Small Bumps on the Glans: When to Seek Medical Advice - Urology

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There are small bumps on the surface of the glans?


Hello doctor, I have noticed some tiny, flesh-colored bumps on the surface of my glans after an erection, which are not visible when I'm not erect.
Is this normal, or should I see a doctor?

A Yuan, 20~29 year old female. Ask Date: 2020/09/01

Dr. Du Shixi reply Urology


Hello: If there has been unsafe sexual behavior, it is advisable to seek medical attention.
You can take a selfie for the doctor’s reference, or you can observe yourself to see if there are any changes.
If there has been no unsafe sexual behavior, the risk is very low, and you can simply monitor the situation.
Wishing you good health.

Reply Date: 2020/09/01

More Info


When it comes to small bumps or granular formations on the glans (the head of the penis), it is essential to understand the context and characteristics of these formations. The presence of small, flesh-colored bumps that only appear when the penis is erect can be concerning for some individuals, but it is not uncommon.
Firstly, it is important to note that the skin of the penis, like any other part of the body, can have variations in texture and appearance. Some common benign conditions that can cause small bumps on the glans include:
1. Pearly Penile Papules: These are small, dome-shaped bumps that are typically found around the corona of the glans. They are a normal anatomical variant and are not associated with any disease or infection. They are harmless and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous (oil) glands. They are common and can appear on the shaft of the penis or the scrotum. Like pearly penile papules, they are benign and do not require treatment.

3. Folliculitis: This is an inflammation of the hair follicles, which can sometimes occur in the genital area. It may present as small red or flesh-colored bumps and can be associated with irritation or infection.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be raised or flat and can sometimes be mistaken for benign bumps. If you suspect these, it is important to seek medical advice.

5. Other Skin Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to changes in the skin's appearance.

Given that these bumps are only visible when the penis is erect, it is crucial to consider whether they have changed in size, color, or shape over time. If they are new, changing, or accompanied by other symptoms such as itching, pain, or discharge, it is advisable to seek medical attention.


When to Seek Medical Advice
You should consider consulting a healthcare provider if:
- The bumps change in appearance (size, color, or shape).

- You experience discomfort, pain, or itching in the area.

- There is any unusual discharge or bleeding.

- You have concerns about sexually transmitted infections (STIs) or other health issues.


Conclusion
In summary, while small, flesh-colored bumps on the glans can be normal and benign, it is essential to monitor their characteristics and any accompanying symptoms. If you have any doubts or if the bumps are causing you concern, it is always best to consult with a healthcare professional. They can provide a thorough examination and, if necessary, perform tests to rule out any underlying conditions. Remember, it is always better to err on the side of caution when it comes to your health.

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