Red Bumps with Black Dots on Scrotum: Causes and Treatment Options

There are small red bumps on the scrotum, each with a black dot on top?

I have never engaged in any inappropriate sexual behavior, and my girlfriend hasn't either; we are both monogamous.
Initially, I felt a prickling and itching sensation on the right side of my scrotum, and after a few days, some red, swollen bumps appeared.
Each bump has a small black dot in the center, which slightly enlarges, and the affected area feels prickly.
This has been ongoing for about a week.
(My girlfriend does not have these symptoms.) I found very similar images online at http://m.999ask.com/allask/4663558.html (case images need to be enlarged).
What could this issue be? Will it resolve on its own? Is applying an antifungal cream effective? Can it be completely cured?

Ken, 20~29 year old female. Ask Date: 2018/03/01

Dr. Wu Yuxin reply Dermatology

These types of lesions are not difficult to diagnose, but it is essential to actually visualize the lesions to confirm the diagnosis.
If you are experiencing significant distress, please seek medical attention promptly.
It is only by examining the lesions that the underlying issue can be identified and appropriately managed.

Reply Date: 2018/03/01

More Info

The symptoms you are describing—red bumps with black dots on the scrotum—can be concerning and may indicate several potential conditions. Given the details you've provided, it is essential to consider a few possibilities, including folliculitis, molluscum contagiosum, or even a form of dermatitis.
1. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection (bacterial or fungal), irritation, or blockage. The red bumps you see could be inflamed follicles, and the black dots might be the hair shafts or even small scabs from irritation. Folliculitis can be itchy and uncomfortable, but it often resolves on its own or with topical treatments.

2. Molluscum contagiosum: This is a viral infection that results in small, raised, pearly bumps on the skin, which can sometimes have a central dimple or black dot. It is typically harmless and can resolve without treatment, but it can take several months to years. If the bumps are indeed molluscum, they may require treatment if they become bothersome or spread.

3. Dermatitis: Contact dermatitis or allergic reactions can also cause red, itchy bumps. If you've recently changed soaps, laundry detergents, or other products that come into contact with your genital area, this could be a reaction.

4. Pearly Penile Papules: While not a disease, these are small, harmless bumps that can appear on the penis or scrotum and may be mistaken for something concerning. They are normal anatomical variations and do not require treatment.

As for treatment options, it is crucial to avoid self-diagnosing based on images found online, as this can lead to inappropriate treatment. Here are some general recommendations:
- Avoid Irritants: If you suspect contact dermatitis, try to identify and avoid any potential irritants or allergens.

- Topical Treatments: Over-the-counter antifungal creams or hydrocortisone may help if you suspect a fungal infection or mild inflammation. However, if you believe it to be a viral infection like molluscum, these treatments may not be effective.

- Maintain Hygiene: Keep the area clean and dry, as moisture can exacerbate skin conditions.

- Avoid Scratching: This can lead to secondary infections and worsen the condition.

Regarding the use of "療黴舒" (which I assume is an antifungal cream), it may help if the condition is fungal in nature, but it will not be effective for viral infections or other non-fungal conditions.
It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. A dermatologist or urologist can provide a thorough examination and may recommend a biopsy or other tests if necessary. They can also prescribe stronger medications if over-the-counter options are ineffective.
In summary, while some conditions may resolve on their own, others may require medical intervention. It is best to seek professional advice to ensure proper care and peace of mind.

Similar Q&A

Understanding Black Bumps on the Scrotum: Causes and Treatment Options

There are black, raised bumps on the scrotal epidermis that bleed when punctured. I have undergone cryotherapy, but there has been no improvement. Are there other treatment options available? What condition could this symptom indicate?

Dr. Wu Yuxin reply Dermatology
It is described as a possible vascular keratosis, but without actually seeing the lesion, it cannot be confirmed. It is recommended to have a dermatologist evaluate it for a definitive diagnosis.

Understanding Scrotal Spots: Causes, Concerns, and Treatment Options

Hello, doctor: Recently, I noticed several black spots of varying sizes (which look like moles, larger) and red spots (smaller) on my scrotum while showering. They are not painful, not itchy, and do not protrude, but I feel like there are more appearing over the past two to three...

Dr. Liu Jianting reply Urology
Seeing is believing; please visit a hospital to consult a urologist for an examination.

Understanding Scrotal Skin Issues: Causes and Treatment Options

About 4-5 years ago, I developed many dark red spots and 4-5 white bumps on my scrotum. They are not painful or itchy. Could this be a sexually transmitted infection? How should I treat it? Thank you.

Dr. Wu Yuxin reply Dermatology
No lesions were observed, making it difficult to determine the issue. If this is causing significant distress, please seek medical attention promptly.

Managing Red Bumps and Discomfort in the Groin Area: A Dermatological Guide

Dr. Huang: I would like to ask you about some recent issues. I have developed three to four areas of red raised lesions on the skin of my scrotum. I visited a doctor who diagnosed it as neurodermatitis (triggered by stress and lack of sleep). I have been applying medication and t...

Dr. Huang Ruiyun reply Dermatology
Hello: I apologize, but according to regulations, a diagnosis cannot be made without personally examining the patient. In other words, online diagnosis is not permitted. It seems that your condition has changed and does not align with the original diagnosis. I recommend that you ...