How to determine if it's a sexually transmitted disease or balanitis

Patient's question:

Doctor, hello. I’ve noticed some white, bubble-like spots on my glans over the past half month, along with red bumps. There’s also a red patch (with a few tiny white bubbles the size of needles, which break when I wash the private area—see the picture for details). The area near the urethral opening is very itchy, and my glans doesn’t hurt or itch. I’m not sure what this is. Could you please look at the picture and tell me what the problem is? What medicine should I take to treat it? Thank you. I’m very worried it might be a sexually transmitted disease (I had sexual activity on April 6th). Could it be HIV, herpes, syphilis, gonorrhea, genital warts, or something else? I’m really anxious.

Doctor's answer:

In this case, it is likely the result of many simple inflammatory attacks, and medication can be used for symptomatic treatment. It is recommended to wash with warm water daily, then apply a significant amount of povidone-iodine for sterilization, followed by an anti-inflammatory ointment, while maintaining hygiene. Balanitis can be stabilized, but the treatment period is generally long, and it is prone to recurrence after treatment. Therefore, during treatment, medication must be used according to symptoms, and patients should also follow a light diet, avoid foods, and not smoke or drink beer.

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