White Patches on the Glans: When to Seek Medical Advice

Q: White Patches on the Glans: When to Seek Medical Advice

Hello： To be honest, I feel there is some inflammation; the affected area can sometimes be small and other times larger. <br>The white areas appear normal, while the red areas seem to indicate inflammation. <br>If there has been sexual activity, it may be necessary to seek medica

The glans is white?

Hello doctor, I have white patches on the glans that have been present for several years.
They are not painful or itchy, and they haven't changed in size.
I wash regularly, but they don't seem to go away.
I have a phimosis issue, but I do retract to clean.
Is this normal? Based on the image linked, the patches are located on the right side and around the frenulum.
Is this normal? Do I need to seek medical attention? Could this be a serious issue? Should I consider using any topical ointment?

c, 20~29 year old female. Ask Date: 2017/07/14

Dr. Du Shixi reply Urology

Hello: To be honest, I feel there is some inflammation; the affected area can sometimes be small and other times larger.
The white areas appear normal, while the red areas seem to indicate inflammation.
If there has been sexual activity, it may be necessary to seek medical attention.
Avoid using topical ointments, as some can cause skin discoloration.
Wishing you good health.

Reply Date: 2017/07/14

More Info

When it comes to understanding white patches on the glans (the head of the penis), it’s important to approach the situation with caution and awareness of potential underlying conditions. Based on your description, the white patches have been present for several years, are not painful or itchy, and have not changed in size or appearance. While these characteristics may suggest a benign condition, it is crucial to consider several factors before determining whether medical advice is necessary.

1. Possible Causes: The white patches you are experiencing could be due to a variety of causes. Some common benign conditions include:
- Pearly Penile Papules: These are small, white, harmless bumps that often appear around the corona of the glans. They are a normal anatomical variant and do not require treatment.

- Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands that are visible through the skin. They are also harmless.

- Lichen Sclerosus: This is a skin condition that can cause white patches and is more serious. It may require treatment if it causes discomfort or other symptoms.

- Balanitis: Inflammation of the glans can sometimes present with white patches, often accompanied by irritation or discomfort.

- Other Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area.

2. When to Seek Medical Advice: Given that you have a history of phimosis (a condition where the foreskin cannot be easily retracted), it is advisable to consult a healthcare professional, especially if:
- The patches change in appearance, size, or color.

- You experience any new symptoms such as pain, itching, or discharge.

- You have concerns about hygiene or the ability to clean the area effectively.

3. Self-Care and Treatment: While it may be tempting to apply over-the-counter creams or ointments, it is essential to avoid self-diagnosing and treating without professional guidance. Some topical treatments may irritate the area further or mask underlying issues. If you are considering using a topical medication, it is best to consult with a healthcare provider first.

4. Hygiene Practices: Maintaining good hygiene is crucial, especially with phimosis. Gently cleaning the area with mild soap and water can help prevent irritation and infection. If you are unable to retract the foreskin fully, it is important to be cautious and avoid forcing it, as this can lead to further complications.

5. Conclusion: While the white patches may not seem alarming based on your description, it is always better to err on the side of caution when it comes to changes in your body. A healthcare professional can provide a thorough examination and determine if any treatment is necessary. They can also offer advice tailored to your specific situation, including whether any topical treatments are appropriate.

In summary, while the white patches may not be a cause for immediate concern, seeking medical advice is a prudent step to ensure that there are no underlying issues that need to be addressed. It is always better to have peace of mind regarding your health.

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