White Bumps on the Penis: Causes and Treatment After Oral Sex - Urology

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Small white raised bumps?


Hello doctor, a few days ago my girlfriend performed oral sex on me without protection.
Neither of us had any sexual experience before this.
After we finished, I didn't wash immediately and only cleaned up after half a day.
A couple of days later, I noticed some small white bumps on both sides of the frenulum when I retracted my foreskin.
They are not painful or itchy, and I am certain they weren't there before.
I have a condition of phimosis, but I usually clean properly.
I'm wondering if this could be caused by the oral sex? Do I need to apply any medication for treatment? Thank you for your response!

Mr. Chen, 20~29 year old female. Ask Date: 2020/07/01

Dr. Du Shixi reply Urology


Hello: Rinse with clean water, keep dry, twice a day, wear loose underwear, observe for 1-2 days.
If redness occurs, seek medical attention.
Be mindful of cleanliness during oral sex due to saliva contact.
If there is no redness, there is no need to apply medication.
Wishing you good health.

Reply Date: 2020/07/01

More Info


The appearance of white bumps on the penis after oral sex can be concerning, especially if it is a new development. There are several potential causes for these white bumps, and understanding them can help determine the appropriate course of action.

Firstly, it is important to note that oral sex can indeed transmit sexually transmitted infections (STIs), even if there is no penetrative intercourse involved. Common STIs that can be transmitted through oral sex include herpes simplex virus (HSV), human papillomavirus (HPV), gonorrhea, and syphilis. However, the presence of white bumps does not automatically indicate an STI.
One possibility is that the white bumps are pearly penile papules, which are small, benign growths that can appear around the corona of the penis. They are a normal anatomical variation and are not associated with any disease or infection. These papules are typically painless and do not require treatment.
Another possibility is that the bumps could be a result of irritation or an allergic reaction to substances such as lubricants, soaps, or even saliva. If the bumps are not painful or itchy, and if they do not change in appearance, they may simply be a reaction to something that came into contact with the skin.

However, if the bumps are new, persistent, or if you notice any other symptoms such as pain, itching, or discharge, it is crucial to consult a healthcare professional. A urologist or dermatologist can perform a physical examination and may recommend tests to rule out STIs or other conditions.
In terms of treatment, if the bumps are determined to be pearly penile papules or another benign condition, no treatment is necessary. If an infection is diagnosed, appropriate medications such as antiviral or antibiotic treatments may be prescribed depending on the specific infection.

It is also essential to maintain good hygiene practices, especially after sexual activities. Washing the genital area thoroughly after sexual contact can help reduce the risk of infections. Additionally, using protection such as condoms during oral sex can significantly lower the risk of transmitting STIs.

In conclusion, while the appearance of white bumps on the penis after oral sex can be alarming, they are not always indicative of a serious condition. Monitoring the bumps for any changes and consulting with a healthcare provider for a proper diagnosis is the best course of action. Remember, open communication with sexual partners about sexual health and safe practices is vital in preventing STIs and ensuring overall well-being.

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