White Bumps on the Glans: When to Seek Medical Advice - Urology

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When it comes to white bumps on the glans (the head of the penis), it is important to understand that there are various potential causes, and while some may be harmless, others may require medical attention. Based on your description of two white bumps that resemble pimples, one of which has a small black dot inside, it is understandable that you feel concerned.
Firstly, it is crucial to note that the glans can develop various types of lesions or bumps, and many of them are benign. Common benign conditions include:
1. Pearly Penile Papules: These are small, white, harmless bumps that typically appear around the corona of the glans. They are a normal anatomical variation and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are also harmless and common.

3. Folliculitis: This is an inflammation of the hair follicles, which can sometimes appear as small red or white bumps. It can occur due to irritation or infection.

4. Sebaceous Cysts: These can appear as small lumps filled with a fatty substance and are usually harmless.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small bumps and may require treatment.

6. Pearly Penile Papules: These are small, white, harmless bumps that typically appear around the corona of the glans. They are a normal anatomical variation and do not require treatment.

Given that your bumps are not painful or itchy and that you have not engaged in unsafe sexual practices, it is possible that they are benign. However, the presence of a black dot inside one of the bumps is noteworthy and could indicate a clogged follicle or another condition that may need evaluation.


When to Seek Medical Advice
You should consider seeking medical advice if:
- The bumps change in appearance, size, or color.

- You experience any pain, itching, or discomfort.

- There is any discharge from the bumps.

- You have concerns about sexually transmitted infections (STIs) or other conditions.


Which Specialist to Consult
For concerns regarding bumps on the glans, it is best to consult a urologist. Urologists specialize in the male reproductive system and urinary tract, making them well-equipped to evaluate and diagnose conditions related to the penis and surrounding areas. If you feel uncomfortable seeing a urologist, you could also start with a primary care physician, who can then refer you to a specialist if necessary.


Conclusion
While it is understandable to feel hesitant about seeking medical advice for such concerns, it is important to prioritize your health. Many conditions affecting the genital area are treatable, and a healthcare professional can provide you with the necessary guidance and reassurance. Remember, it is always better to get a professional opinion than to worry unnecessarily about your symptoms. If you decide to visit a doctor, be prepared to describe your symptoms in detail and bring any relevant medical history to facilitate a thorough evaluation.