Red Dots Below the Glans: Potential Urological Concerns

Red spots below the glans?

I have three or four small red spots below the urethral opening of my glans.
They are flat, just small red dots.
However, when I pull back the foreskin, I notice a small row of white bumps in the sulcus of the glans.
Doctor, could I have a sexually transmitted infection?

Bian Yuan Ren 666, 20~29 year old female. Ask Date: 2016/05/08

Dr. Li Xinyi reply Urology

The small white bumps along the glans beneath the foreskin are generally referred to as pearly penile papules, which are normal.
However, if there has been any risky sexual behavior and there are concerns about sexually transmitted infections (STIs), it is advisable to see a urologist for blood tests and follow-up.

Reply Date: 2016/05/08

More Info

When it comes to the appearance of red dots below the glans, it's understandable to be concerned about potential urological issues, including sexually transmitted infections (STIs). However, it's important to consider several factors before jumping to conclusions.

Firstly, the presence of small red dots on the glans or the area below it can be caused by various conditions. These could range from benign irritations, such as friction or allergic reactions to soaps or personal care products, to more serious conditions like infections or STIs. The fact that the red dots are not raised and appear as flat spots might suggest a non-infectious cause, but this is not definitive.

The white "pimple-like" spots you mentioned could be a normal anatomical variation known as pearly penile papules, which are harmless and common in many males. They are not associated with any disease and do not require treatment. However, if these spots are new, changing, or accompanied by other symptoms such as pain, itching, or discharge, it would warrant further investigation.

Regarding the concern about STIs, it's crucial to consider your sexual history. If you have had unprotected sexual encounters, the risk of STIs increases, and symptoms can vary widely. Some STIs can present with mild symptoms or even be asymptomatic, making it essential to get tested if you suspect exposure.

In your case, if the red dots and white spots are not accompanied by other symptoms like pain, itching, or discharge, they may not be a cause for alarm. However, if you notice any changes or if the symptoms persist, it is advisable to consult a healthcare professional. They can perform a physical examination and may recommend tests to rule out infections or other conditions.

In summary, while the presence of red dots and white spots can be concerning, they are not necessarily indicative of an STI. Factors such as your sexual history, the appearance of the lesions, and any accompanying symptoms are crucial in determining the next steps. If in doubt, seeking medical advice is always the best course of action to ensure your health and peace of mind. Regular check-ups and open communication with healthcare providers about any changes in your body are essential for maintaining urological health.

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