Issues related to the glans penis?
Hello Dr.
Hong,
After showering and drying off, I sometimes notice a small dot near the urethral opening on the glans that looks like a tiny pimple.
I'm not sure if it's just an illusion caused by the wrinkling of the skin, but it seems to disappear when I’m in the water during my shower.
I previously visited a urologist who asked me to undress and used a light to examine the area, but he said he couldn't see much.
Later, he mentioned that it looked fine and seemed to be sebaceous glands, similar to a small spot on the penis, or possibly irritation from not cleaning the smegma properly.
Sometimes, after frequent masturbation, it appears, but then it goes away after a while.
Could you please clarify if it is normal for the glans to have sebaceous glands? Also, why does it appear less wrinkled when I’m showering, but becomes wrinkled after drying off? Lastly, could frequent masturbation potentially irritate the skin on the glans? What should I do about it? The doctor previously advised me to keep the area dry, which usually helps, but I’m unsure if I need to apply tetracycline ointment since I had a prescription before, but I only used it for one day and then stopped.
Thank you for your response and explanation.
Allen Huang, 10~19 year old female. Ask Date: 2020/11/04
Dr. Hong Yuanbin reply Internal Medicine
Hello,
1.
The structure you described that resembles small pimples is likely the openings of glands, which is a normal anatomical feature of the human body, so there is no need for concern.
2.
The glans may become engorged due to stimulation, and when not engorged, it may appear wrinkled; this is also a normal physiological phenomenon.
3.
It is advisable to keep the glans dry in general.
If there are no wounds, there is no need to apply ointments, including antibiotic ointments such as tetracycline.
Thank you for your inquiry.
Reply Date: 2020/11/04
More Info
When it comes to glans health, it's important to understand that the appearance of small bumps or spots on the glans (the head of the penis) can be quite common and often benign. In your case, the small point you describe near the urethral opening could indeed be a sebaceous gland, which is a normal anatomical feature. Sebaceous glands are responsible for producing oil (sebum) that helps to keep the skin moisturized. These glands can sometimes become more noticeable due to various factors, including skin hydration levels and the presence of smegma, which is a combination of dead skin cells and oils that can accumulate under the foreskin.
The fact that you notice these spots more when your skin is dry and wrinkled after drying off is also normal. The skin on the glans can appear different based on moisture levels; when wet, the skin tends to be more pliable and smooth, while when dry, it can appear wrinkled or creased. This is a natural response of the skin and does not indicate any underlying health issue.
Regarding your concerns about frequent masturbation, it is generally considered a normal and healthy sexual activity. However, excessive friction or irritation from frequent masturbation can lead to temporary changes in the skin, including redness or sensitivity. If you notice that the skin becomes irritated or if you experience discomfort, it may be beneficial to reduce the frequency of masturbation or to use a lubricant to minimize friction.
As for the use of topical antibiotics like tetracycline, it is essential to use such medications only when prescribed by a healthcare professional. If you previously used tetracycline and found it effective for a specific issue, it may have been due to a minor infection or irritation. However, using antibiotics unnecessarily can lead to resistance and other complications. If you are unsure about the need for any topical treatment, it is best to consult with a healthcare provider who can assess your condition and provide appropriate recommendations.
In terms of care tips for maintaining glans health, here are some general recommendations:
1. Hygiene: Regularly clean the area with mild soap and water. If you are uncircumcised, ensure that you gently retract the foreskin to clean underneath it to prevent the buildup of smegma.
2. Moisturization: If you notice dryness, consider using a gentle, fragrance-free moisturizer to keep the skin hydrated. Avoid products with harsh chemicals or fragrances that can irritate the sensitive skin of the glans.
3. Avoid Irritants: Be cautious with products that may irritate the area, such as scented soaps, lotions, or lubricants. Opt for hypoallergenic products when possible.
4. Monitor Changes: Keep an eye on any changes in the appearance of the glans or any new symptoms, such as pain, itching, or unusual discharge. If you notice anything concerning, consult a healthcare provider.
5. Healthy Practices: Maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate hydration, which can contribute to overall skin health.
6. Consult a Specialist: If you have ongoing concerns or if the appearance of the glans changes significantly, it is advisable to see a urologist or dermatologist for a thorough evaluation.
In summary, the small point you are observing is likely a normal anatomical feature, and the changes in appearance due to moisture levels are typical. Frequent masturbation is generally safe, but if it leads to irritation, consider adjusting your practices. Always prioritize hygiene and consult a healthcare professional for any persistent concerns.
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