White Spots on the Penis: When to Worry and What to Know - Internal Medicine

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When it comes to the appearance of white spots on the penis, it is essential to approach the situation with a clear understanding of the potential causes and when to seek medical attention. Based on your description, it seems you have already consulted a urologist who reassured you that the white spot is not a sexually transmitted infection (STI) and advised you not to worry. However, it is understandable to have concerns, especially when it comes to changes in your body.

White spots on the penis can arise from various benign conditions. One common cause is pearly penile papules, which are small, harmless bumps that typically appear around the corona of the glans (the head of the penis). These are normal anatomical variations and do not require treatment. Another possibility is Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis and are simply enlarged sebaceous glands. Both of these conditions are completely normal and not associated with any health risks.

In your case, since the white spot is flat and has not changed in size or appearance over the past year, it is likely to be one of these benign conditions. The fact that you have not engaged in sexual intercourse and have not experienced any other symptoms, such as pain, itching, or discharge, further supports the idea that this is not a cause for concern.

However, it is crucial to remain vigilant. If you notice any changes in the size, color, or texture of the spot, or if you develop any new symptoms, it would be wise to return to your healthcare provider for a follow-up examination. Regular self-examinations can help you become more familiar with your anatomy and detect any changes early on.

Regarding your concern about genital warts (caused by the human papillomavirus or HPV), it is important to note that these typically present as raised, cauliflower-like lesions rather than flat spots. Since your urologist has already evaluated the spot and determined it is not an STI, it is unlikely that it is genital warts. Nevertheless, if you have any doubts or if new symptoms arise, do not hesitate to seek a second opinion or further evaluation.

In summary, while the appearance of white spots on the penis can be concerning, many cases are benign and do not require treatment. It is essential to maintain open communication with your healthcare provider and to seek medical advice if you notice any changes or have additional concerns. Regular check-ups and self-examinations are key components of maintaining your sexual health. Remember, your comfort and peace of mind are important, so don’t hesitate to reach out for professional guidance whenever you feel uncertain.