Red Bumps on the Glans: Causes and Treatment Options

Red spots on the glans?

I have small red bumps on my glans that are itchy.
What could this be and how should I handle it? I have not engaged in sexual intercourse.

Mantou, 10~19 year old female. Ask Date: 2005/03/22

Dr. Liu Jianting reply Urology

It is likely a fungal infection; consult a urologist for examination and treatment.

Reply Date: 2005/03/22

More Info

Red bumps on the glans (the head of the penis) can be concerning and may arise from various causes. It's important to understand the potential reasons for these symptoms and the appropriate treatment options available.

Possible Causes
1. Pearly Penile Papules: These are small, harmless bumps that often appear around the glans. They are a normal anatomical variant 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 red, itchy bumps.

3. Allergic Reactions: Irritation from soaps, lotions, or condoms can cause allergic reactions, leading to red, itchy bumps.

4. Infections: Sexually transmitted infections (STIs) such as herpes or genital warts can present as red bumps. These infections may be accompanied by other symptoms like pain, itching, or discharge.

5. Balanitis: This is an inflammation of the glans, often due to poor hygiene, infections, or irritants. It can cause redness, swelling, and itching.

6. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, leading to red, itchy lesions.

Treatment Options
1. Good Hygiene: Maintaining proper hygiene is crucial. Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

2. Avoid Irritants: If you suspect that soaps, lotions, or other products are causing irritation, discontinue their use. Opt for hypoallergenic products.

3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and itching. However, it’s essential to consult a healthcare provider before using any topical medication.

4. Antibiotics or Antifungals: If an infection is suspected, a healthcare provider may prescribe antibiotics or antifungal medications based on the specific cause.

5. Consult a Healthcare Provider: If the bumps persist, worsen, or are accompanied by other symptoms (such as pain, discharge, or fever), it’s crucial to seek medical advice. A healthcare provider can perform a physical examination and may recommend tests to determine the underlying cause.

When to Seek Immediate Care
- If you experience severe pain or swelling.

- If there is a discharge that is unusual or has a foul odor.

- If you develop fever or chills.

- If the bumps spread or change in appearance.

Conclusion
While red bumps on the glans can be alarming, many causes are benign and treatable. It’s essential to monitor your symptoms and seek medical advice if you have concerns. Avoid self-diagnosing, as a healthcare provider can offer the most accurate diagnosis and appropriate treatment options tailored to your specific situation. Remember, maintaining good hygiene and avoiding irritants can help prevent many common issues.

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