Red Dots on the Glans: Possible Causes and When to Seek Help

Small red spots appear on the glans?

Hello, doctor.
My sexual activity is not excessive, and I always use a condom during intercourse.
My penis is partially circumcised, and sometimes, when not erect, pubic hair gets caught between the foreskin and the glans, causing discomfort.
Over the past two days, I have noticed some small red spots near the junction of the glans and the shaft, accompanied by a slight itching sensation.
Additionally, there seems to be a small amount of discharge, which is yellowish-white and has a slight odor, but it can only be seen when I retract the foreskin.
What could this condition be? If it does not worsen or heal on its own after some time, can I avoid seeing a doctor? I would greatly appreciate your guidance.
Thank you very much.

Liu Sang, 20~29 year old female. Ask Date: 2004/02/26

Dr. Liu Jianting reply Urology

It could be a fungal infection causing balanoposthitis.
Please visit a hospital to see a urologist for examination and treatment!

Reply Date: 2004/02/26

More Info

The appearance of red dots on the glans (the head of the penis) accompanied by itching and a slight discharge can be concerning and may indicate several potential conditions. Given your description, it is essential to consider the following possible causes:
1. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritants, or infections (bacterial or fungal). Symptoms typically include redness, swelling, itching, and sometimes discharge. The presence of a foul odor and discharge can suggest a bacterial infection, which may require treatment.

2. Yeast Infection: A yeast infection (candidiasis) can also cause similar symptoms, particularly if there is an overgrowth of Candida, which can thrive in warm, moist environments. This condition is more common in individuals with diabetes or those taking antibiotics.

3. Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or gonorrhea, can present with red spots, itching, and discharge. Given that you engage in sexual activity, even with protection, it is crucial to consider the possibility of STIs, as condoms do not provide 100% protection against all infections.

4. Folliculitis: This is an inflammation of the hair follicles, which can occur in the pubic area and may cause red bumps or dots. It can be caused by irritation, friction, or infection.

5. Allergic Reaction or Irritation: Sometimes, the use of certain soaps, lotions, or even condoms can lead to allergic reactions or irritations, resulting in redness and discomfort.

Given that you have noticed these symptoms recently and they include itching and discharge, it is advisable to seek medical attention. While some mild irritations may resolve on their own, the presence of discharge, especially with an odor, suggests that there may be an underlying infection that requires treatment. Delaying medical evaluation could lead to worsening symptoms or complications.

In terms of self-care, maintaining good hygiene is crucial. Gently cleaning the area with mild soap and water, avoiding irritants, and ensuring the area is dry can help. However, self-treatment should not replace professional medical advice.

In summary, while it may be tempting to wait and see if the symptoms resolve on their own, the combination of red dots, itching, and discharge warrants a visit to a healthcare provider. They can perform a thorough examination, possibly conduct tests, and provide appropriate treatment based on the diagnosis. Early intervention can prevent complications and ensure better outcomes.

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