Red Spots and Discomfort on the Glans: A Urology Perspective - Urology

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When it comes to the presence of red spots on the glans (the head of the penis) and accompanying symptoms such as a burning sensation after sexual intercourse, as well as dryness and wrinkling of the skin, there are several potential causes that should be considered from a urological perspective.

Firstly, the appearance of red spots on the glans can be indicative of several conditions. One common cause is a form of dermatitis, which can result from irritation or an allergic reaction to soaps, lotions, or even latex condoms. This irritation can lead to inflammation, resulting in redness and discomfort. Another possibility is a sexually transmitted infection (STI), such as herpes or human papillomavirus (HPV), which can cause lesions or spots on the genital area. If there is a history of unprotected sexual intercourse, it is crucial to consider this possibility and seek appropriate testing.

In addition to infections, conditions like balanitis (inflammation of the glans) can also cause redness and discomfort. Balanitis can be caused by poor hygiene, especially in uncircumcised men, where smegma can accumulate under the foreskin, leading to irritation and inflammation. It can also be a result of fungal infections, such as candidiasis, which can present with red spots and a burning sensation.

The burning sensation you experience after sexual intercourse could be attributed to several factors. If there is any form of inflammation or infection present, it can lead to increased sensitivity and discomfort during and after sexual activity. Additionally, dryness of the skin can exacerbate this sensation, as friction during intercourse can irritate already sensitive skin. The dryness and wrinkling of the skin may also suggest a lack of adequate lubrication, which can be common in cases of reduced sexual arousal or hormonal changes.

It is also worth considering the possibility of a more serious condition, such as penile cancer, especially if the red spots persist, change in appearance, or are accompanied by other concerning symptoms such as unusual discharge, persistent pain, or changes in the skin texture. While this is less common, it is important to be vigilant and consult a healthcare professional for a thorough evaluation.

To address these symptoms, it is advisable to maintain good hygiene practices, avoid potential irritants, and consider using water-based lubricants during sexual activity to reduce friction. If the symptoms persist or worsen, it is essential to seek medical attention. A urologist can perform a physical examination, take a detailed medical history, and potentially conduct tests to determine the underlying cause of the symptoms. Treatment will depend on the diagnosis and may include topical medications, antifungal treatments, or other interventions as necessary.

In summary, the presence of red spots on the glans, along with a burning sensation and dryness, can stem from various causes, including dermatitis, infections, or other underlying conditions. It is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment to alleviate symptoms and address any potential health concerns.