Small Red Dots on the Glans: Causes and Concerns - Urology

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There are some small red spots on the glans?


Hello Doctor: Today while taking a shower, I noticed some small red spots on the glans, but they seem to be beneath the surface of the skin; the surface of the glans is still relatively smooth.
I took a picture: http://imgur.com/PuJtG6c.
Currently, there is no pain, and the itching is minimal.
What could this issue be? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/02/09

Dr. Du Shixi reply Urology


Hello: Fungal infections can occur, so it's important to keep the area dry and clean, avoiding prolonged moisture.
If engaging in sexual activity, especially unprotected sex, it is advisable to seek medical attention.
Additionally, if there is any skin breakdown or significant redness, that is also a reason to consult a healthcare professional.

Reply Date: 2017/02/09

More Info


When it comes to small red dots on the glans (the head of the penis), there are several potential causes, and understanding these can help alleviate concerns. Based on your description, it seems that the red dots are not causing you pain or significant itching, which is a positive sign. However, it is essential to consider various factors that could contribute to this condition.

1. Pearly Penile Papules: One common benign condition that can present as small, smooth, red or white bumps on the glans is pearly penile papules. These are normal anatomical variations and are not associated with any disease or infection. They are typically harmless and do not require treatment.

2. Folliculitis: Another possibility is folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, friction, or infection. If the red dots are localized around hair follicles, this could be the cause. Folliculitis usually resolves on its own, but maintaining good hygiene and avoiding tight clothing can help.

3. Allergic Reactions or Irritation: Sometimes, small red dots can result from an allergic reaction to soaps, lotions, or other personal care products. If you have recently changed any products, consider reverting to your previous ones to see if the condition improves.

4. Infections: While you mentioned that there is no pain or itching, it is still important to consider sexually transmitted infections (STIs) such as herpes or human papillomavirus (HPV). These infections can sometimes present with small bumps or lesions. If you have had unprotected sexual contact, it would be wise to consult a healthcare provider for testing.

5. Dermatological Conditions: Conditions such as lichen planus or psoriasis can also manifest as red spots or lesions on the genital area. These conditions may require specific treatments, so if the spots persist or change, a dermatologist's evaluation would be beneficial.

6. Other Causes: Other less common causes could include conditions like balanitis (inflammation of the glans) or even benign tumors. If there are any changes in the appearance of the spots, or if you develop additional symptoms such as discharge, pain, or persistent itching, it is crucial to seek medical advice.


Recommendations:
- Observation: Since the red dots are not causing discomfort, you may choose to observe them for a short period. If they do not change or resolve within a few weeks, it would be advisable to consult a healthcare professional.

- Hygiene: Maintain good genital hygiene, using mild, unscented soap and ensuring the area is dry after washing.

- Avoid Irritants: If you suspect an allergic reaction, try to identify and avoid any potential irritants.

- Consultation: If you have any concerns about STIs or if the condition worsens, do not hesitate to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to rule out any underlying issues.

In summary, while small red dots on the glans can be concerning, many potential causes are benign. Monitoring the situation and consulting a healthcare provider if necessary will help ensure that any underlying issues are addressed appropriately.

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