Skin Bumps on the Scrotum: What You Need to Know - Dermatology

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Could you please tell me what is causing the swelling on my testicle?


Doctor, I have small bumps on my scrotum and foreskin that I noticed when I was in elementary school, and they seem to be quite dense.
Are these signs of a sexually transmitted infection or a skin condition? If I were to contract genital warts, how long would it take for symptoms to appear (such as ulceration)? If I don't show symptoms within a certain timeframe, does that mean I don't have it? I'm only in the second year of junior high and have never had sexual intercourse; I only engage in masturbation.

XYZ, 10~19 year old female. Ask Date: 2005/11/10

Dr. Hong Zhengsheng reply Dermatology


Hello XYZ: Based on your description, it is currently difficult to determine your exact condition.
The most significant characteristic of skin diseases is that they are best assessed through visual observation and tactile examination.
It is indeed challenging to convey a complete picture solely through written descriptions.
Therefore, I recommend that when you notice the symptoms you mentioned, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatologist.
All the physicians here are happy to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions; "Taiwan e-Hospital" cares about your health.
Wishing you a speedy recovery.
Hong Zhengsheng

Reply Date: 2005/11/10

More Info


When it comes to skin bumps on the scrotum, it’s important to approach the situation with a clear understanding of what these bumps could be and what they might signify. Based on your description, it sounds like you have noticed small, possibly raised lesions on your scrotum and foreskin that have been present since childhood. This is not uncommon, and there are several potential explanations for these bumps.

Firstly, one common cause of small bumps in the genital area is the presence of sebaceous cysts or sebaceous glands. These are benign and often painless lumps that can occur when the sebaceous glands become clogged. They are typically harmless and do not require treatment unless they become infected or bothersome.

Another possibility is pearly penile papules, which are small, dome-shaped bumps that can appear around the corona of the glans penis. These are also benign and are considered a normal anatomical variation. They are not sexually transmitted infections (STIs) and do not require treatment.

If you are concerned about sexually transmitted infections, such as genital warts (caused by the human papillomavirus, or HPV), it’s important to note that these typically appear as small, flesh-colored or gray bumps that can be raised or flat. They may not necessarily cause pain or discomfort initially. If you were to contract genital warts, they could appear within weeks to months after exposure, but the timeline can vary significantly among individuals.

Regarding your concern about the possibility of developing symptoms or lesions, it’s crucial to understand that not all bumps or lesions are indicative of an infection or disease. Many skin conditions can present similarly, and the presence of bumps alone does not confirm an STI or any other serious condition.

If you have not engaged in sexual activity and your only experience is masturbation, the likelihood of having contracted an STI is low. However, if you have any concerns about your sexual health or if the bumps change in appearance, become painful, or are accompanied by other symptoms (such as itching, discharge, or swelling), it would be wise to consult a healthcare professional. A doctor can provide a proper examination and may perform tests if necessary to rule out any infections or other conditions.

In summary, while it’s understandable to be concerned about changes in your body, many skin bumps in the genital area are benign and not indicative of serious health issues. If you have persistent concerns or if the bumps change, seeking medical advice is the best course of action. Regular check-ups and open communication with a healthcare provider can help ensure your health and peace of mind.

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