Red Bumps on the Glans: Causes and Treatment for Pain and Itching - Urology

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Red spots on the glans?


Hello doctor, I would like to ask about red, bumpy spots on the glans that sometimes cause stinging and itching.
If it is herpes, what should I do?

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

Dr. Liu Jianting reply Urology


It may not be herpes; it could be a fungal infection.
Please visit a hospital and consult a urologist.

Reply Date: 2006/03/06

More Info


Red bumps on the glans (the head of the penis) can be concerning and may arise from various causes. The symptoms of pain and itching you are experiencing could be indicative of several conditions, including infections, inflammatory responses, or dermatological issues. Here’s a breakdown of potential causes and suggested treatments.


Possible Causes
1. Genital Herpes: This is a viral infection caused by the herpes simplex virus (HSV). It often presents as painful blisters or sores on the genital area, including the glans. If you suspect herpes, it is crucial to consult a healthcare provider for diagnosis and treatment.

2. Balanitis: This is an inflammation of the glans, often due to infections (bacterial or fungal), irritants, or poor hygiene. Symptoms include redness, swelling, and discomfort. Treatment typically involves maintaining good hygiene and using topical antifungal or antibacterial medications.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans. They are normal anatomical variations and do not require treatment unless they cause discomfort or concern.

4. Folliculitis: This is the inflammation of hair follicles, which can occur in the genital area. It may cause red bumps that can be itchy or painful. Treatment usually involves topical antibiotics or antiseptics.

5. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or latex condoms. Avoiding the irritant and using topical corticosteroids can help alleviate symptoms.

6. Sexually Transmitted Infections (STIs): Other STIs, such as syphilis or HPV, can also present with bumps or lesions on the glans. Testing and appropriate treatment are essential.


Treatment Options
- Consult a Healthcare Provider: The first step is to see a healthcare provider for an accurate diagnosis. They may perform a physical examination and possibly take samples for laboratory testing.

- Antiviral Medications: If diagnosed with genital herpes, antiviral medications such as acyclovir or valacyclovir can help manage outbreaks and reduce symptoms.

- Topical Treatments: For conditions like balanitis or folliculitis, topical antifungal or antibacterial creams may be prescribed. Over-the-counter hydrocortisone cream can help reduce inflammation and itching.

- Maintain Hygiene: Keeping the area clean and dry is crucial. Use mild, unscented soaps and avoid irritants.

- Avoid Sexual Activity: If you suspect an STI or have active lesions, it’s advisable to refrain from sexual activity until you have been evaluated and treated.


Conclusion
Red bumps on the glans accompanied by pain and itching can result from various conditions, including infections like herpes, inflammatory conditions, or benign anatomical variations. It is essential to seek medical advice for a proper diagnosis and treatment plan. Early intervention can help manage symptoms effectively and prevent complications. Remember, self-diagnosis can lead to unnecessary anxiety or inappropriate treatment, so professional guidance is always recommended.

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