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

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There are small red spots on the glans?


A few days ago, I noticed what looked like abrasions on my glans.
They gradually faded, but now small red spots have appeared.
What could be the issue?

Chen, 10~19 year old female. Ask Date: 2017/02/11

Dr. Du Shixi reply Urology


Hello: If you have engaged in sexual activity, please visit a urologist for an examination.
If you have not had sexual activity, it may be caused by moisture.
Keep the area clean and dry, and seek medical attention if there is redness.
Thank you for your inquiry.

Reply Date: 2017/02/11

More Info


The appearance of small red dots on the glans (the head of the penis) can be concerning, and it is important to understand the potential causes and implications. Based on your description, it seems that you initially had some sort of abrasion or irritation, which has now evolved into small red spots. There are several possible explanations for this condition.

1. Irritation or Trauma: If you experienced any form of friction, such as from sexual activity, vigorous cleaning, or even tight clothing, this could lead to irritation or minor trauma. The skin on the glans is sensitive, and any form of irritation can result in redness or small spots. If the irritation is mild, it may resolve on its own, but it’s essential to avoid further irritation.

2. Infections: Various infections can cause red spots on the glans. For instance, sexually transmitted infections (STIs) such as herpes or human papillomavirus (HPV) can manifest as red spots or lesions. Fungal infections, such as candidiasis (thrush), can also lead to redness and irritation. If you suspect an infection, it is crucial to seek medical advice for appropriate testing and treatment.

3. Allergic Reactions: Allergic reactions to soaps, lotions, or latex (from condoms) can cause localized redness and irritation. If you have recently changed any products that come into contact with your genital area, consider whether an allergy might be the cause.

4. Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are often mistaken for other conditions. They are a normal anatomical variant and do not require treatment unless they cause discomfort or concern.

5. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to red spots or patches. These conditions may require specific treatments to manage symptoms effectively.

6. Prevention and Care: To care for the area, keep it clean and dry. Avoid using harsh soaps or products that may irritate the skin. If you are experiencing discomfort, over-the-counter hydrocortisone cream may help reduce inflammation, but it’s best to consult a healthcare provider before using any medication.

Given that the symptoms have changed and you are now noticing small red spots, it is advisable to consult a healthcare professional, preferably a urologist or dermatologist. They can perform a physical examination, take a detailed history, and possibly conduct tests to determine the exact cause of the red spots. Early diagnosis and treatment are essential, especially if an infection or other underlying condition is present.

In summary, while small red dots on the glans can arise from various benign causes, they can also indicate more serious conditions. Monitoring the symptoms and seeking medical advice will help ensure that any potential issues are addressed promptly and effectively.

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