Red Spots on Glans After Intercourse: Causes and Solutions for Couples - Urology

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After sexual intercourse, small red spots may appear on the glans?


1.
My wife is prone to vaginal inflammation (she has received medical treatment, and we only engage in sexual intercourse after the treatment is completed).
I wonder if this will affect her ability to conceive in the future?
2.
After each sexual encounter with my wife, I notice small red spots on the glans, which are neither painful nor itchy.
They subside with topical medication.
I read online that this could be due to an allergy to vaginal discharge.
Is there a solution for this? Since we are preparing to have a baby and cannot use condoms, I hope to find an effective way to improve this situation.

Niming, 30~39 year old female. Ask Date: 2016/07/19

Dr. Chen Jiansheng reply Urology


Hello, sir: If vaginal inflammation requires medication treatment, it may affect the small red spots on the fetus's glans, which is likely a candidal infection.
Since it hasn't caused any discomfort for you, why not prioritize fertility? Chen Jian-sheng, Urology Department, Sin Ying Hospital.

Reply Date: 2016/07/19

More Info


Red spots on the glans after intercourse can be concerning for many couples, and it's important to understand the potential causes and solutions. Based on your description, it seems that your wife has a history of vaginal inflammation, which could be a contributing factor to the symptoms you are experiencing. Let's address your questions one by one.

1. Impact of Vaginal Inflammation on Future Pregnancy: Vaginal inflammation, or vaginitis, can be caused by various factors including infections, allergies, or irritants. If your wife has received appropriate treatment and her condition has resolved, it is unlikely to have a long-term impact on her fertility. However, chronic or untreated infections can potentially affect fertility, so it is essential for her to maintain regular gynecological check-ups and follow her doctor's advice. If she experiences recurrent infections, it may be worthwhile to explore underlying causes with a healthcare professional.

2. Red Spots on the Glans: The appearance of small red spots on the glans after intercourse, especially if they are not painful or itchy, could be due to several reasons. One common cause is friction or irritation from sexual activity, particularly if there is insufficient lubrication. Another possibility is an allergic reaction to your wife's vaginal secretions, which could be exacerbated by any inflammation present. It is also possible that these spots are a result of a mild infection or a condition known as balanitis, which is inflammation of the glans.

To address the red spots, consider the following solutions:
- Use Lubrication: If friction is a concern, using a water-based lubricant during intercourse can help reduce irritation and prevent the formation of red spots.

- Hygiene Practices: Ensure that both partners maintain good hygiene before and after intercourse. This includes washing the genital area with mild soap and water.

- Avoid Irritants: If you suspect that the red spots are due to an allergic reaction, try to identify and avoid potential irritants, such as scented soaps, lotions, or even certain fabrics.

- Consult a Healthcare Professional: If the red spots persist or worsen, it is advisable to consult a urologist or dermatologist. They can provide a proper diagnosis and recommend appropriate treatments, which may include topical medications or further testing if an infection is suspected.

3. Preparing for Pregnancy: Since you are preparing to have a child, it is crucial to ensure that both partners are in good health. Regular check-ups for both you and your wife can help identify any underlying issues that may affect conception. If your wife continues to experience vaginal inflammation, it is essential to address this before trying to conceive, as a healthy vaginal environment is important for both fertility and a healthy pregnancy.

In summary, while the red spots on the glans after intercourse can be concerning, they are often manageable with proper care and attention. Maintaining open communication with your partner and healthcare providers will be key in addressing these issues effectively. If symptoms persist, seeking professional medical advice is always the best course of action to ensure both partners' health and well-being as you prepare for parenthood.

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