<s>[INST] Hi doctor, I have these itchy white spot on my penis head and also a rough skin after erected. The white spot will be better after applying Clotrimazole ointment, but I can still see some bumps under the skin. [/INST] Hi. Your concern is balanoposthitis. It is a candidal fungal infection which causes secondary irritation and redness. Start using Lulifin cream (Luliconazole) once daily bedtime for 30 consecutive days. Apply Efficort (Hydrocortisone) 0.127 % cream once daily during daytime until redness subsides, then discard it. Check your fasting and postprandial blood sugar levels. It is not contagious and not harmful. </s>