Male, 49 years old, with numerous small black spots on the scalp

Patient's question:

No obvious symptoms, affecting appearance.
Due to work-related factors, my husband and I are living separately, so I occasionally engage in masturbation; however, I have no unclean sexual behavior; my personal hygiene is good; I have the habit of showering every day.

Doctor's answer:

Your condition may be caused by balanoposthitis, which can be triggered by various bacteria such as E. coli, staphylococcus, molds, and streptococcus. It is recommended that you visit a hospital for some relevant tests.

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