Skin Bumps on the Penis: Causes and Fertility Concerns

Prepuce issues

I have small flesh-colored bumps on my foreskin and the skin of my testicles.
What could they be? Will they affect my future fertility? How can I remove them?

Niming, 10~19 year old female. Ask Date: 2019/03/13

Dr. Chen Jiansheng reply Urology

Unable to answer without a personal examination.

Reply Date: 2019/03/13

More Info

Understanding skin bumps on the penis and scrotum can be concerning, especially when considering their potential impact on fertility. The bumps you are describing could be a variety of things, and it's important to approach this with a clear understanding of what they might be.

One common cause of skin bumps in the genital area is Pearly Penile Papules. These are small, harmless, skin-colored bumps that typically appear around the corona of the glans (the head of the penis). They are a normal anatomical variant and do not affect fertility or sexual function. Another possibility is Fordyce spots, which are small, painless, pale bumps that are sebaceous glands without hair follicles. Like pearly penile papules, they are benign and do not pose any health risks.

Other potential causes could include folliculitis, which is inflammation of the hair follicles, or molluscum contagiosum, a viral infection that leads to small, raised, painless bumps. If the bumps are accompanied by redness, itching, or discharge, it could indicate an infection or another condition that may require medical attention.

Regarding your concern about fertility, most benign skin conditions do not impact sperm production or overall fertility. However, if there is an underlying infection or condition that affects the reproductive organs, it could potentially have implications for fertility. For example, certain sexually transmitted infections (STIs) can lead to complications that may affect fertility if left untreated.

As for treatment, if the bumps are indeed benign and not causing any discomfort or other symptoms, treatment may not be necessary. However, if you are concerned about their appearance or if they change in size, color, or sensation, it is advisable to consult a healthcare provider or a dermatologist. They can provide a proper diagnosis and recommend treatment options if necessary. Treatments may include topical therapies, cryotherapy, or, in some cases, surgical removal if the bumps are bothersome.

In summary, while skin bumps on the penis and scrotum can be alarming, many are harmless and do not affect fertility. It is crucial to have a healthcare professional evaluate any new or changing skin lesions to ensure proper diagnosis and management. If you have any further questions or concerns, do not hesitate to reach out to a medical professional who can provide personalized advice based on your specific situation.

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