Red Spots on the Glans: Is It Balanitis or Something More?

Q: Red Spots on the Glans: Is It Balanitis or Something More?

Hello： The responses provided here are for reference only and cannot replace a doctor's examination. <br><br>1) I had balanitis a year ago, and it has been recurring frequently since then. <br>However, as long as I apply the ointment (TOPIDIN CREAM), the color of the glans return

Red spots on the glans after masturbation?

1) I had balanitis a year ago, and it has been recurring frequently since then.
However, as long as I apply the ointment (TOPIDIN CREAM), the color of the glans returns to normal.
But whenever I have an erection, there are red spots and patches on the glans, and the color is very uneven.
After masturbation, it becomes even redder.
Then I have to apply the ointment again, creating an endless cycle.
Is my condition still balanitis? Is it possible that it is a more serious condition? Should I go to a major hospital for further examination?
2) Every morning when I wake up, my glans is exposed and not covered by the foreskin.
The glans appears red, but not in spots; rather, it is a small patch of redness.
Is this condition still balanitis? Should I go to a major hospital for further examination?
3) There are five white spots in the middle of my glans.
They are not very noticeable unless illuminated with a strong light, and they do not feel like bumps when touched.
I have seen a doctor who said they appear benign and do not require treatment (I previously had genital warts, but they have been treated, and I have been vaccinated).
Do I need to go to a major hospital for further examination?
4) Based on the situations described in points one and two, the doctor suggested that I undergo circumcision.
If I have the circumcision, will I be cured? Is there a possibility of recurrence after the circumcision?

Hei, 20~29 year old female. Ask Date: 2021/08/07

Dr. Du Shixi reply Urology

Hello: The responses provided here are for reference only and cannot replace a doctor's examination.

1) I had balanitis a year ago, and it has been recurring frequently since then.
However, as long as I apply the ointment (TOPIDIN CREAM), the color of the glans returns to normal.
But whenever I have an erection, there are red spots and patches on the glans, and the color is very uneven.
After masturbation, it becomes even redder.
Then I have to apply the ointment again, creating an endless cycle.
Is my condition still balanitis? Is it possible that it is a more serious condition? Do I need to go to a major hospital for further examination? -- It is likely just a manifestation after the balanitis has improved.
If there is persistent redness or red spots throughout the day, it indicates inflammation.
If you are concerned, you can consult a urologist at the hospital.
2) Every morning when I wake up, the glans is exposed and not covered by the foreskin.
The glans appears red, but it is not dotted; rather, it is a small patch of redness.
Is my condition still balanitis? Do I need to go to a major hospital for further examination? -- It is likely just a manifestation after the balanitis has improved.
If there is persistent redness or red spots throughout the day, it indicates inflammation.
If you are concerned, you can consult a urologist at the hospital.
3) There are five white spots in the middle of my glans.
They are not very noticeable unless illuminated with a strong light, and they do not feel granular when touched.
I have seen a doctor who said they appear benign and do not require treatment (I previously had genital warts, but they have been treated, and I have been vaccinated).
Do I need to go to a major hospital for further examination? -- If there are any protrusions, it is advisable to consult a hospital for examination.
4) Based on the situations in points one and two, the doctor suggested that I undergo circumcision.
If I go through with the circumcision, will I be cured? Is there a chance of recurrence after the circumcision? -- It makes little difference; there will not be significant changes after the surgery.
Wishing you good health.

Reply Date: 2021/08/07

More Info

The symptoms you are experiencing on the glans, including recurrent redness, spots, and discomfort, can indeed be indicative of balanitis, which is an inflammation of the glans penis. Given your history of recurrent episodes and the use of topical treatments like Topidin cream, it’s important to consider a few factors that could contribute to your condition.

1. Recurrent Balanitis: Balanitis can be caused by various factors, including infections (bacterial or fungal), irritants (such as soaps or hygiene products), or underlying skin conditions (like eczema or psoriasis). The fact that you experience relief with medication suggests that there is an inflammatory component, but the recurrence indicates that the underlying cause may not be fully addressed.

2. Red Spots and Color Changes: The presence of red spots and uneven coloration on the glans, especially after sexual activity or masturbation, could suggest irritation or inflammation. This could be exacerbated by friction, moisture, or even the presence of bacteria or yeast. If the redness is persistent and associated with discomfort, it may warrant further investigation.

3. White Spots: The five white spots you mentioned, which your doctor deemed benign, could be Fordyce spots, which are normal sebaceous glands that are not harmful. However, if there is any change in appearance or if they become symptomatic, it would be prudent to have them re-evaluated.

4. Need for Further Evaluation: Given the chronic nature of your symptoms, it would be advisable to seek a consultation with a urologist or a dermatologist specializing in genital skin conditions. They may recommend further tests, such as cultures or biopsies, to rule out any underlying infections or skin disorders.
5. Circumcision Consideration: Your doctor’s suggestion to consider circumcision is not uncommon in cases of recurrent balanitis, especially if it is believed that the condition is related to the presence of the foreskin. Circumcision can reduce the risk of recurrent infections and inflammation by eliminating the area where irritants and bacteria can accumulate. However, it is essential to discuss the potential benefits and risks with your healthcare provider, as well as the likelihood of recurrence post-surgery.

6. Hygiene Practices: Maintaining proper hygiene is crucial. Ensure that you are cleaning the area gently but thoroughly, avoiding harsh soaps or irritants. If you are uncircumcised, retracting the foreskin during cleaning is important to prevent the buildup of smegma, which can contribute to irritation.

7. Lifestyle Factors: Consider any lifestyle factors that may be contributing to your symptoms. This includes dietary habits, stress levels, and any new products you may be using in your personal care routine. Sometimes, allergens or irritants in soaps, lotions, or even laundry detergents can lead to localized reactions.

In summary, while your symptoms may suggest recurrent balanitis, it is essential to have a thorough evaluation to rule out other potential causes. Consulting with a specialist can provide you with a tailored treatment plan and help you understand whether circumcision is a suitable option for you. Remember, addressing the underlying cause is key to preventing recurrence and achieving long-term relief.

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