Red Bumps at the Base of the Penis: Causes and Concerns

Red spots at the base of the penis?

For the past 3 to 4 days, I have noticed small red spots (approximately 0.2 mm) at the root area, which are raised.
They are not painful to the touch but are very itchy.
I couldn't resist scratching, and today I may have scratched too hard, causing a slight bleeding.
What could this symptom indicate? I have not had sexual intercourse for about 3 months, and during the last sexual encounters, I always used condoms and have a habit of hair removal.
However, this seems different from folliculitis, and the affected area does not have any hair.
Could you please help clarify this? Thank you.
🙏

you dian dan xin, 20~29 year old female. Ask Date: 2020/12/04

Dr. Xu Wencang reply Urology

You can visit the outpatient clinic for follow-up examinations.

Reply Date: 2020/12/04

More Info

The appearance of red bumps at the base of the penis can be concerning, especially when accompanied by itching and the potential for bleeding. Based on your description, there are several possible causes for these symptoms, and it's important to consider each one carefully.

1. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection. Even if you have a habit of grooming or shaving, irritation can still occur, leading to small red bumps. While you mentioned that the bumps are not located where hair is present, it’s possible for folliculitis to occur in areas that have been recently shaved or irritated.

2. Contact Dermatitis: This is an allergic reaction to substances that come into contact with the skin, such as soaps, lotions, or even latex from condoms. If you have recently changed any products you use in that area, this could be a potential cause.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis. They are normal anatomical variations and are not a sign of disease. However, they typically do not cause itching or bleeding.

4. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or red bumps. They can be itchy and may bleed if scratched. If you have had unprotected sexual contact in the past, this could be a possibility.

5. Herpes Simplex Virus (HSV): If the bumps are painful and blister-like, they could be indicative of a herpes outbreak. This condition is characterized by clusters of small, painful blisters that can break and bleed.

6. Balanitis: This is an inflammation of the glans (the tip of the penis) that can cause redness, itching, and discomfort. It can be caused by poor hygiene, infections, or irritants.

Given that you have experienced bleeding from the bumps, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to determine the exact cause of your symptoms. They may also provide treatment options, which could include topical medications for inflammation or infection, or other therapies depending on the diagnosis.

In the meantime, here are some general recommendations:
- Avoid Scratching: While it may be tempting, scratching can worsen the irritation and lead to further bleeding or infection.

- Keep the Area Clean: Gently wash the area with mild soap and water, and avoid using harsh products that could exacerbate irritation.

- Avoid Irritants: If you suspect that a product may be causing irritation, discontinue its use and observe if the symptoms improve.

- Wear Loose-fitting Clothing: This can help reduce friction and irritation in the area.

In conclusion, while there are several potential causes for the red bumps at the base of your penis, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and provide peace of mind.

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