Small Bump on Glans: Is It a Sign of STD or Something Else?

There is a growth on the glans that is less than 1mm in size?

I have a small bump on my glans that is less than 1mm in size, the same color as the glans, not particularly red, and slightly raised.
It doesn't itch or hurt, and there is only one.
I tried to scratch it off, but it caused some pain and slight redness on the glans.
Could this be a sexually transmitted infection? I have a steady girlfriend, and our sexual activities have been normal.

Nìmíng, 20~29 year old female. Ask Date: 2016/09/01

Dr. Du Shixi reply Urology

Hello, if you are experiencing similar issues with the foreskin or glans elsewhere, it may be necessary to visit a urology department for an examination.
Some individuals may have a long-standing series of protrusions on the foreskin or glans that can sometimes be prominent and at other times less noticeable, and they do not necessarily grow larger; these may not be pathological and could be sebaceous gland-related.
However, if the area increases in size or the number of protrusions increases, please be sure to seek medical attention and consult a physician for assistance.
Thank you.

Reply Date: 2016/09/01

More Info

When it comes to a small bump on the glans (the head of the penis), there are several potential explanations, and not all of them are indicative of a sexually transmitted disease (STD). Given your description of the bump being less than 1mm, matching the color of the glans, and being non-painful and non-itchy, it is possible that this could be a benign condition rather than an STD.

1. Pearly Penile Papules: One common benign condition is pearly penile papules, which are small, dome-shaped bumps that can appear around the corona of the glans. They are completely normal anatomical variations and are not associated with any disease or infection.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans or shaft of the penis. They are sebaceous glands that are visible through the skin and are also considered normal.

3. Folliculitis: If the bump is slightly inflamed or red, it could be a result of folliculitis, which is the inflammation of hair follicles. This can occur due to irritation or infection but is generally not serious.

4. Warts or Other Lesions: While the characteristics you describe do not strongly suggest an STD, certain types of warts (such as those caused by HPV) can appear as small bumps. These may require further evaluation, especially if they change in appearance or if new symptoms develop.

5. Irritation or Trauma: You mentioned attempting to remove the bump, which may have caused some irritation or minor injury to the area. This could lead to temporary redness and discomfort.

Given that you have a stable sexual partner and have not experienced any other symptoms (such as discharge, pain during urination, or unusual itching), the likelihood of this being an STD is lower. However, it is essential to monitor the bump for any changes in size, color, or sensation.

Recommendations:
- Avoid Picking: It is advisable to refrain from picking at the bump, as this can lead to irritation, infection, or scarring.

- Observation: Keep an eye on the bump for any changes. If it grows, becomes painful, or if you develop other symptoms, it would be wise to seek medical attention.

- Consult a Healthcare Provider: If you remain concerned about the bump or if it does not resolve, consider scheduling an appointment with a healthcare provider. A dermatologist or urologist can provide a thorough examination and may perform tests if necessary to rule out any infections or other conditions.

- Discuss Sexual Health: Since you have a regular partner, it may also be beneficial to discuss sexual health openly with her and consider both of you getting tested for STDs, especially if there are any concerns.

In conclusion, while the bump you describe is likely benign, it is always best to err on the side of caution and consult a healthcare professional for personalized advice and peace of mind.

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