White Bumps Under the Penis Head: Causes and Concerns - Urology

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White bumps below the glans of the penis?


There is a bump below the glans that previously had white discharge.
I had unprotected oral sex five months ago and I'm worried about it.
There is a red ring around it and a white raised bump.
Recently, I've been experiencing some pain in my testicles.
(I used to masturbate three times a day.)

Niming, 20~29 year old female. Ask Date: 2016/10/03

Dr. Sun Hongshun reply Urology


Hello: It doesn't seem to be a specific sexually transmitted infection, but since there is a pain issue, it is still recommended to consult with a urologist or dermatologist for treatment.

Reply Date: 2016/10/03

More Info


When it comes to the presence of white bumps under the head of the penis, there are several potential causes that one should consider. It is important to approach this issue with caution and seek medical advice for an accurate diagnosis and appropriate treatment.

One common cause of white bumps in this area is the presence of pearly penile papules, which are small, harmless bumps that typically appear around the corona of the glans (the head of the penis). These are normal anatomical variations and are not associated with any disease or condition. They are often mistaken for sexually transmitted infections (STIs) but are completely benign.

Another possibility is the presence of Fordyce spots, which are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also normal and do not require treatment.
However, if the bumps are painful, red, or associated with other symptoms such as discharge, it could indicate a more serious condition. For instance, a sexually transmitted infection like herpes or genital warts could present with similar symptoms. Herpes typically causes painful blisters or sores, while genital warts appear as small, flesh-colored or gray growths.

The mention of a "red circle" and pain in the testicles raises additional concerns. Testicular pain can be caused by various conditions, including epididymitis (inflammation of the epididymis), orchitis (inflammation of the testicle), or even testicular torsion, which is a medical emergency. If the pain is severe or accompanied by swelling, nausea, or fever, it is crucial to seek immediate medical attention.

Self-examination is important, but it is equally important to avoid self-diagnosing based on online information or images. The symptoms you describe, particularly the history of unprotected oral sex and the presence of painful bumps, warrant a visit to a healthcare provider. A urologist or dermatologist can perform a thorough examination, possibly including swabs or blood tests, to determine the exact cause of your symptoms.

In terms of sexual health, it is crucial to practice safe sex to reduce the risk of STIs. Using condoms during oral and penetrative sex can significantly lower the chances of transmission of infections. If you are experiencing anxiety or concern about your sexual health, consider discussing this with a healthcare professional who can provide guidance and support.

In summary, while some white bumps may be harmless, the presence of pain, redness, or other concerning symptoms should not be ignored. It is essential to seek medical advice for proper diagnosis and treatment. Remember that early intervention can lead to better outcomes and peace of mind regarding your health.

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