White Bumps Under the Glans: Is It HPV? - Urology

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When it comes to the appearance of small white bumps under the glans, it's understandable to be concerned about the possibility of HPV (Human Papillomavirus) or other conditions. First and foremost, it's important to clarify that not all white bumps or lesions in the genital area are indicative of HPV or genital warts (also known as condyloma acuminata).
1. Understanding the Bumps: The small white bumps you are describing could be a variety of things. While HPV can cause genital warts, there are other benign conditions that can also present as white bumps. For instance, pearly penile papules are common and harmless structures that can appear on the glans and are often mistaken for warts. Other possibilities include sebaceous cysts, folliculitis, or even irritation from hygiene products or friction.

2. Sexual History: You mentioned that you have not engaged in sexual intercourse. HPV is primarily transmitted through skin-to-skin contact, particularly during sexual activity. While it is theoretically possible to contract HPV through non-penetrative sexual contact or from an infected partner, the likelihood is significantly lower without direct sexual contact.
3. Diagnosis: The best course of action is to consult a healthcare provider, preferably a dermatologist or urologist, who can perform a physical examination and possibly a biopsy if necessary. They can provide a definitive diagnosis and rule out other conditions. Self-diagnosing based on appearance alone can lead to unnecessary anxiety and mismanagement.

4. Treatment Options: If the bumps are indeed identified as genital warts or another treatable condition, your healthcare provider will discuss treatment options. Treatments for genital warts may include topical medications like imiquimod or podofilox, cryotherapy (freezing the warts), or surgical removal. However, if the bumps are benign, no treatment may be necessary.

5. Self-Care and Hygiene: Maintaining good genital hygiene is essential. Avoid using harsh soaps or irritants in the genital area, and wear breathable cotton underwear to reduce moisture and friction. If you notice any changes in the bumps, such as increased size, pain, or bleeding, seek medical attention promptly.

6. Vaccination: If you are concerned about HPV, consider discussing the HPV vaccine with your healthcare provider. The vaccine is effective in preventing the most common types of HPV that cause genital warts and cervical cancer. Even if you have been exposed to HPV, the vaccine can protect against other strains.

In conclusion, while the appearance of white bumps under the glans can be concerning, it is crucial to seek professional medical advice for an accurate diagnosis and appropriate treatment. Avoid self-treatment with over-the-counter medications without a proper diagnosis, as this may not address the underlying issue. Remember, early intervention and proper management are key to maintaining genital health.