Red Spots on the Glans: Causes and Concerns

Q: Red Spots on the Glans: Causes and Concerns

Hello： There is no need to worry about your situation; syphilis cannot be diagnosed visually and requires a blood test. <br>Currently, maintain cleanliness and dryness, but do not over-clean with soap or body wash. <br>Wear loose-fitting underwear and pay attention to hygiene aft

Red spots on the foreskin and glans?

Hello, doctor.
Recently, I've noticed some small red spots on the inner foreskin and glans during bathing and using the restroom.
They don't hurt or itch when touched, and they're difficult to see without a flashlight.
They become more prominent when erect, and I can vaguely see some areas of broken skin, but touching them still doesn't cause pain.
However, the tip of the foreskin sometimes itches, and I occasionally feel slight pain at the urethral opening.
Could you please tell me what this might be? Is it a symptom of primary syphilis, or could it simply be balanitis? Or is it possible that I have a candidal infection? (About a month ago, I had sexual intercourse, and I didn't use a condom during oral sex; I used protection at other times.
I kissed my partner, who has had multiple sexual partners, and I'm unsure if they have any sexually transmitted infections.)

Shiyan, 20~29 year old female. Ask Date: 2022/01/22

Dr. Du Shixi reply Urology

Hello: There is no need to worry about your situation; syphilis cannot be diagnosed visually and requires a blood test.
Currently, maintain cleanliness and dryness, but do not over-clean with soap or body wash.
Wear loose-fitting underwear and pay attention to hygiene after sexual activity.
If symptoms do not improve in two days, seek medical attention.
You can refer to the following risk levels for sexual behaviors: low-risk activities include masturbation, hugging, and touching areas other than the genitals; low-risk activities include mutual masturbation, light kissing, mutual rubbing, and sexual activity with a condom; moderate-risk activities include deep kissing, oral sex, and withdrawal before ejaculation; high-risk activities include unprotected intercourse and intercourse that causes wounds or bleeding.
For more information on syphilis, you can refer to https://www.cdc.gov.tw/Category/Page/pzPKSi2S4zCt94DDnwqVNg.
Wishing you good health.

Reply Date: 2022/01/22

More Info

The presence of red spots on the glans (the head of the penis) can be concerning, especially when accompanied by symptoms such as itching, pain, or any noticeable changes in the skin. Based on your description, there are several potential causes for these symptoms, and it is essential to consider them carefully.

1. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritants, or infections. Symptoms can include redness, swelling, and sometimes itching or pain. Balanitis can be due to a yeast infection (like Candida), bacterial infections, or even sexually transmitted infections (STIs).

2. Sexually Transmitted Infections (STIs): Given your recent sexual activity, it is crucial to consider the possibility of STIs. While the symptoms you describe do not specifically point to syphilis (which typically presents with painless sores known as chancres), other STIs such as herpes or gonorrhea could present with similar symptoms. The fact that you experienced some pain at the urethral opening could suggest an infection.

3. Candida Infection: A yeast infection can cause red spots and irritation on the glans. This is more common in individuals who are uncircumcised, as moisture can accumulate under the foreskin, creating an environment conducive to yeast growth. Symptoms may include itching and a white discharge.

4. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products that come into contact with the genital area. If you have recently changed any products you use for personal hygiene, this could be a factor.

5. Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are often mistaken for infections. They are normal anatomical variations and do not require treatment.

Given the complexity of your symptoms and the potential for STIs, it is crucial to seek medical attention. A healthcare provider can perform a physical examination, take a detailed sexual history, and possibly conduct tests (such as swabs or blood tests) to determine the exact cause of your symptoms.

Recommendations:
- Avoid Sexual Activity: Until you have been evaluated by a healthcare professional, it is advisable to refrain from sexual activity to prevent potential transmission of any infections.

- Maintain Hygiene: Keep the area clean and dry. Avoid using harsh soaps or products that may irritate the skin.

- Seek Medical Evaluation: Schedule an appointment with a healthcare provider, preferably a urologist or a dermatologist, who can assess your symptoms and provide appropriate treatment.

Conclusion:
While red spots on the glans can be caused by a variety of conditions, including infections and irritations, it is essential to get a proper diagnosis to ensure effective treatment. Early intervention can help prevent complications and provide peace of mind. Remember, open communication with your healthcare provider about your sexual history and symptoms is vital for accurate diagnosis and treatment.

Similar Q&A

Understanding Red Spots on the Glans: Causes and Concerns

Hello Doctor, since August of last year, I have noticed one or two red spots on my glans. They are not painful or itchy, and there is no discomfort or discharge; they tend to disappear on their own, but sometimes new ones appear in different locations. This cycle has continued, a...

Dr. Xu Weikai reply Urology
A-Jian: Hello, there are many reasons that can cause balanitis, such as allergies to condoms, excessive cleaning of the glans leading to skin damage, etc. For cleaning the glans, it is generally recommended to use only cool water and to avoid any soaps, body washes, or other clea...

Red Spots on the Glans: Causes and Concerns for Skin Health

I have developed red spots on my glans. Initially, there was only one spot, but after a few days, I noticed 5 to 6 more small spots. Could this be a sexually transmitted infection, or what other conditions might it be? Thank you.

Dr. Jiang Zheen reply Dermatology
Your description cannot lead to a definitive diagnosis. Please visit a nearby urology or dermatology clinic for examination.

Red Dots on the Glans: Causes and Solutions for Skin Concerns

Why are there small red spots appearing on my glans? They seem to be increasing in number. Is it a hygiene issue? What should I do? I have not engaged in sexual activity. Thank you, doctor.

Dr. Huang Ruiyun reply Dermatology
Online diagnosis is not possible; please visit a urology or dermatology clinic for consultation.

Red Spots on the Glans: Should You Be Concerned?

Doctor: Hello! I accidentally retracted my foreskin and noticed "red spots" on the glans that look like pimples, appearing one by one. They are not painful or itchy. Could this be an infection? Do I need to see a doctor?

Dr. Lin Hexing reply Urology
Hello, A-Zhong: According to what you said, the red spots are flat and not like acne. In terms of red spots, the most common cause is eczema due to urine irritation. If there are any doubts, it is best to consult a physician for diagnosis and treatment.