White Spots Near the Glans: When to See a Doctor - Urology

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Around the glans?


Hello doctor, I would like to ask about the three white spots located next to the glans, which I have pinched with my thumb in the photo center.
What could these be? Do I need to see a doctor? The photos are in the following five links, and the password is 999.
Thank you, doctor.

., 20~29 year old female. Ask Date: 2023/09/21

Dr. Li Xinyi reply Urology


I'm really sorry, I usually don't click on links.
In my previous experiences, I often couldn't see clearly.
I still recommend that you visit a urologist for an in-person examination.

Reply Date: 2023/09/21

More Info


When it comes to the appearance of white spots near the glans (the head of the penis), it is essential to approach the situation with caution and awareness of potential underlying health issues. While I cannot provide a diagnosis without a physical examination, I can offer some insights into what these white spots might indicate and when it is advisable to seek medical attention.

White spots on the glans can arise from various causes, including but not limited to:
1. Pearly Penile Papules: These are small, benign bumps that are often found around the corona of the glans. They are a normal anatomical variant 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 do not require medical intervention.

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

4. Infections: Conditions such as sexually transmitted infections (STIs) can present with white spots or lesions. If accompanied by other symptoms such as itching, burning, or discharge, it is crucial to seek medical attention.

5. Fungal Infections: Yeast infections can also lead to white patches or spots, particularly if there is an imbalance in the normal flora of the genital area.

6. Other Dermatological Conditions: Various skin conditions can affect the genital area, leading to changes in appearance. Conditions like psoriasis or eczema may also manifest as white spots.

Given your concern about the white spots, here are some guidelines on when to see a doctor:
- Persistent Symptoms: If the white spots do not resolve on their own or if they change in appearance, size, or number, it is advisable to consult a healthcare provider.

- Accompanying Symptoms: If you experience any additional symptoms such as pain, itching, burning sensations, or unusual discharge, these could indicate an infection or other medical condition that requires evaluation.

- Duration: If the spots have been present for an extended period without improvement, it is wise to seek medical advice.

- Personal Health History: If you have a history of STIs or other relevant medical conditions, it is prudent to discuss any new symptoms with a healthcare professional.

In the United States, access to healthcare can sometimes be complicated, but it is crucial to prioritize your health. If you are unable to see a doctor in person, consider telehealth options, which allow you to consult with a healthcare provider remotely. This can be particularly useful for discussing symptoms and determining the need for further evaluation or treatment.

In summary, while not all white spots near the glans are cause for alarm, it is essential to monitor any changes and seek medical advice if you have concerns. Early intervention can help address any potential issues and provide peace of mind. Always prioritize your health and well-being, and do not hesitate to reach out for professional guidance when needed.

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