Red Spots on Glans and Foreskin: What You Need to Know - Urology

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Red spots on the glans and foreskin can be concerning, especially when they appear after sexual activity. It's important to understand that there are several potential causes for these symptoms, and while many are benign, some may require medical attention.

Firstly, the red spots you are experiencing could be a result of friction or irritation from sexual activity or masturbation. This is particularly common if there is a lack of lubrication or if the activity is vigorous. The skin in the genital area is sensitive, and minor trauma can lead to temporary redness or spots that resolve on their own, as you have noted.

Another possibility is that the red spots are related to a condition known as pearly penile papules, which are small, harmless bumps that can appear around the glans. These are normal anatomical variations and do not require treatment. However, if the spots are new and different from what you have experienced before, it is essential to monitor them.

In some cases, red spots can indicate a mild infection or inflammation, such as balanitis, which is an inflammation of the glans. This can occur due to poor hygiene, irritants, or infections. Symptoms may include redness, swelling, and discharge, but since you mentioned that the spots are not painful or itchy, this may be less likely.

The white bump you described under the glans could also be a sebaceous cyst or a Fordyce spot, both of which are benign and common. Sebaceous cysts are small lumps filled with oil and can occur anywhere on the body, including the genital area. Fordyce spots are small, painless, pale bumps that are actually enlarged oil glands and are completely normal.

However, it is crucial to consider sexually transmitted infections (STIs) as a potential cause, especially if you have had unprotected sexual encounters. Some STIs can present with symptoms like red spots or bumps, and while they may not always be painful, they can lead to more serious health issues if left untreated. Conditions such as herpes or genital warts can manifest in this way, so it is advisable to get tested if you have concerns.

In summary, while the red spots and white bump you are experiencing may be benign and related to irritation or normal anatomical variations, it is essential to keep an eye on them. If they persist, change in appearance, or if you develop additional symptoms such as pain, itching, or discharge, it is important to seek medical advice. A healthcare provider can perform a physical examination and may recommend tests to rule out any infections or other conditions.

In conclusion, maintaining good genital hygiene, using lubrication during sexual activity, and practicing safe sex can help prevent irritation and reduce the risk of STIs. If you have any doubts or concerns, do not hesitate to consult a healthcare professional for personalized advice and treatment options.