Common Concerns About Genital and Glans Health - Internal Medicine

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Hello! Thank you for your questions regarding genital and glans health. It’s understandable to have concerns about any changes or spots in sensitive areas, and I appreciate your willingness to seek clarification.

From what you’ve described, it seems that you have been evaluated by a urologist on two occasions, and both times the findings were deemed normal. The terms "sebaceous glands" and "Tyson's glands" refer to normal anatomical structures. Sebaceous glands are oil-producing glands that can be found on various parts of the body, including the genital area. Tyson's glands, specifically, are modified sebaceous glands located around the glans penis, and they are also considered normal.
The small spots you are observing on the glans or shaft of your penis are likely these normal sebaceous glands or Tyson's glands. They can sometimes become more noticeable depending on factors such as skin hydration, washing, and even temperature. It’s important to note that these spots are not indicative of any sexually transmitted infections (STIs) or other health issues, especially since your doctor has reassured you on multiple occasions.

Regarding your concerns about STIs, it is true that many sexually transmitted infections can present with various symptoms, including lesions or changes in the genital area. However, STIs typically have other accompanying symptoms, such as pain, discharge, or itching. The fact that you have not engaged in sexual activity and that the spots have remained unchanged over time is a strong indicator that they are not related to an infection.

You mentioned that you are worried about the spots changing or growing. It is normal for sebaceous glands to vary in appearance, and they can sometimes become more prominent due to factors like skin care routines or hormonal changes. If the spots are not causing you any discomfort, pain, or other symptoms, it is generally acceptable to monitor them rather than seek immediate intervention.

As for your question about whether you should continue to have regular check-ups, it is always a good practice to have periodic evaluations if you have concerns. However, if your doctor has consistently reassured you that there is nothing to worry about, and if the spots have not changed, you might not need to return as frequently. A yearly check-up could be sufficient, but if you notice any new symptoms or changes, it would be wise to consult your healthcare provider.

In terms of managing the appearance of these spots, it is crucial not to attempt to squeeze or pop them, similar to how one would treat acne on the face. This can lead to irritation, inflammation, or even infection. Instead, maintaining good hygiene and using gentle cleansers is advisable.

In summary, based on your description and the evaluations you've received, it sounds like what you are experiencing is normal anatomical variation rather than a cause for concern. However, if you have any new symptoms or changes, or if your anxiety about the situation persists, do not hesitate to reach out to your healthcare provider for further reassurance or evaluation. Your health and peace of mind are paramount. Thank you for your inquiry, and I hope this information helps alleviate your concerns!