Small Red Dots on the Glans: Causes and Solutions

Small red spots on the glans?

Hello, Doctor.
I have a small question to ask you: I have developed numerous small pink spots, smaller than 0.1 cm, all over the skin of my glans.
The corona is purple and swollen, but it is neither painful nor itchy.
I have visited many dermatology departments in large hospitals, and they all said it was nothing to worry about, but there has been no improvement.
This condition has lasted for a year and a half, and I am very scared.
Could it be due to phimosis? Previously, I saw a doctor who prescribed me several ointments.
The first doctor prescribed C.B.
Ointment (strong topical corticosteroid) and betamethasone ointment, but after using it for a week, there was no effect.
I returned to that hospital and saw a second doctor who prescribed hydrophilic ointment, telling me that it was actually not a big deal and not to worry, just to keep it clean.
However, after using it at home, the small red spots on my glans increased, and I have been using it for over ten days with no improvement.
Before this hospital, I also visited another one where the doctor told me it was nothing to worry about and advised me to soak my glans in saline solution for 25 minutes and then apply tetracycline hydrochloride, but that was also ineffective.
I am really feeling uneasy.
Should I continue using these treatments, or should I go to another large hospital? Am I using too many medications, causing the virus to develop resistance, or could I be allergic to the medications? I am truly scared! Please give me some advice, Doctor.
Thank you! Wishing you good health!

Xiao Pi, 20~29 year old female. Ask Date: 2006/03/06

Dr. Liu Jianting reply Urology

It may be a normal reaction, but it could also be a fungal infection.
I recommend you visit a major hospital to consult a urologist.

Reply Date: 2006/03/06

More Info

The presence of small red dots on the glans, especially when accompanied by a swollen coronal sulcus, can be concerning. It's understandable that you feel anxious given that this condition has persisted for over a year and has not improved despite various treatments. Let's explore some potential causes and solutions for your symptoms.

Firstly, the small red dots you are experiencing could be a manifestation of several conditions. One possibility is a benign condition known as pearly penile papules, which are small, harmless bumps that can appear on the glans and are often mistaken for something more serious. However, since you mentioned that the dots are pink and that the coronal sulcus is swollen, it might indicate an inflammatory or infectious process.

Another potential cause could be a fungal infection, such as candidiasis, which can lead to redness and irritation in the genital area. This is particularly relevant if there is a history of moisture retention due to conditions like phimosis (tight foreskin), which can create an environment conducive to fungal growth. If you have not been evaluated for a fungal infection, it may be worth discussing this with a healthcare provider.

Additionally, contact dermatitis or an allergic reaction to personal care products, soaps, or even certain fabrics could cause similar symptoms. If you have recently changed any products you use on your genital area, consider discontinuing them to see if your symptoms improve.

Regarding your concern about the medications you have been using, it is essential to use topical treatments judiciously. Overuse of topical steroids or antibiotics can lead to skin thinning or resistance, respectively. If you suspect that your skin may be reacting negatively to the medications, it would be wise to stop using them and consult a dermatologist or urologist who specializes in genital skin conditions.

Given that you have already seen multiple dermatologists without satisfactory results, it may be beneficial to seek a second opinion from a specialist in urology or a dermatologist with experience in genital skin disorders. They may perform a more thorough examination, including a possible biopsy if warranted, to rule out any underlying conditions that may not have been previously considered.

In the meantime, maintaining good hygiene is crucial. Gently clean the area with mild soap and water, and avoid any harsh chemicals or irritants. If you are experiencing any discomfort, over-the-counter hydrocortisone cream may help reduce inflammation, but it should be used sparingly and not for extended periods without medical advice.

In summary, while the small red dots and swelling you are experiencing may not be indicative of a serious condition, it is essential to continue seeking medical advice until you find a resolution. A thorough evaluation by a specialist may provide you with the answers and treatment options you need. Remember, your health and peace of mind are paramount, so do not hesitate to advocate for yourself in seeking the care you deserve.

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