White Bumps on the Glans: Should You Be Concerned? - Urology

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The glans is white?


Hello doctor, I have recently noticed some white spots on my glans.
I searched online and it might be glans papules (it looks very similar), but most of the example images show them around the glans, while I have them on the glans itself as well.
The area is about the size of a small fingernail, feels rough to the touch, but is not painful.
I would like to know if this could be a sexually transmitted infection? It has been ongoing for a month, and I have been hesitant to see a doctor because I am afraid of feeling embarrassed.
Although it doesn't seem to have worsened, it also hasn't improved.
I have looked at many examples of sexually transmitted infections, and it doesn't resemble any of them, which makes me a bit worried.

Nìngmíng, 10~19 year old female. Ask Date: 2017/01/16

Dr. Du Shixi reply Urology


Hello: It is important to keep the area clean and dry.
If there is any urine leakage, please make sure to dry it thoroughly.
I recommend visiting a urology department at a hospital, as doctors see many patients with similar issues each day.
If any examinations are needed, they will assist you with that.
Thank you for your inquiry.

Reply Date: 2017/01/16

More Info


When it comes to white bumps on the glans (the head of the penis), it is understandable to feel concerned, especially when searching for information online can lead to a variety of interpretations and potential diagnoses. Based on your description, it sounds like you might be experiencing pearly penile papules or possibly a condition known as Fordyce spots, both of which are benign and common in males. However, it is crucial to differentiate these from sexually transmitted infections (STIs) or other dermatological conditions that may require medical attention.

Pearly Penile Papules are small, white or skin-colored bumps that typically appear around the corona (the ridge) of the glans. They are completely harmless and are considered a normal anatomical variant. They do not cause pain or discomfort and do not require treatment.
Fordyce Spots are another benign condition characterized by small, painless, pale bumps that can appear on the glans or shaft of the penis. These are sebaceous glands that are not associated with hair follicles and are also harmless.

However, if the white bumps you are experiencing are rough to the touch and have persisted for a month without improvement, it is essential to consider other possibilities. Conditions such as genital warts, caused by the human papillomavirus (HPV), or balanitis, which is inflammation of the glans, could present with similar symptoms. Genital warts typically appear as small, flesh-colored or white bumps that can be raised or flat, and they may be accompanied by itching or discomfort.

Given your concerns about sexually transmitted infections, it is important to note that many STIs can present with various symptoms, including bumps or lesions in the genital area. Conditions like herpes can also cause lesions, although they are usually painful and may be accompanied by other symptoms such as fever or swollen lymph nodes.

The best course of action is to consult a healthcare professional, preferably a urologist or a dermatologist, who can provide a thorough examination and possibly perform tests to determine the exact nature of the bumps. While it is natural to feel embarrassed about discussing genital issues, healthcare providers are trained to handle such matters with professionalism and confidentiality.
In summary, while the white bumps you are experiencing may be benign, it is essential to seek medical advice to rule out any serious conditions, especially if they have persisted for an extended period. Early diagnosis and treatment can help alleviate any concerns and ensure your health and well-being. Remember, it is always better to be safe and get a professional opinion rather than relying solely on online resources.

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