Itchy White Bumps on the Glans and Foreskin

The glans and foreskin have white, blood vessel-like structures and are itchy?

Doctor, I have white-colored blood vessels on my glans and white, grainy spots around the edges that are itchy.
What should I do? There are also some on my foreskin.

Niming, 10~19 year old female. Ask Date: 2018/10/04

Dr. Sun Hongshun reply Urology

Hello, the glans has white-colored blood vessels and white-like granules on the edges.
There are three possible diagnoses: 1.
If the glans is covered with small white bumps, it may be due to follicular occlusion.
It is recommended to maintain good hygiene and gently massage and wash with warm water during bathing; this may resolve over time.
2.
If the white bumps appear as a cluster of small protrusions that are part of the skin, it could be "pearly penile papules." The exact cause of their formation is not well-defined, but they typically occur in men with phimosis and may also be due to abnormal development of local sebaceous glands.
3.
The least desirable possibility is "condylomata acuminata," which is a sexually transmitted infection that appears on the genitalia of both males and females.
It has an irregular distribution, may cause itching, has an unpleasant odor, and is contagious.
Without appropriate treatment, the warts can enlarge and increase in number.
It is strongly advised that you seek medical attention as soon as possible.
Wishing you good health.

Reply Date: 2018/10/04

More Info

Itchy white bumps on the glans and foreskin can be concerning and may indicate a variety of conditions. The symptoms you describe, including white bumps and itching, could be associated with several dermatological or infectious issues. Here are some potential causes and recommendations for addressing your concerns.

Possible Causes
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for a sexually transmitted infection (STI). They are normal anatomical variations and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also benign and do not require treatment.

3. Balanitis: This is an inflammation of the glans, which can be caused by poor hygiene, irritants, or infections. Symptoms include redness, swelling, and itching. Treatment typically involves improved hygiene and topical medications.

4. Yeast Infection: A yeast infection can cause itching, redness, and white patches or bumps. This is more common in individuals with diabetes or those who are immunocompromised. Antifungal treatments can be effective.

5. Sexually Transmitted Infections (STIs): Conditions such as genital herpes or human papillomavirus (HPV) can present with bumps or lesions on the genital area. If you suspect an STI, it is crucial to seek medical evaluation and treatment.

6. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products. Identifying and avoiding the irritant can help alleviate symptoms.

Recommendations
1. Consult a Healthcare Provider: It is essential to see a healthcare professional for an accurate diagnosis. They can perform a physical examination and may recommend tests if an infection or STI is suspected.

2. Maintain Hygiene: Keeping the genital area clean and dry is crucial. Use mild, unscented soap and avoid harsh chemicals or irritants.

3. Avoid Irritants: If you suspect that a product is causing irritation, discontinue its use. This includes soaps, lotions, or condoms that may contain allergens.

4. Topical Treatments: Depending on the diagnosis, your healthcare provider may recommend topical treatments such as antifungal creams for yeast infections or corticosteroids for inflammation.

5. Avoid Self-Diagnosis: While it may be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or inappropriate treatment. Always consult a healthcare professional for guidance.

6. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of new bumps, changes in color, or increased itching. This information can be helpful for your healthcare provider.

Conclusion
Itchy white bumps on the glans and foreskin can arise from various causes, ranging from benign anatomical variations to infections or inflammatory conditions. The best course of action is to consult a healthcare provider who can provide a thorough evaluation and appropriate treatment. In the meantime, maintaining good hygiene and avoiding irritants can help manage your symptoms. Remember, early intervention is key to addressing any underlying issues effectively.

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