Unusual Changes in the Glans: A Guide for Young Men - Urology

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It's important to approach your concerns about changes in the glans (the head of the penis) with sensitivity and understanding. Many young men experience various changes during puberty and adolescence, and it's normal to have questions about these changes. Let's address your concerns one by one.

1. Color Changes: The glans can sometimes appear darker or take on a purplish hue due to increased blood flow during arousal or due to friction from activities such as masturbation. This is generally not a cause for concern unless accompanied by pain, swelling, or other unusual symptoms. If the discoloration persists or is accompanied by discomfort, it would be wise to consult a healthcare professional.

2. Texture Changes: The glans should feel smooth and firm when erect. If you notice that it feels softer or has developed wrinkles, this could be due to a variety of factors, including changes in skin elasticity or hydration. Frequent masturbation can sometimes lead to temporary changes in texture, but if these changes are significant or concerning, it would be advisable to seek medical advice.

3. Position During Masturbation: The way you position yourself during masturbation can affect how your penis appears and functions. If your penis is not angling downwards as you describe, it may simply be a matter of your anatomy or the way you are stimulating yourself. This should not inherently affect your ability to engage in sexual intercourse, as most men find a comfortable position that works for them. However, if you have concerns about how this might affect future sexual experiences, discussing this with a healthcare provider could provide reassurance.

4. White Substance Between the Glans and Foreskin: The white substance you are noticing is likely smegma, which is a combination of dead skin cells, oils, and moisture that can accumulate under the foreskin. It's important to maintain good hygiene by gently cleaning the area regularly, especially if you are uncircumcised. If you notice any unusual odor, pain, or irritation, it would be best to consult a healthcare professional, as these could be signs of an infection or other condition.

In summary, while some changes in the glans and surrounding areas can be normal during adolescence, it's crucial to pay attention to any persistent or concerning symptoms. If you have ongoing worries about the appearance or function of your penis, or if you experience pain, discomfort, or other unusual symptoms, I encourage you to speak with a healthcare provider. They can provide a thorough examination and address any specific concerns you may have. Remember, taking care of your sexual health is an important part of overall well-being, and seeking guidance is a positive step.