Uneven Bumps on the Glans: What You Need to Know

Q: Uneven Bumps on the Glans: What You Need to Know

Hello： If there is no enlargement, redness, protrusion, or ulceration, you can maintain cleanliness and dryness. <br>If there has been no unsafe sexual behavior, you may observe the situation. <br>However, if there has been unsafe sexual behavior, you should seek evaluation from

Irregular protrusions on the glans penis?

About three to four days ago, I noticed an irregularity under the glans while showering.
It is not painful or itchy, and it does not affect physiological function, but since I have not experienced anything like this before, I would like a doctor to take a look.
It is roughly in the area next to the thumb in the photo.
Additionally, are the white spots on the penis and the black spots on the scrotum normal? Thank you.

Huang, 20~29 year old female. Ask Date: 2023/03/14

Dr. Du Shixi reply Urology

Hello: If there is no enlargement, redness, protrusion, or ulceration, you can maintain cleanliness and dryness.
If there has been no unsafe sexual behavior, you may observe the situation.
However, if there has been unsafe sexual behavior, you should seek evaluation from a urologist at a hospital.
Wishing you good health.

Reply Date: 2023/03/14

More Info

When it comes to uneven bumps on the glans (the head of the penis), it's important to approach the situation with a clear understanding of potential causes and when to seek medical advice. Based on your description, the bumps are not painful, itchy, or affecting your physiological functions, which is a positive sign. However, any new changes in the genital area can understandably cause concern.

Possible Causes of Uneven Bumps on the Glans:
1. Pearly Penile Papules: These are small, harmless bumps that often appear around the corona of the glans. They are a normal anatomical variant and are not associated with any disease or condition.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis or the glans. They are sebaceous glands that are not associated with any health issues.

3. Folliculitis: This is an inflammation of the hair follicles that can occur in the genital area. It may present as small red or white bumps and is usually not serious.

4. Lichen Planus: This is a skin condition that can affect the genital area, leading to bumps or lesions. It can be itchy or painful, but if you are not experiencing these symptoms, it may be less likely.

5. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small bumps and may require medical evaluation, especially if they change in appearance or number.

6. Other Dermatological Conditions: Conditions like eczema or psoriasis can also manifest in the genital area, leading to bumps or changes in skin texture.

Regarding the White and Black Spots:
- White Spots: If these are similar to Fordyce spots, they are generally harmless. However, if they are new, changing, or associated with other symptoms, it would be wise to consult a healthcare provider.

- Black Spots on the Scrotum: These can often be benign, such as moles or seborrheic keratosis. However, any new or changing spots should be evaluated by a dermatologist to rule out any serious conditions.

When to Seek Medical Attention:
- If the bumps change in size, shape, or color.

- If you develop any pain, itching, or discomfort.

- If you notice any discharge or unusual symptoms.

- If you have concerns about sexually transmitted infections (STIs).

Conclusion:
While many bumps and spots on the genital area can be benign, it is always best to err on the side of caution. If you are uncertain about the nature of these bumps or if they persist, I recommend scheduling an appointment with a healthcare provider or dermatologist. They can perform a thorough examination and provide a definitive diagnosis. Remember, maintaining open communication with your healthcare provider about any changes in your body is crucial for your overall health and peace of mind.

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