White Spots on the Penis: Causes and Concerns - Urology

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There are small white spots?


Hello doctor👋 I had oral sex with my girlfriend yesterday, and while showering last night, I noticed a small white spot on my glans.
I'm not sure if it's a wart or eczema.

Chen Dada, 10~19 year old female. Ask Date: 2018/10/30

Dr. Du Shixi reply Urology


Hello: Cauliflower ear does not develop quickly; it is often due to inflammation.
Keep the area clean and dry.
If it does not resolve, seek medical attention.
It is primarily inflammation.
Wishing you good health.

Reply Date: 2018/10/30

More Info


When it comes to the appearance of white spots on the penis, particularly after engaging in oral sex, there are several potential causes to consider. It's important to approach this issue with a clear understanding of the possible conditions and their implications.

1. Pearly Penile Papules: One of the most common benign conditions that can present as small white spots on the penis is pearly penile papules. These are small, dome-shaped bumps that typically appear around the corona of the glans (the head of the penis). They are completely normal and are not associated with any disease or infection. They are often mistaken for sexually transmitted infections (STIs) but are harmless and do not require treatment.

2. Fordyce Spots: Another benign condition is Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. These are sebaceous glands that are visible due to their size and are not a cause for concern.

3. Genital Warts: If the white spot is raised and has a cauliflower-like appearance, it could potentially be a genital wart caused by the human papillomavirus (HPV). Genital warts are a sexually transmitted infection and can be treated by a healthcare provider. It's important to have any new growths evaluated, especially if they change in appearance or cause discomfort.

4. Candidiasis (Yeast Infection): If the white spot is accompanied by itching or irritation, it could be a sign of a yeast infection, which is caused by an overgrowth of Candida. This condition can occur in men, especially if they have risk factors such as diabetes or a compromised immune system. Treatment typically involves antifungal creams or oral medications.

5. Contact Dermatitis: If you have recently changed soaps, lotions, or other products that come into contact with your genital area, you might be experiencing contact dermatitis. This can cause irritation and the formation of small white spots or bumps. Avoiding irritants and using soothing creams may help alleviate symptoms.

6. Lichen Sclerosus: This is a less common condition that can cause white patches on the skin, including the genital area. It is an inflammatory skin condition that can lead to scarring and requires medical evaluation and treatment.

Given that you noticed the white spot after engaging in oral sex, it is prudent to consider the possibility of an STI, especially if the spot changes in appearance, becomes painful, or if you develop other symptoms. It is advisable to consult a healthcare provider for a proper diagnosis and treatment plan. They may perform a physical examination and, if necessary, order tests to rule out infections or other conditions.

In summary, while some causes of white spots on the penis are benign and require no treatment, others may necessitate medical intervention. It is always best to err on the side of caution and seek professional advice, especially when it comes to changes in your genital health. Regular check-ups and open communication with your healthcare provider can help maintain your sexual health and address any concerns promptly.

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