Glandular Bumps: Are They a Sign of STDs? - Urology

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Frenulum problems of the glans?


Hello doctor, I recently noticed one or two raised bumps near my ligaments.
They become hard when engorged and feel like small seeds when touched.
From a distance, they look like a swollen stalk.
When I squeeze them, they resemble transparent pimples.
Could this be a sexually transmitted infection? Can I send you private pictures for your review?

Haohao, 20~29 year old female. Ask Date: 2018/12/01

Dr. Sun Hongshun reply Urology


Hello, is the bump located at the junction of the glans and the shaft of the penis? It is very likely to be pearly penile papules, which are not contagious.
However, it is still recommended that you seek a professional medical diagnosis.

Reply Date: 2018/12/01

More Info


When it comes to glandular bumps or any unusual growths in the genital area, it's essential to approach the situation with caution and seek a professional evaluation. Based on your description, it sounds like you may be experiencing some form of skin lesion or bump that changes in texture and appearance when stimulated. Here’s a breakdown of what these bumps could potentially indicate and the steps you should consider taking.


Possible Causes of Glandular Bumps
1. Sebaceous Cysts: These are common, benign lumps that can occur in various parts of the body, including the genital area. They are typically filled with a fatty substance and can become inflamed or infected, leading to discomfort.

2. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can present as small, red bumps that may feel tender or itchy.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps in the genital area. They may not always be painful but can be concerning due to their association with sexually transmitted infections (STIs).

4. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are a normal anatomical variant and not a sign of disease.

5. Herpes Simplex Virus (HSV): If the bumps are accompanied by pain, itching, or blistering, they could be indicative of a herpes outbreak. This is a common viral infection that can be transmitted sexually.

6. Other STIs: Conditions such as syphilis or molluscum contagiosum can also present with bumps or lesions in the genital area.


Importance of Medical Evaluation
Given the variety of potential causes, it is crucial to consult a healthcare provider for an accurate diagnosis. A medical professional will likely perform a physical examination and may recommend tests, such as:
- Visual Inspection: A thorough examination of the bumps to assess their characteristics.

- Biopsy: In some cases, a small sample of the tissue may be taken for laboratory analysis to rule out malignancy or other conditions.

- STI Testing: If there is a concern about sexually transmitted infections, appropriate tests can be conducted.


What to Expect During Your Visit
During your appointment, be prepared to discuss:
- The duration and changes in the bumps.

- Any associated symptoms (pain, itching, discharge).

- Your sexual history and any potential exposure to STIs.


Conclusion
While glandular bumps can be benign, they can also indicate underlying health issues, including sexually transmitted infections. It is essential not to self-diagnose based on appearance alone. Seeking medical advice is the best course of action to ensure proper evaluation and treatment. Remember, early diagnosis and intervention can lead to better outcomes, especially when it comes to sexually transmitted infections. If you feel uncomfortable discussing this in person, many healthcare providers offer telehealth services that can provide a level of privacy and comfort.

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