There are small white papules at the tip of the foreskin?
Hello, doctor...
I have had some small white bumps at the tip of my foreskin since childhood.
They look a bit like small pimples, but they are neither itchy nor painful.
I'm just worried that my girlfriend might see them one day and think that I have a sexually transmitted infection.
I only learned to retract my foreskin for cleaning during middle school, and that’s when I noticed these small white protrusions at the tip.
They haven't disappeared or increased in number since then.
Could you please tell me what this is? Is it contagious? Is there any medication to treat it?
Also, I would like to ask about folliculitis.
Is there medication for that? Is it contagious? I would appreciate your clarification, doctor.
Xiao Qiang, 20~29 year old female. Ask Date: 2002/09/20
Dr. Liao Wenyu reply Dermatology
Based on your description, the substance on the foreskin may be sebaceous glands, which are considered normal tissue and should not pose a significant issue, but it is best to consult a clinic for confirmation.
Additionally, folliculitis can indeed be treated with medication, and if it is caused by bacteria, it may be contagious.
Reply Date: 2002/09/20
More Info
Understanding small white bumps on the penis can be a source of concern for many individuals, especially when it comes to sexual health and hygiene. Based on your description, it sounds like you may be experiencing a common condition known as pearly penile papules (PPP) or possibly sebaceous cysts. These are benign and typically harmless growths that can appear on the glans (the head) of the penis.
Pearly penile papules are small, dome-shaped, white or skin-colored bumps that are usually arranged in one or two rows around the corona of the glans. They are a normal anatomical variant and are not associated with any sexually transmitted infections (STIs) or other health issues. Importantly, they do not require treatment and are not contagious. Many men have them, and they often go unnoticed until someone becomes aware of them.
Sebaceous cysts, on the other hand, are small lumps that can form when sebaceous glands become blocked. They can appear as white or yellowish bumps and are also generally harmless. Like PPP, they are not contagious and do not indicate a sexually transmitted infection.
Regarding your concern about whether these bumps could be mistaken for an STI, it is essential to understand that STIs typically present with additional symptoms such as itching, pain, discharge, or sores. Since you mentioned that the bumps are neither itchy nor painful, it is less likely that they are related to an STI.
If you are still concerned about the appearance of these bumps or if they change in size, color, or become painful, it would be wise to consult a healthcare professional or a dermatologist. They can provide a proper diagnosis and reassurance. In most cases, no treatment is necessary, but if you desire removal for cosmetic reasons, a healthcare provider can discuss options with you.
As for your question about folliculitis (毛囊炎), which is an inflammation of the hair follicles, it can occur anywhere on the body, including the genital area. Folliculitis can be caused by bacterial infections, irritation, or blockage of the hair follicles. It may present as red, inflamed bumps that can sometimes contain pus. Treatment typically involves good hygiene, warm compresses, and sometimes topical or oral antibiotics if a bacterial infection is suspected. Folliculitis is generally not contagious, but it is essential to maintain proper hygiene to prevent further irritation or infection.
In summary, the small white bumps you are experiencing on the penis are likely benign and not a cause for concern. They are not indicative of an STI and are not contagious. If you have further questions or if your symptoms change, seeking medical advice is always a good step. Remember, open communication with your partner about any health concerns is also important for maintaining a healthy relationship.
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