Red Bumps on the Glans: Causes and Concerns After Sexual Activity - Urology

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There are red spots on the glans?


A few days ago, I had sexual intercourse with my girlfriend, and afterward, I noticed some red spots on the glans that are slightly raised but not painful.
After a few days without sexual activity, the swelling decreased, but the red spots remained.
However, when I engage in sexual activity again, the same condition reappears.
What could this be?

Yangyang, 20~29 year old female. Ask Date: 2020/06/09

Dr. Chen Jiansheng reply Urology


It is likely that localized inflammation or congestion is generally not pathological.

Reply Date: 2020/06/09

More Info


Red bumps on the glans after sexual activity can be concerning and may arise from several potential causes. Based on the symptoms you've described—red, slightly raised bumps that appear after sexual intercourse but diminish when sexual activity is not occurring—it is important to consider a few possibilities.

1. Irritation or Allergic Reaction: One of the most common reasons for red bumps on the glans is irritation or an allergic reaction. This could be due to friction during intercourse, the use of certain lubricants, soaps, or even latex condoms. If you or your partner have recently changed any products used during sexual activity, this could be a contributing factor.
2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can present as small red bumps and may not be painful. This is particularly relevant if there is any hair in the pubic area that could be contributing to the irritation.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for a rash or infection. They are a normal anatomical variant and do not require treatment.

4. Infections: While you mentioned that the bumps are not painful, it is still important to consider the possibility of a mild infection. Conditions such as balanitis (inflammation of the glans) can cause redness and bumps. This can be due to a yeast infection, bacterial infection, or sexually transmitted infections (STIs) like herpes, although STIs typically present with additional symptoms such as pain, itching, or discharge.

5. Dermatological Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to red, raised bumps. These conditions can be exacerbated by sexual activity due to increased friction and moisture.

Given that the bumps appear after sexual activity and diminish afterward, it may suggest a reaction to the activity itself rather than a persistent infection. However, it is crucial to monitor the situation closely. If the bumps persist, worsen, or are accompanied by other symptoms such as pain, discharge, or changes in urination, it is advisable to seek medical attention.


Recommendations:
- Consult a Healthcare Provider: It is essential to consult a healthcare provider, preferably a urologist or dermatologist, for a thorough examination. They may perform tests to rule out infections or other conditions.

- Avoid Irritants: In the meantime, consider avoiding any potential irritants, such as scented soaps or lubricants, and opt for hypoallergenic products.

- Practice Safe Sex: Using condoms can help prevent potential infections and reduce irritation during sexual activity.

In conclusion, while the red bumps on the glans may not seem alarming, they warrant attention to ensure they are not indicative of a more serious condition. Monitoring the symptoms and consulting with a healthcare professional will provide clarity and peace of mind.

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