White Bumps on the Penis: Is It a STD?

Worry and fear?

Hello doctor, my girlfriend and I are each other's first partners.
We are monogamous and both very certain that we do not have any sexually transmitted infections.
However, recently while showering, I noticed several white bumps near the urethral opening on the glans, about one millimeter in size, approximately seven in total.
They are very small and can only be seen when the glans is pressed or erect, and they do not merge together.
When touched, there is a distinct bump sensation, but there is no discomfort.
Each bump is flat-topped, and there are no other signs that would typically appear in the early stages of genital warts.
I have phimosis, and there are 3 to 4 clusters of sebaceous glands on the foreskin that have a peculiar odor.
I have compared the information I found online with the sebaceous gland abnormalities on my foreskin, and they look quite similar.
Additionally, I have a habit of masturbation and sometimes do not clean properly.
Therefore, I hope you can tell me whether this is a sexually transmitted infection.
Thank you.
I have attached three photos and hope you can help me resolve my concerns and let me know if this resembles an STI, and if not, what it could be.

e, 10~19 year old female. Ask Date: 2018/08/11

Dr. Cai Zhuorong reply Urology

Based on your description, it is likely that you are dealing with pearly penile papules.
However, a proper evaluation can only be made through an in-person consultation.

Reply Date: 2018/08/11

More Info

When it comes to the appearance of white bumps or spots on the penis, particularly near the urethral opening, it is understandable to be concerned about the possibility of a sexually transmitted disease (STD). However, based on the description provided, it seems more likely that these white bumps are not indicative of an STD, especially considering the context of your sexual history and the characteristics of the bumps.

The white bumps you are describing, which are small, flat-topped, and only visible under certain conditions (like when the penis is pressed or erect), could potentially be sebaceous glands or pearly penile papules. Pearly penile papules are a normal anatomical variant found on the glans (the head of the penis) and are not associated with any disease or health issues. They are typically harmless and do not require treatment unless they cause discomfort or concern for cosmetic reasons.

Sebaceous glands, which are responsible for producing oil to lubricate the skin, can also appear as small white bumps, particularly if there is a buildup of sebum. This is especially common in individuals with a longer foreskin, as the area can retain moisture and oil, leading to the formation of these bumps.
Given that you mentioned having a history of not cleaning the area regularly, it is possible that the accumulation of oil and dead skin cells could contribute to the appearance of these bumps. Regular hygiene practices, including gentle washing of the area with mild soap and water, can help prevent the buildup of oils and reduce the appearance of these bumps.

It is also important to note that the absence of other symptoms, such as itching, pain, or discharge, further suggests that these bumps are not likely to be an STD. STDs typically present with additional symptoms, such as sores, lesions, or unusual discharge, which you have not reported.

However, if you are still concerned or if the bumps change in appearance, become painful, or if you develop other symptoms, it would be prudent to consult a healthcare professional for a thorough examination. They may recommend a physical examination and possibly further tests to rule out any other conditions, including STDs.

In summary, while it is natural to worry about any changes in your body, the characteristics of the white bumps you described suggest they are likely benign and not related to an STD. Maintaining good hygiene and monitoring any changes will be beneficial. If you have any doubts or if your situation changes, seeking medical advice is always the best course of action.

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