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

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When it comes to the appearance of white spots on the glans (the head of the penis), it is essential to approach the situation with caution and awareness of potential underlying conditions. Based on your description, you have noticed a red dot that turned into a white spot after sexual intercourse, and you also have another white spot that has been present for several months. Here’s a comprehensive analysis of your situation and guidance on when to seek medical advice.


Understanding the Symptoms
1. White Spots on the Glans: The white spot that developed after sexual activity could be due to several reasons, including:
- Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are common in many men. They are not a cause for concern and do not require treatment.

- Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands and are also normal anatomical variations.

- Infections: Conditions such as sexually transmitted infections (STIs) can cause changes in the skin of the genital area, including the appearance of spots or lesions. However, these typically come with additional symptoms such as pain, itching, or discharge.

2. The Spot that Changes Size: The white spot that has been present for several months and changes in size could be:
- Sebaceous Cysts: These are benign cysts that can occur on the skin and may fluctuate in size.

- Skin Tags or Other Benign Lesions: These can also appear on the genital area and are usually harmless.


When to Seek Medical Advice
While many conditions are benign, it is crucial to monitor your symptoms closely. Here are some guidelines on when to seek medical attention:
- Persistence of Symptoms: If the white spot persists for more than a few weeks without any signs of improvement or if it begins to change in appearance (e.g., increasing in size, changing color, or becoming painful), it is advisable to consult a healthcare professional.


- Development of New Symptoms: If you experience any new symptoms such as pain, itching, discharge, or any other changes in your genital area, you should seek medical advice promptly. These could be signs of an infection or other conditions that require treatment.

- Concerns About STIs: Given that you mentioned having unprotected intercourse, it is prudent to get tested for STIs, especially if you notice any unusual symptoms. Early detection and treatment are crucial for managing STIs effectively.


Recommendations for Monitoring
- Regular Self-Examination: Continue to monitor the spots and any changes in your genital area. Keeping track of any new developments can help you provide accurate information to your healthcare provider if needed.

- Maintain Hygiene: It’s good that you are practicing regular hygiene. Keeping the area clean can help prevent infections and other skin issues.

- Avoid Irritation: Ensure that any products you use (such as soaps or lotions) are gentle and suitable for sensitive skin to avoid irritation.


Conclusion
In summary, while the white spots you are observing may be benign, it is essential to remain vigilant. If there are any changes in size, color, or associated symptoms, or if you have concerns about STIs, it is advisable to consult a healthcare professional. Regular check-ups and open communication with your doctor can help ensure your sexual health remains a priority. Remember, it’s always better to err on the side of caution when it comes to your health.