the Causes of Cold Glans: Is it a Sign of STDs? - Urology

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The condition of having a cold sensation in the glans penis?


Hello doctor, a few days ago I asked about a cold sensation in the glans.
What could be causing this? Could it be a sign of a sexually transmitted infection? Thank you for your response.

Liu, 20~29 year old female. Ask Date: 2017/04/04

Dr. Du Shixi reply Urology


A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Hello: It is likely related to vascular circulation, with an unknown cause.
If there has been any unsafe sexual behavior, please seek medical attention.
Sexually transmitted infections are often characterized by redness, skin lesions, protrusions, and discharge.

Reply Date: 2017/04/04

More Info


The sensation of coldness in the glans (the tip of the penis) can be concerning, especially when it is accompanied by other symptoms. However, it is essential to understand that coldness in this area is not typically a direct sign of sexually transmitted diseases (STDs). Instead, it may be related to several other factors, including circulation issues, nerve sensitivity, or even environmental factors such as temperature changes.

When considering the causes of coldness in the glans, one must first evaluate the overall health and any accompanying symptoms. For instance, if the cold sensation is isolated and there are no other symptoms such as pain, discharge, or changes in urination, it may not be indicative of an STD. However, if there are additional symptoms, it would be prudent to consider a broader differential diagnosis.

1. Circulatory Issues: Coldness can often be attributed to poor blood circulation. Conditions such as Raynaud's phenomenon, where blood vessels constrict excessively in response to cold or stress, can lead to cold sensations in extremities, including the glans.
2. Nerve Sensitivity: Nerve-related issues can also cause abnormal sensations. Conditions like peripheral neuropathy, which can arise from diabetes, alcohol use, or vitamin deficiencies, may lead to unusual sensations, including coldness.

3. Environmental Factors: Exposure to cold environments can lead to temporary sensations of coldness in the glans. If you have recently been in a cold environment or have been exposed to cold water, this could explain the sensation.

4. Infections: While STDs typically present with more specific symptoms, certain infections can cause localized sensations. For example, a urinary tract infection (UTI) or a localized fungal infection could potentially lead to discomfort or abnormal sensations, although these would usually be accompanied by other symptoms such as burning during urination or unusual discharge.

5. Psychological Factors: Anxiety and stress can also manifest physically, leading to heightened awareness of bodily sensations, which may include feelings of coldness or tingling.

If you are experiencing persistent coldness in the glans, especially if it is accompanied by other symptoms such as pain, swelling, or discharge, it is advisable to consult a healthcare provider. They may conduct a thorough examination, including a physical assessment and possibly laboratory tests, to rule out any underlying conditions, including STDs.

In summary, while coldness in the glans can be concerning, it is not inherently indicative of STDs. A comprehensive evaluation by a healthcare professional is essential to determine the underlying cause and to address any potential health concerns. If you have any additional symptoms or concerns, do not hesitate to seek medical advice for a proper diagnosis and treatment plan.

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