Red Spots on the Glans: Causes and Concerns - Urology

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When it comes to red spots on the glans (the head of the penis), there are several potential causes that should be considered. It's important to note that while some conditions may be benign, others could indicate a more serious issue that requires medical attention.
1. Possible Causes of Red Spots:
- Petechiae or Purpura: These are small red or purple spots that can appear due to bleeding under the skin. They can be caused by various factors, including trauma, vigorous sexual activity, or even certain medical conditions that affect blood clotting.

- Infections: Conditions such as sexually transmitted infections (STIs) like herpes or syphilis can cause lesions or spots on the glans. Fungal infections, such as candidiasis, can also lead to redness and irritation.

- Allergic Reactions: Contact dermatitis from soaps, lotions, or latex condoms can cause irritation and red spots.

- Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for warts or other lesions.

- Lichen Sclerosus: This is a chronic skin condition that can cause white patches and changes in the skin texture, often leading to discomfort.

2. Concerning Symptoms: If the red spots persist for more than a few days, are accompanied by pain, itching, discharge, or any other unusual symptoms, it is crucial to seek medical advice. Persistent lesions can indicate an infection or other underlying conditions that may require treatment.

3. Regarding the White, Rough Area on the Foreskin:
- This could be a sign of a condition known as Lichen Sclerosus, which can cause white patches and rough texture on the skin. It is a chronic inflammatory condition that can affect the genital area.

- It could also be Fordyce spots, which are small, painless, pale bumps that are normal sebaceous glands and are not harmful.

- If the rough area is associated with discomfort, pain, or changes in appearance, it is advisable to consult a healthcare provider for a proper diagnosis.

4. Impact of Masturbation: While excessive masturbation can lead to temporary irritation or minor injuries, it is unlikely to be the sole cause of the symptoms you are describing. However, if you are experiencing pain or discomfort after masturbation, it may be worth considering moderation and ensuring adequate lubrication to prevent irritation.

5. Recommendations:
- Consult a Healthcare Provider: Given the persistence of the red spots and the presence of the rough area, it is advisable to consult a urologist or a dermatologist. They can perform a physical examination and may recommend tests to determine the underlying cause.

- Avoid Irritants: In the meantime, avoid using any new soaps, lotions, or products on the genital area that could cause irritation.

- Practice Good Hygiene: Maintaining good hygiene can help prevent infections and irritation. Gently clean the area with mild soap and water.

- Monitor Symptoms: Keep track of any changes in the appearance of the spots or any new symptoms that may arise.

In conclusion, while some causes of red spots on the glans may be benign, it is essential to monitor the situation closely and seek medical advice if symptoms persist or worsen. Early intervention can help address any potential issues effectively.