extreme anxiety
Hello doctor, I am a high school freshman with no sexual experience, only masturbation.
Sometimes after masturbating, I don't clean up properly.
Recently, I noticed many white spots in the folds near the glans close to the urethral opening.
I'm very scared and don't know if it's genital warts.
Please tell me, I'm really terrified.
Haipa de ren, 10~19 year old female. Ask Date: 2018/08/13
Dr. Du Mingyi reply Urology
Asexual experience does not mean that there is no need to worry about normal tissue.
Reply Date: 2018/08/13
More Info
When it comes to the appearance of white spots on the penis, particularly in the area near the urethral opening, it is understandable to feel concerned, especially for someone who is still in high school and may not have extensive experience with sexual health issues. The first thing to note is that many conditions can cause white spots or lesions on the penis, and not all of them are serious or indicative of a sexually transmitted infection (STI) like genital warts (caused by the human papillomavirus, or HPV).
Based on the information provided and common medical knowledge, here are several potential causes for the white spots you are observing:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are a normal anatomical variation and are not a sign of disease or infection.
2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands. They are completely normal and can appear on the penis and other areas of the body.
3. Balanitis: This is an inflammation of the glans, which can lead to the formation of white patches or spots. It can be caused by poor hygiene, irritation from soaps or detergents, or infections.
4. Fungal Infections: Conditions such as candidiasis (yeast infection) can cause white patches or spots, often accompanied by itching or irritation.
5. Sexually Transmitted Infections (STIs): While you mentioned having no sexual experience, it’s still important to consider that some STIs can present with white lesions. Genital warts, for example, can appear as small, flesh-colored or white bumps.
6. Lichen Sclerosus: This is a chronic skin condition that can cause white patches on the genital area. It is less common but can occur.
Given your situation, here are some recommendations:
- Avoid Self-Diagnosis: It’s crucial not to jump to conclusions about what these spots might be. Many conditions can appear similar, and a healthcare professional is best equipped to provide an accurate diagnosis.
- Maintain Hygiene: Ensure that you are practicing good hygiene by gently washing the area with mild soap and water. Avoid using harsh soaps or scrubs, as these can irritate the skin.
- Avoid Irritants: If you are using any products (such as lotions or creams) on the genital area, consider stopping them to see if the condition improves.
- Consult a Healthcare Provider: The best course of action is to schedule an appointment with a healthcare provider, such as a urologist or a dermatologist. They can perform a physical examination and may conduct tests if necessary to determine the cause of the white spots.
- Do Not Panic: While it’s natural to feel anxious about changes in your body, many conditions are benign and easily treatable.
In summary, while the appearance of white spots on the penis can be concerning, many potential causes are harmless. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Remember, open communication with your doctor about your symptoms is vital for your health and peace of mind.
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