Pigmentation on the Glans: Treatment Options and Concerns - Dermatology

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Penile pigmentation


Hello Doctor, a few years ago I noticed some pigmented lesions on my glans that resembled age spots.
After visiting a nearby urology clinic, the doctor determined that there was no issue and no treatment was necessary.
Recently, similar lesions have started to appear, with the second and third ones being less pronounced than the first.
I am somewhat concerned that they may continue to increase in number, and I would like to restore them to their original color, similar to the surrounding tissue.
In this situation, can I use whitening products specifically designed for intimate areas, or are there any special laser treatments available to remove them? If so, where can I find such laser services? Thank you, Doctor.

000, 20~29 year old female. Ask Date: 2019/03/08

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to determine the appropriate course of action.

Reply Date: 2019/03/08

More Info


Understanding pigmentation on the glans can be a source of concern for many individuals, especially when it comes to changes in skin color or the appearance of new spots. In your case, it seems that you have developed pigmented lesions on the glans that resemble age spots, and while a urologist has previously assessed them and deemed them benign, your concerns about their progression and appearance are valid.

Firstly, it is important to understand that pigmentation changes in the genital area can occur for various reasons, including hormonal changes, friction, irritation, or even benign skin conditions. In many cases, these changes are harmless and do not require treatment. However, if you notice new spots appearing or changes in existing ones, it is always a good idea to seek a second opinion from a dermatologist, especially one who specializes in genital dermatology.

Regarding your question about using whitening products on the genital area, it is crucial to exercise caution. Many over-the-counter skin lightening products contain ingredients that may not be suitable for sensitive areas, and they can sometimes cause irritation or allergic reactions. It is advisable to consult with a dermatologist before applying any such products to ensure they are safe and appropriate for your skin type.

As for laser treatments, there are various options available for treating pigmentation issues, including fractional laser therapy and Q-switched lasers, which can target pigmented lesions effectively. These treatments work by breaking down the excess melanin in the skin, leading to a more even skin tone. However, the suitability of laser treatment depends on the specific characteristics of the pigmentation and the overall health of your skin. It is best to consult with a qualified dermatologist or a cosmetic surgeon who has experience with laser treatments for genital areas. They can assess your condition and recommend the most appropriate treatment options tailored to your needs.

In terms of where to find such services, many dermatology clinics and cosmetic surgery centers offer laser treatments for pigmentation. Look for facilities that have certified dermatologists or licensed practitioners who specialize in laser treatments. It is also beneficial to read reviews and check the credentials of the practitioners to ensure you receive safe and effective care.

In summary, while the pigmentation you are experiencing may be benign, it is essential to monitor any changes and consult with a healthcare professional for a thorough evaluation. Avoid using unverified whitening products without professional guidance, and consider exploring laser treatment options with a qualified dermatologist if you wish to address the pigmentation. Remember, your health and safety should always come first, so seeking professional advice is the best course of action.

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