There are white spots on the glans?
Hello Dr.
Lin, I have white spots on my glans and I haven't had sexual intercourse for 3 to 4 months.
This is my first time asking a question here, so please help me understand.
Thank you.
I noticed these spots while masturbating two days ago, and sometimes there is itching and a sharp pain when urinating.
Could this be a sexually transmitted infection? Should I see a doctor? Please help, thank you.
51, 30~39 year old female. Ask Date: 2006/08/21
Dr. Lin Hexing reply Urology
Hello: First, you should clarify why you are concerned about a sexually transmitted infection (STI).
Have you had any unprotected sexual contact? If not, there is no need to worry about STIs! To get to the point, when you mention white spots on the glans, can you specify the exact location? How many white spots are there, what is their size, and are they raised? Your description is insufficient for me to provide an accurate answer; you should see a urologist for an examination! Regarding the itching after masturbation, is it on the surface or inside the urethra? After ejaculation, the prostate can become somewhat swollen, and if the bladder is not adequately filled, you may experience discomfort in the urethra during urination, even occasional irritation.
If you drink more water to increase urine output, and the symptoms improve, then there is likely no cause for concern.
However, if there is no improvement, you should consider the possibility of urethritis, which would require evaluation and treatment by a urologist!
Reply Date: 2006/08/21
More Info
White spots on the glans (the head of the penis) can be concerning and may arise from various causes. It’s important to understand the potential reasons for these symptoms, as well as when to seek medical attention.
Possible Causes of White Spots on the Glans
1. Pearly Penile Papules: These are small, harmless bumps that are often found around the corona of the glans. They are a normal anatomical variant and do not require treatment.
2. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans and are caused by enlarged sebaceous (oil) glands. They are benign and do not require treatment.
3. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, infections (bacterial or fungal), or irritants. Symptoms may include redness, swelling, and white spots or patches.
4. Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or genital warts (caused by the human papillomavirus), can present as white spots or lesions on the glans. These may be accompanied by other symptoms such as itching, pain, or discharge.
5. Lichen Sclerosus: This is a chronic skin condition that can cause white patches on the genital area, including the glans. It may lead to itching, pain, and scarring if left untreated.
6. Candidiasis: A yeast infection can cause white patches, often accompanied by itching and irritation. This is more common in individuals with compromised immune systems or those who are uncircumcised.
Symptoms to Watch For
- Itching or Burning: If the white spots are associated with itching or a burning sensation, it could indicate an infection or irritation.
- Pain During Urination: Sharp or stinging pain while urinating can suggest an infection or STI.
- Discharge: Any unusual discharge from the penis should be evaluated by a healthcare professional.
- Changes in Appearance: If the spots change in size, color, or shape, this warrants further investigation.
When to See a Doctor
It is advisable to see a healthcare provider if you experience any of the following:
- Persistent white spots that do not resolve over time.
- Symptoms such as itching, burning, or pain during urination.
- Any changes in the appearance of the spots or surrounding skin.
- If you have had unprotected sexual contact and are concerned about STIs.
Conclusion
While some causes of white spots on the glans are benign, others may require medical intervention. Given your symptoms of itching and pain during urination, it is crucial to consult a healthcare provider for an accurate diagnosis and appropriate treatment. They may perform a physical examination and, if necessary, laboratory tests to determine the underlying cause of your symptoms. Early diagnosis and treatment can help prevent complications and ensure better health outcomes.
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