Small Bumps on the Glans: Causes and Concerns - Urology

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When it comes to small bumps on the glans, particularly those that become more pronounced during an erection, there are several potential causes to consider. It's important to approach this matter with caution and seek a professional medical evaluation for an accurate diagnosis.
Firstly, the bumps you describe could be a normal anatomical variation known as pearly penile papules. These are small, dome-shaped bumps that are typically white or skin-colored and are found around the corona of the glans. They are harmless and do not require treatment. However, if the bumps are not located in this typical area, or if they have changed in appearance, it is essential to consider other possibilities.

Another potential cause could be Fordyce spots, which are small, painless, pale bumps that are sebaceous glands that are not associated with hair follicles. They are also benign and common in many individuals.
However, if the bumps are more pronounced and have a cauliflower-like appearance, this raises the possibility of genital warts, which are caused by the human papillomavirus (HPV). Genital warts can appear as small, flesh-colored or gray swellings and can be flat or raised. They can sometimes cluster together, giving them a cauliflower-like appearance. If you suspect this might be the case, it is crucial to consult a healthcare provider for further evaluation and potential treatment options.

Infections, such as herpes simplex virus (HSV), can also present with bumps or blisters on the genital area. These are usually painful and may be accompanied by other symptoms such as itching, burning, or flu-like symptoms. If you experience any of these symptoms, it is important to seek medical attention promptly.

Additionally, other skin conditions such as folliculitis or dermatitis could cause bumps in the genital area. Folliculitis is an inflammation of the hair follicles that can lead to small, red, pus-filled bumps. Dermatitis, which can be caused by irritants or allergens, may also present with bumps or rashes.

Given your description that the bumps have been present for two months without significant change, it is less likely that they are due to an acute infection. However, the fact that they become more noticeable during an erection suggests that they may be related to the skin's tension or stretching in that area.

In conclusion, while some bumps on the glans can be normal anatomical variations, others may indicate a need for further investigation. It is essential to consult a healthcare provider who can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis. Avoid self-diagnosing based on internet searches, as many conditions can appear similar but require different treatments. Your health and peace of mind are paramount, so seeking professional advice is the best course of action.