Blood Leakage from the Glans During Erection: Causes and Solutions - Urology

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Penile glans bleeding?


Hello doctor, when I firmly grip and squeeze my penis during an erection, I notice two spots on the glans that ooze blood.
The bleeding stops when I release my grip.
Normally, when I squeeze while not erect, there is no bleeding.
What should I do about this phenomenon?

LKK, 60~69 year old female. Ask Date: 2024/04/28

Dr. Jian Weihong reply Urology


Hello: If there is bleeding, it is advisable to seek medical attention.
Wishing you good health.

Reply Date: 2024/04/28

More Info


Understanding blood leakage from the glans during an erection can be concerning, and it's important to address this issue with a clear understanding of the anatomy and physiology involved. When the penis becomes erect, blood flow increases significantly to the erectile tissues, which can sometimes lead to various complications if there is excessive pressure or trauma applied to the area.

The phenomenon you described—experiencing blood leakage from the glans when applying pressure during an erection—could be attributed to several factors. One possibility is that the pressure applied during the erection may be causing small blood vessels in the glans (the sensitive tip of the penis) to rupture, leading to localized bleeding. This is not uncommon, especially if there is vigorous handling or if the tissue is particularly sensitive. The fact that the bleeding stops when you release the pressure suggests that it is likely a minor issue, possibly related to the fragility of the blood vessels in that area.

Another consideration is the possibility of a condition known as "penile bruising" or "petechiae," which can occur when small capillaries break due to trauma or excessive pressure. This can happen during sexual activity or even during vigorous masturbation. If the bleeding is minor and resolves quickly, it may not be a cause for alarm. However, if you notice persistent bleeding, significant bruising, or any other concerning symptoms such as pain, swelling, or changes in erectile function, it would be wise to consult a healthcare professional.

In terms of management, here are some recommendations:
1. Gentle Handling: Avoid applying excessive pressure to the glans during an erection. Gentle handling can help prevent further trauma to the area.

2. Observation: Monitor the situation. If the bleeding is infrequent and resolves quickly, it may not require any specific treatment. However, keep an eye on any changes in the pattern or severity of the bleeding.

3. Avoid Irritants: If you are using any products (such as lubricants or condoms) that may cause irritation, consider switching to hypoallergenic options to see if that alleviates the issue.

4. Consult a Specialist: If the problem persists or worsens, it is advisable to consult a urologist. They can perform a thorough examination and may conduct tests to rule out any underlying conditions, such as vascular issues or infections.

5. Education: Understanding your body and its responses is crucial. If you are engaging in sexual activities, ensure that you are informed about safe practices and the anatomy involved to prevent injury.

In conclusion, while the occurrence of blood leakage from the glans during an erection can be alarming, it is often a minor issue related to pressure or trauma. However, if it continues or is accompanied by other symptoms, seeking medical advice is essential to rule out any serious underlying conditions. Remember, maintaining open communication with healthcare providers about any concerns regarding sexual health is important for overall well-being.

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