Red Spots on the Glans: Should You See a Doctor?

Red spots on the glans?

A few days ago, I had intimate contact with my girlfriend and did not shower afterward.
The next day, I noticed some red spots, but they gradually disappeared after two days.
Should I still see a doctor?

Huang, 20~29 year old female. Ask Date: 2017/02/22

Dr. Chen Jiansheng reply Urology

It may be due to excessive friction; I recommend monitoring the situation further.

Reply Date: 2017/02/22

More Info

When it comes to red spots on the glans (the head of the penis), it's essential to approach the situation with caution and awareness of potential underlying issues. Given your description, it seems that the red spots appeared after a sexual encounter and subsequently faded after a couple of days. While this might suggest a transient irritation or minor issue, there are several factors to consider before deciding whether to see a doctor.

1. Possible Causes: Red spots on the glans can result from various causes, including:
- Irritation: This can occur due to friction during sexual activity, especially if adequate lubrication was not used.

- Infection: Conditions such as balanitis (inflammation of the glans) or sexually transmitted infections (STIs) can present with red spots or lesions.

- Allergic Reaction: Sometimes, reactions to soaps, lotions, or latex (from condoms) can cause localized redness and irritation.

- Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are a normal anatomical variant.

2. Symptoms to Monitor: Since the red spots have faded, it may indicate that the issue was minor. However, you should monitor for any additional symptoms, such as:
- Persistent redness or irritation
- Pain or discomfort
- Discharge (especially if it is unusual in color or consistency)
- Swelling or changes in the appearance of the glans
- Fever or systemic symptoms
3. When to See a Doctor: It is advisable to consult a healthcare professional if:
- The red spots return or worsen.

- You experience any of the concerning symptoms mentioned above.

- You have any doubts about the nature of the spots or if they are accompanied by other symptoms like itching or burning.

- You have had unprotected sexual encounters and are concerned about STIs.

4. Importance of Professional Evaluation: A healthcare provider can perform a thorough examination and may conduct tests if necessary to rule out infections or other conditions. Early diagnosis and treatment can prevent complications and ensure proper management of any underlying issues.

5. Preventive Measures: Regardless of whether you decide to see a doctor, consider adopting preventive measures for the future:
- Practice safe sex by using condoms to reduce the risk of STIs.

- Maintain good hygiene, including regular washing of the genital area.

- Use water-based lubricants during sexual activity to minimize friction.

In conclusion, while the transient nature of the red spots may suggest a minor issue, it is always better to err on the side of caution. If you have any lingering concerns or if symptoms develop, seeking medical advice is the best course of action. Your health and peace of mind are paramount, and a healthcare professional can provide the reassurance and care you need.

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