Red Spot on Glans: Causes and When to Seek Medical Advice - Urology

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There is a small red spot on the glans?


Hello doctor, thank you for your hard work! A few days ago, I noticed a small red spot on the glans while taking a shower.
Sometimes it is quite noticeable, and other times it is not.
I searched online but couldn't find a similar condition; it looks somewhat like a bruise.
Here is the image: http://ppt.cc/BTciE.
Thank you for your help!

AL, 20~29 year old female. Ask Date: 2016/11/01

Dr. Du Shixi reply Urology


Hello: The foreskin and glans are both skin, so they can have various issues, including spots.
If you are sexually active, it is safer to consult a urologist for an examination.
If you are not sexually active, keep the area dry and avoid excessive cleaning with soap or body wash.
The foreskin and glans should not remain moist frequently.
If you notice any flaking skin, it may be necessary to seek medical attention to determine if a topical ointment is needed.
The physician will provide you with comprehensive advice.
Thank you.

Reply Date: 2016/11/01

More Info


Red spots on the glans (the head of the penis) can be concerning, and it's important to understand the potential causes and when to seek medical advice. The glans is a sensitive area, and changes in its appearance can be due to a variety of factors, ranging from harmless to more serious conditions.


Possible Causes of Red Spots on the Glans
1. Irritation or Allergic Reaction: Sometimes, red spots can result from irritation due to soaps, lotions, or other products that come into contact with the area. Allergic reactions to latex condoms or personal care products can also cause redness and spots.

2. Infections:
- Bacterial Infections: Conditions like balanitis (inflammation of the glans) can occur due to bacterial infections, leading to redness, swelling, and sometimes discharge.

- Fungal Infections: Yeast infections can also affect the glans, especially in individuals with diabetes or those who are immunocompromised.

- Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or syphilis, can present with red spots or sores on the glans.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for lesions. They are normal anatomical variations and do not require treatment.

4. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans and are sebaceous glands that are visible through the skin. They are benign and do not require treatment.

5. Other Dermatological Conditions: Conditions like psoriasis or eczema can also manifest as red spots or patches on the glans.


When to Seek Medical Advice
It is crucial to consult a healthcare provider if you notice any of the following:
- Persistent Symptoms: If the red spot does not resolve within a few days or worsens, it is advisable to seek medical attention.

- Accompanied Symptoms: If you experience additional symptoms such as pain, itching, burning sensation, swelling, or discharge, these may indicate an infection or other underlying condition that requires treatment.

- Changes in Appearance: If the red spot changes in size, color, or shape, or if new spots appear, it is important to have these evaluated by a healthcare professional.

- History of STIs: If you have a history of sexually transmitted infections or have had unprotected sexual contact, it is essential to get tested and evaluated.


Conclusion
While red spots on the glans can be benign, they can also indicate underlying issues that require medical attention. It is always better to err on the side of caution and consult a healthcare provider for a proper diagnosis and treatment plan. They may perform a physical examination, take a medical history, and possibly conduct tests to determine the cause of the red spots. Early intervention can help prevent complications and ensure appropriate treatment.

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