Frenulum Issues: What You Need to Know About Your Symptoms - Urology

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Frenulum of the prepuce


Hello doctor, regarding the uploaded images, what is the area that is circled? It is not protruding and looks somewhat like a pimple, but when I apply pressure, it does not come out and does not bleed.
I have noticed it for a month now, and I discovered it after my foreskin was retracted.
I am worried it might be genital warts or another sexually transmitted infection.
I hope to find an answer.
Thank you.

Tsai, 30~39 year old female. Ask Date: 2022/02/09

Dr. Du Shixi reply Urology


Hello: This information is for reference only and cannot replace a doctor's examination or tests.
Keep the area clean and dry.
If there is an increase in size or number, it may be warts.
Practice safe sex, and wish you good health.

Reply Date: 2022/02/09

More Info


Understanding issues related to the frenulum, particularly in the context of the symptoms you've described, is essential for addressing your concerns effectively. The frenulum is a small band of tissue that connects the underside of the penis to the glans (the head of the penis). It plays a crucial role in sexual function and sensitivity.
From your description, it sounds like you are experiencing a small bump or lesion in the area of the frenulum that resembles a pimple or a cyst. It is important to note that many conditions can cause similar symptoms, and not all of them are serious. Here are some possibilities:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for warts. They are a normal anatomical variant and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis and are caused by enlarged oil glands. They are also benign and do not require treatment.

3. Cysts: Sometimes, sebaceous cysts can form in the genital area. These are typically harmless and can be drained if they become bothersome.

4. Infections: Conditions such as folliculitis (inflammation of hair follicles) or sexually transmitted infections (STIs) like genital warts or herpes can present with similar symptoms. If the bump is painful, red, or accompanied by other symptoms like discharge, it may indicate an infection.

5. Frenulum Breve: This is a condition where the frenulum is shorter than normal, which can cause discomfort during erections or sexual activity. While it may not directly cause bumps, it can lead to irritation in the area.

Given that you have been aware of this bump for a month and are concerned about the possibility of it being a sexually transmitted infection, it is crucial to seek professional medical advice. A healthcare provider can perform a physical examination and may recommend tests to rule out infections or other conditions.
In the meantime, here are some general recommendations:
- Avoid Manipulation: Try not to squeeze or manipulate the bump, as this can lead to irritation or infection.

- Maintain Hygiene: Keep the area clean and dry. Use mild soap and water during bathing.

- Monitor Symptoms: Keep track of any changes in the bump, such as size, color, or if it becomes painful or starts to bleed.

It's understandable to feel anxious about potential STIs, especially if you are unsure about your sexual health. Open communication with your healthcare provider about your concerns is essential. They can provide reassurance, guidance, and treatment options if necessary.

In conclusion, while the bump you are experiencing may not be serious, it is always best to consult with a healthcare professional for an accurate diagnosis and appropriate management. Early intervention can help alleviate your concerns and ensure your sexual health is maintained.

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