Small White Bumps on the Penis: Possible Causes and Concerns - Urology

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When it comes to small white bumps on the penis, there are several potential causes, and it's essential to approach this matter with caution and awareness. Based on your description, it seems you have noticed small white bumps on the shaft of your penis and the glans (head) that are not painful or itchy. However, you also mentioned a history of unprotected sexual encounters and some urinary symptoms, which raises the need for a thorough evaluation.

One possible cause of the small white bumps could be pearly penile papules, which are harmless and common in many men. They are typically small, dome-shaped, and usually appear in rows around the corona of the glans. They are not associated with any pain or discomfort and do not require treatment unless they cause psychological distress.

Another possibility is Fordyce spots, which are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also benign and quite common, often appearing on the shaft of the penis and other areas of the body.

However, given your history of potential exposure to sexually transmitted infections (STIs), it is crucial to consider other conditions such as genital warts, which are caused by the human papillomavirus (HPV). Genital warts can appear as small, flesh-colored or white bumps and may cluster together. They can be painless but may cause discomfort or itching in some cases.
Additionally, the symptoms of pain during urination and blood in the semen are concerning and could indicate an infection or another underlying issue, such as urethritis or prostatitis. These conditions can be caused by various pathogens, including bacteria and viruses, and may require medical intervention.

Given the complexity of your symptoms and the potential for STIs, it is highly advisable to seek medical attention from a healthcare provider, preferably a urologist or a specialist in sexual health. They can perform a physical examination, possibly conduct tests such as swabs or blood tests, and provide a definitive diagnosis. Early diagnosis and treatment are crucial, especially if an STI is involved, as some infections can lead to more severe health issues if left untreated.

In summary, while there are benign explanations for the small white bumps you are experiencing, your history of unprotected sexual encounters and accompanying urinary symptoms necessitate a thorough evaluation by a healthcare professional. It is essential to prioritize your health and seek appropriate medical care to address your concerns and ensure your well-being.