a Small Dark Spot on the Glans: Causes and Treatments

Q: a Small Dark Spot on the Glans: Causes and Treatments

Hello： If you need to apply medication, please consult a doctor first instead of making your own decisions. <br>Wishing you good health.

There is a small, light-colored black spot on the glans penis?

After my last sexual encounter a few months ago, during which I used a condom and had oral sex, I noticed a small, light-colored spot on the glans that looks like a black mark, but it seems to be beneath the skin rather than on it.
Recently, after another sexual encounter, I noticed that it appears to have become more pronounced, although I'm not entirely sure if it has changed or if it looks the same as before.
My partner was quite vigorous during oral sex, which felt quite intense.
Is this black mark a bruise or something else? How can I make it disappear? I've heard that applying vitamin E ointment continuously might be effective, or perhaps taking it orally.

Xiansheng, 20~29 year old female. Ask Date: 2020/06/30

Dr. Du Shixi reply Urology

Hello: If you need to apply medication, please consult a doctor first instead of making your own decisions.
Wishing you good health.

Reply Date: 2020/06/30

More Info

When it comes to understanding a small dark spot on the glans, it is essential to consider various potential causes and appropriate treatments. Based on your description, it appears that you have noticed a small, light-colored spot on the glans that seems to be beneath the skin surface. This could be indicative of several conditions, including a bruise (hematoma), a benign skin lesion, or even a sexually transmitted infection (STI).

Possible Causes
1. Bruising (Hematoma): If the dark spot appeared after vigorous sexual activity, particularly if there was significant suction or pressure applied during oral sex, it could be a bruise. Bruises can appear as dark spots under the skin and may change color over time as they heal.

2. Benign Skin Lesions: There are various benign skin conditions that can present as dark spots on the glans. These include:
- Pearly Penile Papules: Small, harmless bumps that are often mistaken for warts or other lesions.

- Seborrheic Keratosis: A non-cancerous skin growth that can appear as a dark spot.

- Moles or Nevi: These can occur anywhere on the body, including the genital area.

3. Sexually Transmitted Infections (STIs): Certain STIs can cause changes in the skin, including dark spots or lesions. Conditions such as herpes or syphilis can present with various symptoms, including sores or discoloration.

4. Melanosis: This is a condition characterized by the presence of excess melanin in the skin, which can lead to dark spots.

Treatment Options
- Observation: If the spot is not causing any pain or discomfort and has not changed significantly, it may be reasonable to monitor it for a few weeks. Many benign conditions resolve on their own.

- Topical Treatments: Some individuals suggest using Vitamin E ointment, which is known for its skin-healing properties. While there is limited scientific evidence supporting its effectiveness for dark spots, it is generally safe to use.

- Consultation with a Healthcare Provider: If the spot persists, changes in appearance, or is accompanied by other symptoms (such as pain, itching, or discharge), it is crucial to consult a healthcare provider. A dermatologist or urologist can perform a thorough examination and may recommend a biopsy if there is any concern about the nature of the lesion.

- Testing for STIs: If there is any suspicion that the dark spot could be related to an STI, it is essential to get tested. Early diagnosis and treatment can prevent complications and transmission to partners.

Conclusion
In summary, while the small dark spot on your glans may be benign, it is essential to monitor it closely and seek medical advice if there are any changes or concerns. Engaging in safe sexual practices, including the use of condoms, can help reduce the risk of STIs and other complications. If you have any doubts or if the spot does not improve, do not hesitate to reach out to a healthcare professional for a comprehensive evaluation. Your health and peace of mind are paramount, and a professional can provide the best guidance tailored to your situation.

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