Red Dots on the Glans: Causes and Concerns for Men's Health - Urology

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Red spots on the glans?


Hello, in the past couple of days, I've noticed some very small red spots on my glans.
They are not painful or itchy, and the skin on the glans appears very "scaly." I'm quite worried about what this could be.
Is it a sexually transmitted infection? Additionally, I have some new dark spots on my foreskin.
Can these dark spots appear suddenly? Are they harmful to the genital area? Thank you for your response!

jimmy, 20~29 year old female. Ask Date: 2005/11/22

Dr. Xu Weikai reply Urology


Jimmy: Hello, I think the red spots could be an infection, possibly from fungi or bacteria.
Of course, it could also be a contact allergy, such as from exposure to condoms or dirt on your hands.
As for what you referred to as "nest skin," I'm not quite sure what you mean.
Could you describe it more clearly? Is it a black pigmentation deposit or a mole? Generally, moles located in that area, due to frequent friction and irritation, are recommended to be surgically removed.
It would also be advisable to perform a circumcision at the same time, because moles in that area, similar to those on the palms and soles, are more prone to irritation and may have a higher risk of malignant changes.
It is better to remove them as soon as possible.
Note: Laser ablation is generally not recommended; surgical excision is preferred, and the specimen should be sent to pathology for examination.
Taitung Hospital, Department of Urology, Executive Yuan Health Department, Director Hsu Wei-Kai.

Reply Date: 2005/11/22

More Info


The appearance of red dots on the glans (the head of the penis) can be concerning, especially if they are new and you are unsure of their cause. It's important to approach this situation with a clear understanding of potential causes and when to seek medical advice.

Firstly, the small red dots you are observing could be due to several benign conditions. One common cause is pearly penile papules, which are small, harmless bumps that can appear around the glans and are often mistaken for a medical condition. These are normal anatomical variations and do not require treatment. Another possibility is folliculitis, which is the inflammation of hair follicles that can occur due to irritation or infection. This condition is typically not serious and can resolve on its own or with topical treatments.

However, if the red dots are accompanied by other symptoms such as pain, itching, discharge, or changes in skin texture, it may indicate a more serious condition, including infections such as sexually transmitted infections (STIs). Conditions like herpes, syphilis, or human papillomavirus (HPV) can present with similar symptoms. If you have had unprotected sexual contact or are experiencing other concerning symptoms, it is crucial to consult a healthcare provider for a proper evaluation and testing.

Regarding the "墨子" (which translates to "moles" or "spots") you mentioned on the foreskin, it is not uncommon for new spots or moles to develop over time. However, any new growths or changes in existing moles should be monitored closely. If these spots change in size, shape, or color, or if they become symptomatic (itchy, painful, etc.), it is advisable to seek medical attention. Dermatological evaluations can help determine if these spots are benign or if they require further investigation.

In terms of health concerns, while most benign conditions do not pose a significant risk, maintaining good hygiene and regular check-ups is essential for men's health. It is also important to practice safe sex to reduce the risk of STIs, which can have long-term health implications if left untreated.

In summary, while the small red dots on your glans may be benign, it is essential to monitor them closely. If you notice any changes or if you have concerns about STIs or other conditions, do not hesitate to reach out to a healthcare professional. They can provide a thorough examination, appropriate tests, and peace of mind regarding your health. Remember, early intervention is key in managing any potential health issues effectively.

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