Concerns About White Bumps on Urethra: Is It a STD? - Urology

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There are white spots at the urethral opening, and I am concerned about the possibility of something harmful developing?


Hello Doctor, recently I've noticed small white spots at the urethral opening, some are about 2 millimeters and others around 1 millimeter.
They disappear on their own within 1 to 2 days and resemble the secretions of acne.
After they fall off, there is a slight redness and a small raised area similar to a pimple.
I'm very worried about sexually transmitted infections (STIs), but I have not engaged in unsafe sexual practices and my sexual partners have all been first partners.
When I visited the hospital, the doctors said they couldn't determine what it was.
I'm concerned it might be an STI.
Can you tell me if any STIs have clinical symptoms that resemble this? I've been feeling very anxious these past few days.
Thank you for your response.

Niming, 20~29 year old female. Ask Date: 2018/04/01

Dr. Lin Wenxu reply Urology


I'm sorry, but you need to visit the hospital in person so that a physician can examine you and provide an accurate answer.

Reply Date: 2018/04/01

More Info


It sounds like you're experiencing a concerning issue with white bumps on your urethra, and it's completely understandable to feel anxious about it, especially with worries about sexually transmitted diseases (STDs). Let's break down your symptoms and provide some clarity.

The white bumps you're describing, which appear and then disappear within a day or two, could be a few different things. One possibility is that they are benign and not related to any sexually transmitted infection. For instance, they could be sebaceous cysts or pearly penile papules, which are normal anatomical variations and not harmful. These conditions typically do not cause pain or discomfort and can appear similar to acne.

However, since you mentioned that these bumps are accompanied by redness and resemble small pimples, it’s important to consider other possibilities. Infections, including sexually transmitted infections, can present with various symptoms, but they often come with additional signs such as itching, burning during urination, unusual discharge, or persistent pain. Common STDs like herpes or genital warts can cause bumps or lesions, but they usually have distinct characteristics and associated symptoms.

Given that you have not engaged in unsafe sexual practices and have had consistent partners, the likelihood of an STD may be lower, but it is not impossible. Conditions like folliculitis (inflammation of hair follicles) or even a mild allergic reaction to products (like soaps or lubricants) could also lead to similar symptoms.

Here are some steps you can take:
1. Monitor Symptoms: Keep track of when the bumps appear and disappear, any associated symptoms (like pain, itching, or discharge), and any potential triggers (like new products or changes in routine).

2. Avoid Irritants: If you suspect that soaps, lotions, or other products may be causing irritation, consider switching to hypoallergenic or fragrance-free options.

3. Consult a Specialist: If the bumps persist, change in appearance, or if you develop new symptoms, it’s essential to see a healthcare provider, preferably a urologist or dermatologist. They may perform a physical examination and possibly run tests to rule out infections or other conditions.

4. Practice Safe Sex: Continue to practice safe sex, including the use of condoms, to reduce the risk of STDs, even if you believe your partners are low-risk.

5. Stay Informed: Educate yourself about common STDs and their symptoms. This knowledge can help you identify when to seek medical attention.

In conclusion, while the symptoms you describe could be benign, it’s crucial to remain vigilant and consult a healthcare professional if you have ongoing concerns. They can provide a definitive diagnosis and appropriate treatment if necessary. Remember, early intervention is key in managing any health issue effectively.

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