Red Dots on the Glans: Causes and Solutions for Skin Concerns - Dermatology

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There are small red spots on the glans?


Why are there small red spots appearing on my glans? They seem to be increasing in number.
Is it a hygiene issue? What should I do? I have not engaged in sexual activity.
Thank you, doctor.

Da Li, 10~19 year old female. Ask Date: 2004/08/12

Dr. Huang Ruiyun reply Dermatology


Online diagnosis is not possible; please visit a urology or dermatology clinic for consultation.

Reply Date: 2004/08/12

More Info


Red dots on the glans, or the head of the penis, can be concerning and may arise from various causes. It's important to understand that while some conditions may be benign, others may require medical attention. Here are some potential causes and solutions for the red dots you are experiencing.


Possible Causes
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans. They are a normal anatomical variation and do not require treatment.

2. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can lead to small red bumps that may be itchy or tender.

3. Allergic Reactions: Contact dermatitis from soaps, lotions, or latex condoms can cause redness and small bumps on the glans. If you've recently changed products, this could be a factor.

4. Infections: Bacterial or fungal infections can lead to red spots or bumps. Conditions like balanitis (inflammation of the glans) can occur, especially if there is poor hygiene or if you are uncircumcised.

5. Sexually Transmitted Infections (STIs): Although you mentioned not having sexual intercourse, some infections can be asymptomatic or transmitted through other means. Conditions like herpes or HPV can cause lesions or bumps.

6. Dermatological Conditions: Conditions such as psoriasis or eczema can also manifest as red spots or patches on the genital area.


Solutions and Recommendations
1. Maintain Good Hygiene: Ensure that you are cleaning the area gently but thoroughly with mild soap and water. Avoid harsh soaps or products that may irritate the skin.

2. Avoid Irritants: If you suspect that a product may be causing an allergic reaction, discontinue its use. This includes soaps, lotions, and any other topical products.

3. Wear Loose-Fitting Underwear: This can help reduce friction and irritation in the genital area, which may alleviate symptoms.

4. Consult a Healthcare Provider: Since the red dots are increasing in number, it is advisable to see a healthcare professional, preferably a dermatologist or urologist. They can perform a physical examination and may conduct tests to determine the exact cause of the red dots.

5. Avoid Self-Diagnosis and Treatment: While it may be tempting to treat the condition with over-the-counter creams or ointments, it's best to avoid this until you have a proper diagnosis. Some treatments may worsen the condition if applied incorrectly.

6. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as pain, itching, or discharge. This information can be helpful for your healthcare provider.


Conclusion
While red dots on the glans can be benign, their increasing number warrants a professional evaluation to rule out any serious conditions. Maintaining good hygiene and avoiding irritants are essential first steps. However, the best course of action is to consult with a healthcare provider who can provide a tailored diagnosis and treatment plan based on your specific situation. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help.

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