring.com
I can understand your concern.
I would like to know since how long do you have the dark spots? Have they come after a rash or some irritation that you had? Does it cause any itching?
Have you tried to treat it before? If yes, how?
Regards
Patient replied :
First of all, sorry for my bug english (i speak spanish)
This started like one year ago, but i neved had rash, irritation and itching. I neved feeled nothing
The only thing i try at the begining it a cream for fungus, because i thinked can be that, but nothing happaned
I dont know if its related to the same thing, but sometimes, i have a litle crust on the head of my penis, that appears and disappears (i attached a new photo for the crust)
Hello
Thanks for your reply.
It seems that you had a fungal or bacterial infection in the past which lead to this kind of pigmentation. This is referred to as post inflammatory hyperpigmentation.
The photo of the crust is not clear. It will be helpful if you have a clear one.
I would recommend that you visit a doctor who can physically examine the pigmentation. He can also call for a biopsy if he can't come to a diagnosis. It would be best to confirm the diagnosis with a biopsy.
Post inflammatory hyperpigmentation usually requires no treatment and it fades on its own over a couple of years.
At times, cortisone cream proves useful, but only under your doctor's supervision after coming to a diagnosis.
Take care
Patient replied :
Here is the more clear image of the crust, hope this one will be more clear
Regarding the cortisone cream, i know i have to see the doctor, but i cant go to the doctor at next month, im traveling now. Can i use something like this one? Cortizone 10 Maximum Strength Hydrocortisone Anti-Itch Cream Plus 10 Moisturizers, because i have it
Thanks
Hello
Thanks for your reply.
It seemed that you did have yeast infection. Now it's more likely a post inflammatory hyperpigmentation. Cortisone cream needs to be started only under the doctor's supervision since its a genital area.
Take care
Regards