Red Spots on the Glans: Causes and Concerns

Q: Red Spots on the Glans: Causes and Concerns

Hello： It may still be a case of skin inflammation. <br>It is advisable to maintain cleanliness and dryness for a period of time. <br>Of course, some individuals may experience only a fading of the erythema without complete resolution. <br>Wishing you good health.

Glans erythema

Doctor, I apologize for bothering you.
I previously had a Candida balanitis with a rash and itching, which has been treated, but there are still localized red spots on the glans.
Sometimes they are very red, and other times they appear pink.
I consulted a doctor who said it was a recurrence, but I still do not experience pain or itching.
After two follow-up visits, the doctor mentioned that after finishing the medication, I do not need to return, as it will gradually improve on its own.
However, the red spots continue to appear in the same localized area, and applying medication has not been effective, nor has taking oral medication.
I have tested negative for STIs, including HIV, syphilis, and gonorrhea, three months after sexual activity.
Is this normal? Additionally, after masturbation, I notice a red rash at the urethral opening that disappears after some time.
Should I be concerned about any STIs? Thank you, doctor.

Joe, 20~29 year old female. Ask Date: 2017/08/26

Dr. Du Shixi reply Urology

Hello: It may still be a case of skin inflammation.
It is advisable to maintain cleanliness and dryness for a period of time.
Of course, some individuals may experience only a fading of the erythema without complete resolution.
Wishing you good health.

Reply Date: 2017/08/26

More Info

Understanding red spots on the glans can be concerning, especially after experiencing a previous infection such as candidal balanitis. The glans, or the head of the penis, can exhibit various changes in color and texture due to a range of causes, some of which may be benign while others could indicate an underlying condition that requires attention.

In your case, the presence of red spots that fluctuate in color and intensity, particularly in the same location, suggests a localized issue rather than a systemic infection. Since you have already been treated for candidal balanitis and have been cleared of sexually transmitted infections (STIs) such as HIV, syphilis, and gonorrhea, it is less likely that your symptoms are due to an STI. However, it is essential to consider other potential causes for the red spots.

1. Irritation or Allergic Reaction: The glans can be sensitive to various irritants, including soaps, lotions, or even certain fabrics. If you have recently changed any personal care products or laundry detergents, this could lead to localized irritation. Additionally, friction from sexual activity or masturbation can cause temporary redness or irritation.

2. Dermatological Conditions: Conditions such as psoriasis, eczema, or lichen planus can manifest as red spots or patches on the glans. These conditions may not always be itchy or painful, which aligns with your experience. A dermatologist can provide a more accurate diagnosis and treatment options if this is suspected.

3. Post-Inflammatory Hyperpigmentation: After an infection or irritation, the skin may undergo changes that lead to discoloration. This could explain why the spots appear red at times and pink at others. Over time, this may resolve on its own.

4. Fungal or Bacterial Infections: Although you have been treated for candidal infection, it is possible for other fungal or bacterial infections to occur. If the red spots persist or worsen, a culture or further examination may be warranted to rule out other infections.

5. Pearly Penile Papules: These are small, benign bumps that can appear on the glans and are often mistaken for lesions. They are normal anatomical variations and do not require treatment.

Given that you have experienced these symptoms without pain or itching, and considering your negative STI tests, it is reasonable to monitor the situation. However, if the red spots persist, change in appearance, or if you develop new symptoms (such as pain, itching, or discharge), it would be prudent to seek further evaluation from a urologist or dermatologist. They may recommend a biopsy or other diagnostic tests to determine the exact cause of your symptoms.

In the meantime, maintaining good hygiene, avoiding irritants, and practicing safe sexual behaviors can help minimize the risk of further irritation or infection. If you notice any changes in your symptoms or have concerns about your sexual health, do not hesitate to consult a healthcare professional for personalized advice and treatment options.

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