Glans Color Changes: Is It Normal or a Concern?

Glans color issues or leukoplakia?

Hello, doctor.
I have phimosis, but I can normally expose the glans during regular and erect states.
Should I keep it exposed all the time, or is it better to keep it covered to protect the color of my glans, which is slightly red in the center and white on the sides? However, it doesn't seem to be smegma, as I only wash out a little bit of white substance during showers, and despite washing for a long time, it remains white.
I previously consulted a doctor who said it was normal and prescribed antifungal medication, but it didn't help.
Another doctor also said it was normal and didn't prescribe any medication.
He mentioned that since my foreskin covers the glans, the blood circulation on the sides is poor, which is why they appear white.
Should I keep it fully exposed and not covered? Is it true that there is no significant issue? Are there many others with similar conditions?

DE, 10~19 year old female. Ask Date: 2017/09/16

Dr. Du Shixi reply Urology

Hello, it may be natural to withdraw when engorged and to cover when retracted; there is no need to intentionally withdraw all the time.
The color of the glans varies from person to person and can also change at different times for the same individual, so there is no need for concern.
Just maintain cleanliness and dryness.
Wishing you good health.

Reply Date: 2017/09/16

More Info

When it comes to changes in the color of the glans (the head of the penis), it is important to understand that variations can occur due to a variety of factors, including anatomical differences, hygiene practices, and blood circulation. In your case, you mentioned having a longer foreskin, which can sometimes lead to differences in coloration due to the way the glans is covered and the circulation of blood in that area.

The redness you observe in the center of the glans could be a normal physiological response, especially if it occurs during arousal or after physical activity. The white coloration on the sides could be attributed to several factors, including the natural buildup of smegma, which is a combination of dead skin cells and oils. It’s good to hear that you maintain hygiene by washing the area regularly, as this can help prevent any potential irritation or infection.

Regarding your question about whether you should keep the glans exposed or covered, it is generally recommended to allow the glans to be exposed regularly. This exposure can promote better blood circulation and may help in reducing any discoloration associated with prolonged coverage. However, it is also essential to balance this with comfort and personal preference. If you experience any discomfort or irritation, it may be worth discussing further with a healthcare provider.

You mentioned that you have seen multiple doctors who have assessed your condition and deemed it normal. This is reassuring, as it suggests that there are no underlying pathological issues. However, if you continue to have concerns about the appearance of your glans or if you notice any changes such as increased redness, swelling, or discharge, it is crucial to seek medical advice again.
In terms of the potential for commonality, many individuals experience variations in glans coloration, especially those with longer foreskins. It is not uncommon for men to have different shades of color on their glans, and many factors can contribute to this, including genetics, hygiene practices, and overall health.

If you are still worried about the condition of your glans or if you have any specific symptoms such as pain, itching, or unusual discharge, it would be wise to consult a urologist. They can provide a thorough examination and may suggest treatments or lifestyle changes if necessary.
In summary, while variations in glans color can be normal, it is essential to maintain good hygiene and monitor any changes. Regular exposure of the glans can be beneficial, and if you have ongoing concerns, don’t hesitate to seek further medical advice. Remember that you are not alone in experiencing these issues, and many men have similar concerns. Your health and comfort are paramount, so always prioritize open communication with your healthcare providers.

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