Red Dots on the Glans: Possible Causes and Treatments

Q: Red Dots on the Glans: Possible Causes and Treatments

Hello： Please seek medical attention as soon as possible. <br>Thank you!

There are small red spots on the glans penis?

On October 16th, I had sexual intercourse with my girlfriend.
The next day, I noticed redness and swelling on the glans, along with peeling of the foreskin, which was quite painful.
Initially, I thought it might be due to vigorous activity, which caused the peeling.
However, after about three days, small red spots appeared on the glans.
At first, there were only a few, and there was a small white patch near the urethral opening that resembled a thin membrane.
I initially suspected a fungal infection, thinking it might resolve in a few days, but after 1-2 weeks, the red spots seemed to increase in number.
It is painful during erections or when retracting the foreskin while showering, and that thin membrane reappears the day after I remove it.
Although it looks normal on the surface, when I rub it, flakes of skin appear.

I would like to ask the doctor if I have a sexually transmitted infection or a fungal infection.
Unfortunately, my wallet was lost, and I am waiting for a replacement for my health insurance card, so I haven't been able to go to the hospital for an examination.
I have researched a lot, but many sexually transmitted infections or fungal infections have similar symptoms to mine, and I am hesitant to apply any medication, fearing that I might worsen the condition.
I have only one sexual partner and have not been promiscuous; we used a condom during intercourse, so I suspect the condom might not have been clean.
This is the first time I've experienced this.
My girlfriend also has itching in her genital area, and whenever there is friction, a light red fluid comes out.
Neither of us has a history of sexually transmitted infections.
Please help clarify this situation, doctor.

Lei, 10~19 year old female. Ask Date: 2005/10/25

Dr. Lai Ronghao reply Urology

Hello: Please seek medical attention as soon as possible.
Thank you!

Reply Date: 2005/10/25

More Info

Red dots on the glans, along with symptoms such as redness, peeling, and pain, can be concerning and may indicate several potential conditions. Given your description, it is essential to consider both sexually transmitted infections (STIs) and non-STI-related issues, such as fungal infections or dermatitis.

Firstly, the appearance of red dots on the glans (the head of the penis) could be attributed to a few different causes. One possibility is a fungal infection, particularly if you notice peeling skin and a white film. Conditions like candidiasis (yeast infection) can cause these symptoms, especially if there is an imbalance in the normal flora of the genital area. This is more common in individuals who are uncircumcised, as the moist environment under the foreskin can promote fungal growth.

Another possibility is contact dermatitis, which can occur due to irritation from soaps, lotions, or even the materials in condoms. If the condom was not properly lubricated or if you are allergic to latex or other materials, this could lead to irritation and subsequent symptoms.

Sexually transmitted infections (STIs) should also be considered, especially if your partner is experiencing symptoms such as itching and discharge. Conditions like herpes, gonorrhea, or chlamydia can present with similar symptoms, including redness, pain, and discharge. It is important to note that some STIs can be asymptomatic, meaning that even if you and your partner have not previously been diagnosed with an STI, it is still possible to contract one.

Given that you mentioned having a single sexual partner and using protection, the risk of contracting an STI is lower, but not eliminated. The fact that your partner is experiencing symptoms could indicate that further investigation is warranted.
It is crucial to seek medical attention as soon as possible. While waiting for your health insurance card to be replaced, consider visiting a local clinic or urgent care facility that may offer services without insurance. A healthcare provider can perform a physical examination, take a detailed history, and possibly conduct tests to determine the exact cause of your symptoms.
In the meantime, avoid self-medicating with over-the-counter treatments, as this could potentially worsen the condition or mask important symptoms that a healthcare provider needs to evaluate. Maintaining good hygiene is essential, but be gentle when cleaning the area to avoid further irritation.

In summary, the red dots and associated symptoms could be due to a fungal infection, contact dermatitis, or an STI. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery.

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