Strawberry-Like Marks on the Glans: Is It Inflammation?

Marks on the glans?

Hello, doctor.
At the end of last year, after engaging in oral sex with my then-girlfriend, I noticed strawberry-like marks on my glans (foreskin).
Since then, there has been no redness, swelling, or any discharge, and it has not been painful.
I haven't noticed any other abnormalities and felt it didn't affect my life, so I didn't pay much attention to it.
However, the strawberry-like marks are still present, and I would like to ask if this could be a form of glans (foreskin) inflammation.
Thank you.

Xiao Yi, 20~29 year old female. Ask Date: 2020/01/23

Dr. Li Xinyi reply Urology

I'm sorry, but I recommend that you visit a urologist for an in-person examination and discuss it with the physician.

Reply Date: 2020/01/23

More Info

The appearance of strawberry-like marks on the glans (the head of the penis) can be concerning, especially following sexual activity. While you have noted that there is no redness, swelling, discharge, or pain, it is essential to understand what these marks might indicate and whether they could be a form of inflammation.

Firstly, the term "inflammation" refers to the body's response to injury or infection, characterized by redness, heat, swelling, and pain. In your case, the absence of these classic signs suggests that what you are experiencing may not be a typical inflammatory response. However, the presence of unusual markings on the glans could indicate other conditions that warrant further investigation.

The "strawberry-like" appearance you describe could be due to several factors. One possibility is a benign condition known as "pearly penile papules," which are small, dome-shaped bumps that can appear on the glans and are completely normal anatomical variations. They are not harmful and do not require treatment. Another possibility is a condition called "balanitis," which is inflammation of the glans that can occur due to various causes, including infections, irritants, or allergies. However, balanitis typically presents with additional symptoms such as redness, swelling, and discomfort.

Given that you have not experienced any pain or other symptoms, it is less likely that you are dealing with an acute inflammatory process. However, it is still important to consider the possibility of a sexually transmitted infection (STI), even if you do not have typical symptoms. Some STIs can present with atypical signs, and it is crucial to rule these out, especially since the marks appeared after a sexual encounter.

In terms of management, if the marks are not causing you any discomfort and you are not experiencing any other symptoms, you may choose to monitor them. However, it is advisable to consult a healthcare professional for a thorough examination. A healthcare provider can perform a physical examination and may recommend tests, such as a swab or blood tests, to rule out infections or other underlying conditions.

In conclusion, while the strawberry-like marks on your glans may not indicate inflammation in the traditional sense, it is essential to seek medical advice to ensure that there are no underlying issues that need to be addressed. Regular check-ups and open communication with your healthcare provider about any changes in your genital area are crucial for maintaining sexual health. If you notice any changes in the appearance of the marks, or if you develop any new symptoms, do not hesitate to seek medical attention.

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