<s>[INST] I have a cluster of 3 slightly raised spots on the external side of my foreskin. I also have larger raised patches that are itchy on the shaft of the penis and scrotum. I am 30 years old and sexually active. I live in a foreign country in business so going to the hospital is problematic due to language problems. Any advice would be welcome. Thanks in advance. [/INST] Hello,There are many conditions which can lead to these symptoms. It may be a small sebaceous cyst following infection of the hair follicle, herpes infection, force spot, parasitic infection, eczema or allergic reaction. All these conditions can produce these symptoms, to make the diagnosis you need to undergo physical examination and lab test. Then it will be easy to treat the condition. I would suggest you to consult your doctor for proper diagnosis and treatment. Thank You. </s>