Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I a male in my mid thirties. I have this problem for a few years now. It starts off as small painless white bumps on the head/shaft of my penis (uncircumcised) which expand and become like wound over time and eventually infection like yeast or fungal  kicks in. I got tested for all available STDs or STIs and all came back negative each and every time. I have seen many doctors and one of them, a dermatologist prescribed be "momenta sone furoate cream" which I am using for about 3 years on need basis and it works well but only for limited time. As it is a steroid cream I would like to discontinue this cream ASAP. Another doctor said that it could be balanitis and suggested me to get circumcised which I want avoid as well. I am looking for a permanent solution. Can you please advise?
[|AI|]  Hello and, The lesion on the shaft of the penis are unlikely to be due to sexually transmitted diseases since all tests have come out to be negative. The lesion could be due to skin lesion. There are many skin lesions which affect the genial region. The diagnosis of skin lesion can be confirmed by skin biopsy. The response to steroids is only for the time it is being used. Thus, correct diagnosis needs to be made. You need to consult your dermatologist for skin biopsy from the lesion. Once correct diagnosis is made, definite treatment can be instituted. Thanks and take care Chat Doctor.