Red Spots and Lines on the Glans: Causes and Concerns - Urology

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What happened?


Recently, I noticed small red spots of varying sizes on the glans (under the retracting foreskin) while showering.
Some of the larger spots resemble wounds, but they are not painful.
They are less noticeable when erect.
What could be causing this? Additionally, when flaccid, I observed linear markings on the glans.
I'm wondering if these could be "abrasions" caused by DIY activities, or if everyone has such markings?

Guang, 20~29 year old female. Ask Date: 2005/10/15

Dr. Xu Weikai reply Urology


Hello, based on your description, there are many possible conditions, including trauma, bacterial or fungal infections, and chemical irritants (such as soap).
The treatment methods vary accordingly.
Therefore, I apologize, but I need more information.
If possible, it would be better to seek medical attention for a more accurate diagnosis.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/10/15

More Info


When it comes to red spots and lines on the glans (the head of the penis), it's important to consider a variety of potential causes and implications. The appearance of red spots, especially if they resemble small wounds but are not painful, can be attributed to several factors, including irritation, friction, or even minor injuries. Here’s a breakdown of what might be happening and what you should consider.


Possible Causes of Red Spots
1. Irritation or Friction: If you've recently engaged in activities that involve friction, such as vigorous masturbation or sexual intercourse, this could lead to irritation of the sensitive skin on the glans. This irritation may manifest as red spots or small abrasions.

2. Infection: While you mentioned that the spots do not hurt, it's still worth considering the possibility of a mild infection. Conditions such as balanitis (inflammation of the glans) can cause redness and irritation. If there are accompanying symptoms like discharge, itching, or a foul odor, it would be prudent to consult a healthcare provider.

3. Allergic Reaction: Sometimes, products like soaps, lotions, or condoms can cause allergic reactions that result in redness and irritation. If you've recently changed any personal care products, this could be a contributing factor.

4. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to red spots or patches. These conditions may require specific treatments, so a consultation with a dermatologist may be beneficial.


Understanding the Lines on the Glans
The lines you observe on the glans when it is in a flaccid state are likely natural anatomical features. The skin on the penis, including the glans, can have various textures and lines that are normal. These lines can become more pronounced due to factors such as:
- Skin Elasticity: The skin on the penis is elastic and can show lines or folds, especially when it is not erect. This is normal and varies from person to person.

- Blood Flow: When the penis is erect, blood flow increases, which can cause the skin to stretch and may make these lines less noticeable. Conversely, when flaccid, the lines may appear more prominent.


When to Seek Medical Attention
While many causes of red spots and lines on the glans are benign, there are certain situations where you should seek medical advice:
- Persistent Symptoms: If the red spots do not improve or worsen over time, it’s advisable to consult a healthcare professional.

- Accompanying Symptoms: If you experience pain, itching, discharge, or any other unusual symptoms, these could indicate an infection or other medical condition that requires treatment.

- Changes in Appearance: If you notice significant changes in the appearance of the glans or surrounding areas, such as swelling or the development of sores, it’s important to get evaluated.


Conclusion
In summary, while the red spots and lines on the glans may be due to irritation, friction, or natural anatomical features, it’s essential to monitor the situation. If symptoms persist or worsen, or if you have any concerns about your sexual health, seeking the advice of a healthcare provider is the best course of action. They can provide a thorough examination and appropriate treatment if necessary. Remember, maintaining good hygiene and being mindful of any changes in your body are key components of sexual health.

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