Black Spots on the Penis: Causes and Concerns - Urology

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1.
I have a black spot next to the urethral opening on the glans of my penis that appeared three years ago after I started masturbating.
It doesn't seem to have changed since then.
What could this be? How can I remove it?
2.
Is it too early to start masturbating at the age of 11?
3.
Is masturbating three times a week too much?

Xiao Ke, 10~19 year old female. Ask Date: 2006/02/25

Dr. Liu Jianting reply Urology


1.
It's not a disease.
2.
I haven't heard of it.
3.
Really? I suggest you read a book titled "About Sex" (published by Tianxia).

Reply Date: 2006/02/25

More Info


When it comes to understanding black spots on the penis, it’s essential to approach the topic with sensitivity and an understanding of the various potential causes. Based on your description, it seems you have a black spot near the urethral opening on the glans penis that has been present for three years without any significant changes or symptoms. Here’s a breakdown of your concerns:
1. Understanding the Black Spot: The black spot you describe could be a number of things. Common benign causes include:
- Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for warts or other lesions.

- Hyperpigmentation: This can occur due to friction or irritation, especially if you have been engaging in activities like masturbation.

- Seborrheic Keratosis or Melanocytic Nevi: These are benign skin growths that can appear anywhere on the body, including the genital area.

- Fordyce Spots: These are small, painless, pale bumps that are actually enlarged oil glands and are completely normal.

If the spot has not changed in size, color, or shape over three years and is not associated with any pain, itching, or discharge, it is likely benign. However, if you have any concerns or if the spot changes, it’s advisable to consult a healthcare provider for a proper evaluation.

2. Masturbation at a Young Age: Starting to masturbate at 11 years old is not uncommon. Masturbation is a normal part of sexual development and exploration. Many boys begin to explore their bodies during this age, and it is generally considered a healthy behavior as long as it does not interfere with daily life or responsibilities.

3. Frequency of Masturbation: Masturbating three times a week is within a normal range for many individuals. The frequency of masturbation varies widely among individuals and can depend on various factors, including age, hormonal levels, and personal libido. As long as it does not cause physical discomfort or interfere with your daily activities, it is generally considered normal.


Additional Considerations:
- Hygiene: Maintaining good genital hygiene is important. Regular washing with mild soap and water can help prevent irritation and infections.

- Monitoring Changes: Keep an eye on the spot. If you notice any changes in color, size, or if you develop any new symptoms (such as pain, itching, or discharge), it would be wise to seek medical advice.

- Sexual Health: If you are sexually active, consider regular check-ups with a healthcare provider to monitor your sexual health and discuss any concerns you may have.

In conclusion, while the black spot you describe is likely benign, it’s always best to consult with a healthcare professional for a definitive diagnosis and peace of mind. They can provide personalized advice and treatment options if necessary. Remember, open communication with a healthcare provider about sexual health is crucial and can help alleviate any concerns you may have.

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