Genital Growths: Possible Causes and Treatment Options - Urology

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Understanding genital growths can be a source of anxiety, especially after engaging in sexual activity that raises concerns about sexually transmitted infections (STIs). Based on your description, it seems you have developed small, flesh-colored bumps on the glans (tip) of your penis, which have persisted for some time without significant change. Given your history of sexual activity and the subsequent testing for STIs, it is important to consider several potential causes for these growths.

One possibility is that these bumps could be benign conditions such as pearly penile papules or Fordyce spots. Pearly penile papules are small, dome-shaped, flesh-colored or white bumps that typically appear around the corona of the glans. They are a normal anatomical variant and are not associated with any disease or infection. Fordyce spots are small, painless, pale bumps that represent enlarged sebaceous glands and are also harmless.

However, given your concern and the context of your recent sexual activity, it is also crucial to consider the possibility of sexually transmitted infections, particularly human papillomavirus (HPV), which can cause genital warts. HPV can manifest as small, flesh-colored or gray bumps that can appear on the genital area. While you have tested negative for HPV previously, it is important to note that some strains of HPV can remain dormant and may not be detected immediately after exposure.

The itching and occasional pain you describe could be indicative of irritation or inflammation, which might be due to a variety of factors including friction, hygiene, or a mild infection. It is also possible that you may be experiencing a condition like balanitis, which is inflammation of the glans that can be caused by infections, irritants, or poor hygiene.

Given that you are currently in Australia and unable to return to Taiwan for immediate medical evaluation, it is advisable to seek care from a local healthcare provider. They can perform a physical examination and may recommend further testing if necessary. In the meantime, maintaining good hygiene is essential. Gently clean the area with mild soap and water, and avoid any irritants such as scented soaps or lotions.

If you are experiencing discomfort, over-the-counter topical treatments such as hydrocortisone cream may help reduce inflammation and itching. However, it is important to avoid self-diagnosing and self-treating without professional guidance, as this could potentially worsen the condition or mask symptoms of a more serious issue.

In summary, while the growths you describe may be benign, it is crucial to have them evaluated by a healthcare professional to rule out any serious conditions, especially given your recent sexual history. Seeking prompt medical attention will provide you with peace of mind and appropriate treatment options if necessary.