White Spots on the Scrotum: Causes and Concerns - Urology

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There are white spots on the scrotum?


Doctor: Hello, I am 16 years old and I often notice many white spots on the area where my scrotum and pubic hair meet.
They also seem to have hair growing from them, but they are not painful.
I'm wondering if this is related to masturbation or if it's due to insufficient cleanliness.
I'm a bit scared and have been worried about this for a long time.
It seems like the more I masturbate, the more spots appear.
I have researched and found that they say it's pearly penile papules, but those are usually found on the penis, and I haven't found anything about the scrotum.
I'm afraid it might be some kind of disease.
Could you please help me understand? Thank you.

Wu, 10~19 year old female. Ask Date: 2017/01/02

Dr. Du Shixi reply Urology


Hello: I recommend that you visit a hospital for a check-up to put your mind at ease.
In the meantime, keep the area clean and dry, and there's no need to wash with soap or body wash excessively.
(It is likely a condition related to the hair follicles.) Thank you for your inquiry.

Reply Date: 2017/01/02

More Info


Understanding white spots on the scrotum can be a source of concern for many, especially during adolescence when changes in the body can lead to confusion and anxiety. Based on your description, it sounds like you may be experiencing a common condition known as Pearly Penile Papules (PPP), which can sometimes appear on the scrotum as well. However, let's explore this further to provide you with a comprehensive understanding.


Causes of White Spots on the Scrotum
1. Pearly Penile Papules: These are small, benign growths that typically appear around the corona of the glans penis but can also be found on the scrotum. They are completely normal and are not related to any sexually transmitted infections or diseases. They are more common in uncircumcised males and are considered a normal anatomical variant.

2. Sebaceous Cysts: These are small, painless lumps that can occur anywhere on the body, including the scrotum. They are caused by blocked sebaceous glands and are filled with a fatty substance. They are generally harmless and do not require treatment unless they become infected or bothersome.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to small white or red bumps on the skin, including the scrotum. Proper hygiene and avoiding tight clothing can help prevent this condition.

4. Fungal Infections: Conditions like tinea cruris (jock itch) can cause white patches or spots in the groin area. These infections are often accompanied by itching and discomfort.

5. Other Skin Conditions: Conditions such as eczema or psoriasis can also manifest as white spots or patches on the skin, including the scrotum.


Concerns Regarding Self-Cleaning and Masturbation
It’s important to note that masturbation itself does not cause the appearance of white spots on the scrotum. However, if you are not practicing good hygiene, it can lead to skin irritation or infections, which might contribute to skin changes. Regular cleaning with mild soap and water, ensuring the area is dry afterward, can help maintain skin health.


When to Seek Medical Advice
While many causes of white spots on the scrotum are benign, it is crucial to consult a healthcare professional if you notice any of the following:
- Changes in Size or Color: If the spots change in appearance, size, or color, it’s advisable to seek medical advice.

- Pain or Discomfort: If you experience any pain, itching, or discomfort associated with the spots.

- Persistent Symptoms: If the spots do not resolve or if you have concerns about their appearance.


Conclusion
In summary, the white spots you are observing on your scrotum are likely benign and could be due to conditions such as Pearly Penile Papules or sebaceous cysts. Maintaining good hygiene and monitoring any changes in the spots is essential. If you have ongoing concerns or if the spots change in any way, it would be wise to consult a healthcare provider for a proper evaluation and peace of mind. Remember, it’s always better to seek professional advice when it comes to your health, especially during these formative years.

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