Pearly penile papules?
Hello Doctor: Today, while I was using a condom during masturbation, I suddenly noticed a bump on the top of my penis that resembles a pimple.
I only saw it when I pulled back the foreskin and stretched the skin tight, which made it clearer.
It appears to be a whitish-yellow color, and it is not painful, itchy, or swollen.
I would like to know if this is normal.
J, 20~29 year old female. Ask Date: 2020/04/29
Dr. Du Shixi reply Urology
Hello: You can search online for images of pearly penile papules to see if they look similar.
Additionally, if you engage in sexual activity and notice that they become larger, or if there is redness or broken skin, you should seek medical attention.
Wishing you good health.
Reply Date: 2020/04/29
More Info
When it comes to noticing pimple-like bumps on the penis, it's essential to approach the situation with a combination of awareness and caution. The appearance of such bumps can be attributed to several benign conditions, but understanding their nature is crucial for proper management and peace of mind.
Firstly, one common cause of pimple-like bumps on the penis is the presence of pearly penile papules. These are small, dome-shaped, white or flesh-colored bumps that typically appear around the corona of the glans (the head of the penis). They are completely normal anatomical variations and are not associated with any disease or infection. Pearly penile papules are harmless and do not require treatment unless they cause psychological distress.
Another possibility is the presence of sebaceous cysts, which are small, non-painful lumps that can occur due to blocked sebaceous glands. These cysts are filled with sebum, a natural oil produced by the skin, and are generally harmless. They can appear anywhere on the body, including the genital area.
Folliculitis is another condition that can cause pimple-like bumps. This occurs when hair follicles become inflamed, often due to bacterial infection or irritation. Folliculitis can present as red, inflamed bumps that may be itchy or tender, but if the bumps you are observing are not painful or itchy, this may not be the case.
In some instances, sexually transmitted infections (STIs) can also present with bumps or lesions on the genital area. For example, genital warts caused by the human papillomavirus (HPV) can appear as small, flesh-colored or white bumps. However, these typically have a different appearance compared to benign conditions like pearly penile papules or cysts.
Given that you mentioned the bumps are not painful, itchy, or swollen, it is likely that they are benign. However, it is essential to monitor any changes in size, color, or sensation. If the bumps change or if you develop additional symptoms such as pain, itching, or discharge, it would be prudent to consult a healthcare provider for a thorough examination.
In summary, while the presence of pimple-like bumps on the penis can be concerning, many cases are benign and do not require treatment. Conditions like pearly penile papules and sebaceous cysts are common and harmless. However, if there is any uncertainty or if symptoms change, seeking medical advice is always the best course of action. Regular self-examination and awareness of your body can help you identify any changes early, allowing for timely intervention if necessary.
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