the Appearance of the Glans: Common Concerns and Care

Appearance of the glans penis

Hello, Doctor.
Thank you very much for your advice last time.
Today, during mild arousal, I gently rubbed it with my hand, but it seems there are quite a few white spots on the surface, which look a bit unsightly.
Here is the image link: https://drive.google.com/file/d/1vD9T3wQBkW33fegivl-ZaGvrgBkDHTgp/view?usp=sharing.
I would like to ask if the current condition of the glans requires soaking in water and rinsing?

Chenchen, 20~29 year old female. Ask Date: 2020/07/19

Dr. Li Xinyi reply Urology

The white areas may be indicative of a fungal infection.
Regardless of the type of sexual activity, it is important to use adequate lubrication; otherwise, friction can cause abrasions, making it easier for infections to occur, similar to your situation.
It may be necessary to see a doctor for medication and topical treatment to facilitate healing.
For cleaning, use clean water or a mild soap solution to gently wash the area.
If you scrub too hard, it may create abrasions that hinder healing.
After sexual activity or bathing, it is advisable to dry the area with a hairdryer or gently pat it dry.
Avoid wearing tight or overly restrictive clothing, as a warm and humid environment can lead to skin inflammation.
Additionally, this recent pandemic has highlighted the importance of hand hygiene, so if you use public restrooms, be sure to wash your hands beforehand.
After using the restroom, if your hands are too wet, it is also recommended to gently dry them with tissue.
If you have any concerns, it is still advisable to consult a urologist for an examination and further discussion with the physician.

Reply Date: 2020/07/19

More Info

Understanding the appearance of the glans (the head of the penis) can raise various concerns, especially when there are visible changes or abnormalities. It's important to approach this topic with sensitivity and an understanding of the anatomy and potential conditions that can affect the glans.

In your case, you mentioned noticing some white spots or a white appearance on the glans, which can be concerning. There are several possible explanations for this observation. One common cause is the presence of smegma, a substance that can accumulate under the foreskin in uncircumcised males. Smegma is composed of dead skin cells, oils, and other bodily secretions. It can appear as a whitish substance and may have an unpleasant odor if not cleaned regularly.
If you are circumcised, the appearance of white spots could be due to other factors, such as irritation, fungal infections (like candidiasis), or even a condition known as lichen sclerosus, which can cause white patches on the skin. It's also possible that the white appearance is due to a benign condition known as pearly penile papules, which are small, harmless bumps that can appear around the glans and are completely normal.

To address your question about cleaning, it is generally advisable to maintain good hygiene. If you are uncircumcised, gently retracting the foreskin and washing the area with warm water can help remove smegma and prevent irritation. If you are circumcised, simply washing the glans with warm water during your regular bathing routine should suffice. Avoid using harsh soaps or chemicals, as these can irritate the sensitive skin of the glans.

If the white appearance persists, is accompanied by other symptoms such as itching, burning, or discharge, or if you have any concerns about the appearance of your glans, it is essential to consult a healthcare professional. They can provide a proper examination and diagnosis, ensuring that any underlying conditions are addressed appropriately.

In summary, while the appearance of white spots on the glans can be concerning, it is often related to benign conditions or hygiene issues. Regular cleaning and monitoring for any changes are key. However, if you have ongoing concerns or if the situation worsens, seeking medical advice is the best course of action to ensure your health and peace of mind. Remember, discussing these issues with a healthcare provider can provide clarity and reassurance.

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