Red Dots on the Glans: Causes and Concerns - Urology

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There are many small red spots on the glans?


Doctor, I would like to ask...
When I pull back my foreskin, there are many small red spots on the base of my glans.
They are not painful or itchy.
Why do I have these small red spots? Could it be due to an infection caused by oral sex with my girlfriend, or is it a condition known as balanitis?

Xiangcao, 10~19 year old female. Ask Date: 2005/09/22

Dr. Pan Zhenqin reply Urology


Mild balanitis caused by phimosis can be improved by regularly retracting the foreskin, washing with clean water, and keeping the area dry.
If the condition persists, consideration may be given to a circumcision.

Reply Date: 2005/09/22

More Info


When it comes to the appearance of red dots on the glans (the head of the penis), there are several potential causes to consider. It's important to approach this topic with a clear understanding of the anatomy and possible conditions that could lead to such symptoms.

1. Normal Variations: First and foremost, it's essential to recognize that the glans can have natural variations in color and texture. Some individuals may have small red spots or bumps that are completely normal and not indicative of any underlying health issue. These can be sebaceous glands or other benign structures.

2. Irritation or Friction: If you've recently engaged in sexual activity, particularly oral sex, the red dots could be a result of irritation or friction. The sensitive skin of the glans can become irritated from vigorous activity, leading to temporary redness or spots. This is often not a cause for concern and should resolve on its own with time and proper care.

3. Infections: While the presence of red dots may raise concerns about infections, it is crucial to note that not all infections present with pain or itching. Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can occur due to various factors, including poor hygiene, irritants, or infections (bacterial or fungal). If the red dots are accompanied by other symptoms such as discharge, swelling, or persistent irritation, it would be advisable to consult a healthcare professional for a thorough evaluation.

4. Sexually Transmitted Infections (STIs): Engaging in oral sex can expose individuals to STIs, which may present with various symptoms, including lesions or spots on the genital area. Conditions such as herpes or human papillomavirus (HPV) can manifest as red spots or bumps. If you suspect that your symptoms may be related to an STI, it is crucial to seek medical advice for appropriate testing and treatment.

5. Allergic Reactions: Another possibility is an allergic reaction to products such as soaps, lubricants, or condoms. If you've recently changed any products that come into contact with your genital area, this could lead to irritation and the appearance of red spots.

6. Dermatological Conditions: Certain skin conditions, such as psoriasis or eczema, can also affect the genital area and may present as red spots or patches. These conditions often require specific treatments, so a consultation with a dermatologist may be beneficial if the symptoms persist.

In summary, while the presence of red dots on the glans may be concerning, it is essential to consider the context and associated symptoms. If the red dots are not accompanied by pain, itching, or other concerning symptoms, they may be benign. However, if you have any doubts or if the condition persists, it is always best to consult a healthcare professional. They can provide a proper diagnosis and recommend appropriate treatment if necessary. Remember, maintaining good hygiene and being aware of any changes in your body is crucial for overall health.

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