Urological Concerns: Addressing Your Anxieties and Symptoms - Urology

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Thank you, doctor?


Previously, the discomfort in my perineal area has resolved following my doctor's advice.
However, I am unsure if I am just overly sensitive or if there is something else going on, as I tend to worry when I notice something unusual.
Recently, while showering, I discovered 1 to 2 red spots and some bruising on my glans (I had a circumcision when I was very young).
They are not painful, itchy, or raised, and I am concerned if they resemble genital warts! I have only had one girlfriend, and our relationship was normal; we always used condoms during intercourse.
So I wanted to reach out to the doctor first! P.S.
Am I overthinking this?

Xiao Zhi, 20~29 year old female. Ask Date: 2004/10/11

Dr. Pan Zhenqin reply Urology


Red and dark spots on the glans are usually non-specific changes in the skin and may not have any pathological significance, so there is no need to be overly concerned.
You can observe them for a while, and if there are no changes, you can continue to monitor them.
If you are still worried, you may visit a urology clinic for a physician to confirm the issue.
Wishing you health and safety from the Urology Department of Tainan Hospital, Ministry of Health and Welfare!

Reply Date: 2004/10/11

More Info


When it comes to urological concerns, particularly regarding changes in the genital area, it's completely normal to feel anxious or worried. Your description of noticing red and dark spots on the glans (the head of the penis) can understandably lead to concerns about potential health issues, especially given your history of being sensitive to bodily changes.
Firstly, it's important to recognize that many men experience similar anxieties regarding their genital health, and this can often be exacerbated by the fear of sexually transmitted infections (STIs) or other medical conditions. The fact that you have been diligent about using protection during sexual encounters is a positive step in reducing the risk of STIs, including genital warts caused by the human papillomavirus (HPV).

The appearance of red spots or discoloration on the glans can have various causes, many of which are benign. For instance, these could be related to irritation, friction, or even a harmless skin condition. Conditions such as pearly penile papules, which are small, harmless bumps that can appear around the glans, are often mistaken for more serious issues. Additionally, post-inflammatory hyperpigmentation can occur after minor injuries or irritation, leading to dark spots.

However, while many causes are benign, it is crucial to monitor any changes in your body closely. If the spots persist, change in appearance, or if you develop any additional symptoms such as pain, itching, or discharge, it would be wise to consult a healthcare professional. A urologist or dermatologist specializing in genital health can provide a thorough examination and, if necessary, perform tests to rule out any serious conditions.

Your tendency to overthink or worry about health issues, especially when you notice something unusual, is not uncommon. This can be a manifestation of anxiety, which may lead to a cycle of worry that can be challenging to break. It might be beneficial to practice mindfulness or relaxation techniques to help manage these feelings. Engaging in open conversations with trusted friends or a mental health professional can also provide support and help alleviate some of your concerns.

In summary, while it is understandable to feel anxious about changes in your body, many conditions affecting the genital area are benign. However, if you have any doubts or if the symptoms change, seeking medical advice is always the best course of action. Remember, being proactive about your health is important, and addressing your concerns with a professional can provide clarity and peace of mind.

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