White spots on the glans?
Hello, doctor.
About a month ago, I had contact with a sex worker, which included unprotected oral sex and protected vaginal intercourse.
Last week, I noticed white spots on the glans (they may have been there before but I didn't pay much attention, or they may have developed recently).
I did some research online and it doesn't seem to be gonorrhea, syphilis, or genital warts, and there is no pain or itching.
Urination is normal with no issues.
Can you determine what this might be just from the photos and description? Here are the photos: https://ppt.cc/fTaANx https://ppt.cc/f6Qiox https://ppt.cc/fR0uzx.
Thank you for your help.
kevin, 20~29 year old female. Ask Date: 2022/09/06
Dr. Du Shixi reply Urology
Hello: The information provided here is for reference only and cannot replace a personal examination by a physician.
It is difficult to make a judgment without an in-person assessment.
Generally, inflammation should be kept clean and dry to improve.
If there is an increase in size or if it becomes ulcerated and red, medical attention should be sought.
Wishing you good health.
Reply Date: 2022/09/06
More Info
Understanding white spots on the glans can be a source of concern for many individuals, especially after potential exposure to sexually transmitted infections (STIs). Based on your description, it seems that you have noticed white spots on the glans of your penis after engaging in sexual activities, which has led you to seek clarification on what these spots might be.
First and foremost, it is important to note that the appearance of white spots on the glans can be attributed to a variety of causes, some of which are benign and others that may require medical attention. Given that you mentioned the spots are not painful or itchy, and that you are experiencing normal urination, this could suggest that the spots are not indicative of an acute infection.
One common benign condition that could cause white spots on the glans is Fordyce spots. These are small, painless, pale bumps that are actually enlarged sebaceous (oil) glands. They are completely normal and are not associated with any disease or infection. Fordyce spots can appear on various parts of the genital area and are often more noticeable in some individuals than others.
Another possibility is pearly penile papules, which are small, dome-shaped bumps that typically appear around the corona of the glans. These are also harmless and are considered a normal anatomical variation. They do not require treatment unless they cause psychological distress.
However, it is essential to consider other potential causes, especially given your recent sexual encounters. While you mentioned that you do not believe the spots are related to STIs such as gonorrhea, syphilis, or genital warts (caused by the human papillomavirus), it is still prudent to keep these in mind. Conditions like balanitis (inflammation of the glans) can also present with changes in the appearance of the glans, including white patches or spots, often accompanied by irritation or discomfort.
Given the context of your recent sexual activity, it is advisable to consult a healthcare professional for a thorough examination. A healthcare provider can perform a physical examination and may recommend tests to rule out STIs or other conditions. This is particularly important because some STIs can be asymptomatic, meaning they do not always present with noticeable symptoms.
In summary, while the white spots on your glans may be benign conditions such as Fordyce spots or pearly penile papules, it is crucial to seek medical advice to ensure proper diagnosis and peace of mind. A healthcare professional can provide a definitive diagnosis and, if necessary, discuss any appropriate treatment options. Remember, it is always better to err on the side of caution when it comes to your sexual health.
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