Red Spots on the Glans: Causes and Concerns

Glans issues

Hello doctor, I haven't had sexual intercourse for six months, and my girlfriend and I are each other's only sexual partners! Last night after masturbating, I noticed a red spot suddenly appeared on my glans, which wasn't there before.
I'm not sure what the problem is??? It feels like if I squeeze it hard, it might bleed!! Thank you.

Kong, 20~29 year old female. Ask Date: 2006/04/01

Dr. Liu Jianting reply Urology

It's probably not that serious! It could be due to engorgement of the corpora cavernosa.
If you're concerned, you should see a urologist at the hospital.

Reply Date: 2006/04/01

More Info

Red spots on the glans, or the head of the penis, can be concerning for many individuals, especially when they appear suddenly and without prior symptoms. Given your situation, where you have not engaged in sexual activity for six months and have a single sexual partner, it is important to consider various potential causes for the red spot you observed.

One common cause of red spots on the glans is irritation or trauma. This could occur from vigorous masturbation, which might lead to minor injuries or friction that can manifest as red spots or even small abrasions. If you noticed the spot immediately after masturbation, it could be a result of this kind of irritation. In such cases, the spot may resolve on its own with proper care, including avoiding further irritation and maintaining good hygiene.

Another possibility is a condition known as pearly penile papules, which are small, harmless bumps that can appear around the glans and are often mistaken for lesions. These are normal anatomical variations and do not require treatment unless they cause discomfort or concern.

Infections, such as sexually transmitted infections (STIs), can also present with red spots or lesions on the glans. While you mentioned that you have a single sexual partner and have not engaged in sexual activity for some time, it is still important to consider the possibility of an infection, especially if there are accompanying symptoms such as pain, itching, or discharge. Conditions like balanitis (inflammation of the glans) can also cause redness and discomfort.

If the red spot is painful, growing, or accompanied by other symptoms such as discharge, swelling, or fever, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to rule out infections or other underlying conditions.

In the meantime, here are some general recommendations:
1. Avoid Irritation: Refrain from any activities that may further irritate the area, including vigorous masturbation or sexual activity until the spot resolves.

2. Maintain Hygiene: Keep the area clean and dry. Use mild soap and water to wash the area, and avoid harsh soaps or irritants.

3. Monitor Symptoms: Keep an eye on the spot. If it changes in appearance, becomes painful, or if you develop additional symptoms, seek medical advice promptly.

4. Consult a Healthcare Provider: If the spot does not improve within a few days or if you have any concerns, it is best to consult a healthcare provider for a thorough evaluation.

In conclusion, while a red spot on the glans can be alarming, many causes are benign and can be addressed with simple measures. However, it is always best to err on the side of caution and consult a healthcare professional if you have any doubts or if the situation does not improve. Your health and peace of mind are paramount, and a professional can provide the reassurance and care you need.

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