White Spots on the Glans: When to Seek Medical Advice - Urology

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When it comes to noticing white spots on the glans (the head of the penis), it is essential to approach the situation with caution and awareness. While you mentioned that you maintain good hygiene by regularly cleaning under the foreskin, the appearance of white spots can be concerning and may warrant further investigation.

Firstly, it is important to understand that white spots on the glans can have various causes. Some common benign conditions include:
1. Pearly Penile Papules: These are small, white, harmless bumps that typically appear in rows around the corona of the glans. They are a normal anatomical variation and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also harmless and quite common.

3. Balanitis: This is an inflammation of the glans, which can be caused by infections (bacterial or fungal), irritants, or poor hygiene. Symptoms may include redness, swelling, and discomfort, but in some cases, it can present with white spots.

4. Lichen Sclerosus: This is a chronic skin condition that can cause white patches on the skin, including the genital area. It may require medical treatment if it causes discomfort or other symptoms.

5. Sexually Transmitted Infections (STIs): Certain STIs can present with lesions or spots on the genital area. Even if you have not engaged in sexual activity, it is still important to consider this possibility if there are other risk factors.

Given that you have not experienced pain, itching, or any other symptoms, it may be tempting to dismiss the white spots. However, it is crucial to remember that some conditions may not present with obvious symptoms initially. Therefore, it is advisable to consult a healthcare professional for a proper evaluation. A urologist or dermatologist specializing in genital health can provide a thorough examination and determine the nature of the spots.

In terms of when to seek medical advice, consider the following guidelines:
- Duration: If the white spots persist for more than a few weeks without improvement, it is wise to seek medical advice.

- Changes: If you notice any changes in the appearance of the spots, such as increased size, color change, or the development of additional symptoms (like pain or discharge), you should consult a doctor promptly.

- Concerns: If you have any concerns about the possibility of an STI or other infections, it is best to get tested and evaluated.

In conclusion, while many causes of white spots on the glans are benign, it is always better to err on the side of caution. A healthcare professional can provide reassurance, diagnosis, and appropriate treatment if necessary. Regular self-examinations and maintaining good hygiene are important, but they should be complemented by professional evaluations when abnormalities arise. Your health and peace of mind are paramount, so do not hesitate to seek medical advice.