White Spots on the Glans: Causes and Concerns - Urology

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Understanding white spots on the glans (the head of the penis) can be concerning, especially when they appear suddenly or change in appearance. Based on your description of having smooth, painless, and non-itchy white spots, there are several potential causes to consider.
1. Pearly Penile Papules: These are small, benign bumps that can appear around the glans or corona of the penis. They are often mistaken for sexually transmitted infections (STIs) but are completely normal anatomical variations. They do not cause pain or discomfort and are not contagious.

2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands without hair follicles. They are common and harmless, often appearing on the shaft of the penis and the scrotum, but can also be found on the glans.

3. Lichen Sclerosus: This is a chronic skin condition that can cause white patches on the skin, including the genital area. While it may not cause pain or itching initially, it can lead to discomfort and complications if left untreated. It is important to consult a healthcare provider if you suspect this condition.

4. Fungal Infections: Sometimes, fungal infections can present as white patches, although they are usually accompanied by itching or discomfort. If the spots are smooth and not itchy, this is less likely.

5. Sexually Transmitted Infections (STIs): While the absence of pain or itching makes STIs less likely, it is still important to consider them, especially if there has been any unprotected sexual contact. Conditions like genital warts (caused by HPV) can appear as white or flesh-colored bumps.

6. Other Dermatological Conditions: Other skin conditions, such as psoriasis or eczema, can also manifest in the genital area. These conditions may require specific treatments and should be evaluated by a healthcare professional.

Regarding your concern about transmission during sexual activity, it largely depends on the underlying cause of the white spots. Conditions like pearly penile papules and Fordyce spots are not contagious and pose no risk of transmission. However, if the spots are due to an STI, there is a potential risk of transmission during sexual contact. Therefore, it is crucial to get a proper diagnosis from a healthcare provider.

In summary, while many causes of white spots on the glans are benign and not a cause for concern, it is always best to consult a healthcare professional for an accurate diagnosis and peace of mind. They may perform a physical examination and, if necessary, additional tests to determine the exact cause of the white spots. If you notice any changes in the spots, such as increased size, color change, or the development of symptoms like pain or itching, seek medical attention promptly.