White and Pink Bumps on the Glans: Causes and Concerns - Urology

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Glans issues


Recently, I have noticed some small white and light pink bumps on the glans.
They are not painful or itchy, and I have been using a condom during sexual intercourse.
I would like to ask the doctor what this situation might be.
Thank you (I have been circumcised).

H, 20~29 year old female. Ask Date: 2023/01/29

Dr. Du Shixi reply Urology


Hello: If there are changes on the glans after engaging in sexual activity, it is often due to an infection.
Please pay attention to cleanliness and dryness, which should help improve the condition.
If it does not improve after a week, please seek medical attention.
Wishing you good health.

Reply Date: 2023/01/29

More Info


The presence of white or pink bumps on the glans (the head of the penis) can be concerning, but it is important to understand that not all bumps or lesions are indicative of a serious medical condition. Based on your description, these bumps are painless and do not itch, which is a positive sign. Here are some potential causes for the bumps you are experiencing:
1. Pearly Penile Papules: These are small, harmless bumps that are often found around the corona of the glans. They are a normal anatomical variation and are not associated with any disease or infection. They are typically flesh-colored or slightly white and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands that are visible through the skin. They are common and harmless, often appearing on the shaft of the penis or the scrotum.

3. Lichen Planus: This is a skin condition that can cause small, shiny, flat-topped bumps. It can occur on the genitals and may be associated with other symptoms, but it is generally not painful.

4. Folliculitis: This is an inflammation of the hair follicles that can cause small red or white bumps. It can occur due to irritation, infection, or blockage of the follicles.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or white bumps. However, they are usually associated with itching or discomfort and can vary in appearance.

6. Other Skin Conditions: Conditions such as eczema or psoriasis can also manifest as bumps or lesions on the skin, including the genital area.

Given that you are practicing safe sex by using condoms, the risk of sexually transmitted infections (STIs) is reduced, but it is still important to monitor any changes in your symptoms. If the bumps change in appearance, become painful, or if you develop any other symptoms (such as discharge, itching, or swelling), it would be wise to consult a healthcare professional for a thorough evaluation.

In terms of management, if the bumps are indeed harmless, no treatment is necessary. However, if you are concerned or if there is any change in your symptoms, it is advisable to seek medical advice. A healthcare provider can perform a physical examination and may conduct tests if needed to rule out any infections or other conditions.

In summary, while the presence of white or pink bumps on the glans can be alarming, many of these bumps are benign and do not require treatment. However, it is essential to remain vigilant and consult a healthcare professional if you have any concerns or if your symptoms change. Regular check-ups and open communication with your healthcare provider are key to maintaining your sexual health.

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