Red Spots on Glans After Oral Sex: Is It Balanitis? - Urology

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Red spots appear due to vigorous oral sex?


During oral sex, if the partner is sucking forcefully and afterward there are small red spots on the glans that itch when touched, could this be a form of balanitis?

Lolo, 20~29 year old female. Ask Date: 2017/10/18

Dr. Du Shixi reply Urology


Hello: This situation should be evaluated by a healthcare professional.

Reply Date: 2017/10/18

More Info


Red spots on the glans after oral sex can be concerning, and it's important to understand the potential causes and implications. Based on your description, it seems that the red spots may be a result of irritation or trauma rather than a specific infection like balanitis. Balanitis is an inflammation of the glans, often caused by irritation, infection, or poor hygiene, and it can present with redness, swelling, and discomfort.

In your case, the fact that the red spots appeared after a vigorous oral sex session, where the partner was applying significant suction, suggests that the irritation could be due to mechanical trauma. This can lead to small capillaries breaking, resulting in red spots that may resemble petechiae. Such spots can also occur if there was friction or if the skin was stretched beyond its normal limits.
It's important to note that while oral sex does carry some risk of sexually transmitted infections (STIs), the symptoms you're describing do not immediately suggest an STI. However, if there was any exchange of bodily fluids or if the partner had an active infection, there could still be a risk. Common STIs that can be transmitted through oral sex include herpes, gonorrhea, and syphilis, among others. If the red spots are accompanied by other symptoms such as pain, discharge, or persistent irritation, it would be wise to consult a healthcare professional for a thorough evaluation.

In terms of management, here are some recommendations:
1. Hygiene: Maintain good hygiene by gently washing the area with mild soap and water. Avoid harsh soaps or irritants that could exacerbate the condition.

2. Avoid Irritants: Refrain from using any products that could irritate the area, such as scented lotions or creams.

3. Observation: Monitor the symptoms over the next few days. If the redness persists, worsens, or if you develop additional symptoms such as pain, swelling, or discharge, seek medical attention.

4. Consult a Professional: If you are concerned about the possibility of an STI or if the symptoms do not resolve, it is advisable to see a healthcare provider. They may perform a physical examination and possibly recommend tests to rule out infections.

5. Safe Practices: In the future, consider using protection during oral sex, such as condoms or dental dams, to reduce the risk of STIs and irritation.

In conclusion, while the red spots on the glans could be a result of irritation from vigorous oral sex, it is essential to monitor the situation and seek medical advice if necessary. Understanding the signs and symptoms of potential infections and irritations can help you take appropriate action and maintain your sexual health.

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