White Spots on the Glans: Is It Normal or a Concern? - Internal Medicine

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Issues with the glans penis?


Hello, about six months ago I noticed a small white spot on my glans.
I went to a urology department at a large hospital, and the doctor asked me to undress and examined it with a light but couldn't see it clearly.
Later, I pointed it out to the doctor, and he just said it was nothing to worry about, just a sebaceous gland.
Today, before taking a shower, I saw it again in the same spot, but after rinsing with water, it appeared less noticeable.
I would like to ask if this on my glans is not a sexually transmitted infection, since the doctor said it was nothing and didn't recommend any further tests.
I haven't had sexual relations, but I'm still a bit concerned because I've heard that infections can be transmitted through urination or hot springs.
Additionally, I only notice this issue when it's drier, and the glans appears a bit wrinkled or uneven.
Is this a normal phenomenon? As the doctor mentioned, do sebaceous glands really exist on the glans? Thank you for your clarification.

Xiao Chen, 10~19 year old female. Ask Date: 2020/12/19

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, it is indeed possible that it is sebaceous gland activity or surface peeling.
If these white spots have persisted for six months, they do not appear to be indicative of a sexually transmitted infection (STI).
The likelihood of contracting an STI from urination or hot springs is very low; in general, the vast majority of STIs are transmitted through sexual intercourse.
Therefore, what you are describing should be considered a normal phenomenon.
Please do not worry.
Thank you for your inquiry.

Reply Date: 2020/12/19

More Info


When it comes to white spots on the glans (the head of the penis), it's understandable to feel concerned, especially when it comes to sexual health. Based on your description and the previous medical advice you received, it seems that what you are observing may be normal anatomical variations rather than a cause for alarm.

The glans penis can exhibit various features, including small white spots or bumps, which are often sebaceous glands (oil glands). These glands can appear as small white or yellowish spots and are completely normal. They are part of the skin's natural anatomy and are not indicative of any sexually transmitted infection (STI) or other health issues. The fact that your doctor was able to examine the area and reassured you that it was just sebaceous glands is a positive sign.

It's also worth noting that the appearance of these spots can change depending on factors such as hydration, skin elasticity, and the presence of any irritation. For instance, when the skin is dry, these spots may appear more prominent. Conversely, when the area is moist, such as after washing, they may become less noticeable. This variability is normal and does not suggest any underlying pathology.

Regarding your concerns about STIs, it's important to remember that many infections have specific symptoms, such as pain, itching, unusual discharge, or sores. Since you mentioned that you have not engaged in sexual activity and have not experienced any concerning symptoms, the likelihood of an STI is low. However, if you ever experience any changes in your health, such as discomfort, unusual discharge, or any other symptoms, it would be prudent to seek medical advice.

In terms of hygiene, maintaining good genital hygiene is essential. Regular washing with mild soap and water can help keep the area clean and may reduce the visibility of any spots or bumps. However, avoid harsh soaps or excessive scrubbing, as this can irritate the sensitive skin of the glans.

If you continue to feel anxious about the appearance of the white spot or if it changes in size, color, or texture, it would be wise to follow up with a healthcare provider. A urologist or dermatologist can provide a more thorough examination and reassurance. They may also perform additional tests if necessary to rule out any other conditions.

In summary, based on your description and the previous medical evaluation, it seems that the white spot on your glans is likely a normal anatomical feature, specifically sebaceous glands. It is not indicative of a sexually transmitted infection or any other serious health issue. However, if you have any ongoing concerns or notice changes, do not hesitate to consult a healthcare professional for further evaluation and peace of mind.

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