Red Dots and Dryness on the Glans: When to See a Doctor - Urology

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Red spots and dryness on the glans?


After having sexual intercourse for the first time, I noticed dryness, ridges, and a few red spots on the glans when I pushed it back while showering the next day.
A week has passed, and there is still no improvement.
Should I consider a circumcision, or could this be balanitis? Is it advisable to see a doctor as soon as possible?

Xiao You, 10~19 year old female. Ask Date: 2020/11/04

Dr. Cai Zhuorong reply Urology


Balanitis is a possible diagnosis; if there are no other discomforts, circumcision is not necessary.

Reply Date: 2020/11/04

More Info


When it comes to experiencing dryness, red spots, and other changes on the glans (the head of the penis), it is essential to approach the situation with caution and seek medical advice. The symptoms you describe, particularly after your first sexual experience, could be indicative of several conditions, including but not limited to balanitis (inflammation of the glans), irritation from friction, or an allergic reaction to products used during sexual activity or hygiene routines.


Understanding the Symptoms
1. Dryness and Red Spots: The presence of dryness and red spots on the glans can be caused by various factors. If the skin is irritated due to friction during intercourse, it may lead to inflammation, resulting in redness and discomfort. Additionally, if there was insufficient lubrication during the sexual act, this could also contribute to dryness and irritation.

2. Balanitis: This is a common condition that can occur due to poor hygiene, infections (bacterial or fungal), or irritants. Symptoms often include redness, swelling, and sometimes discharge. If you are experiencing persistent symptoms, it is crucial to consider this possibility.

3. Friction or Allergic Reaction: If you used any new products, such as lubricants, soaps, or condoms, these could potentially cause an allergic reaction or irritation. It’s important to identify any new products that may have come into contact with the area.


When to See a Doctor
Given that your symptoms have persisted for a week without improvement, it is advisable to see a healthcare professional. Here are some reasons why you should seek medical attention:
- Persistent Symptoms: If the dryness and red spots have not improved over a week, it is essential to consult a doctor. They can provide a proper diagnosis and treatment plan.


- Pain or Discomfort: If you experience increased pain, swelling, or any discharge, these are signs that warrant immediate medical evaluation.

- Concerns About Infection: If you suspect that you may have an infection (especially if there is any unusual discharge or odor), it is crucial to see a doctor. They may perform tests to determine the cause and prescribe appropriate treatment.

- Consideration of Circumcision: If you have recurrent issues with the glans or if you are diagnosed with a condition that may benefit from circumcision, your doctor will discuss this option with you. Circumcision can sometimes help prevent future infections or irritation, especially in cases of phimosis (where the foreskin cannot be easily retracted).


Conclusion
In summary, while some irritation and changes to the glans can be common after sexual activity, persistent symptoms should not be ignored. It is best to consult a healthcare provider who can evaluate your condition, rule out any serious issues, and recommend appropriate treatment. Early intervention can help prevent complications and ensure your sexual health is maintained. Remember, it’s always better to err on the side of caution when it comes to your health.

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