Small Red Bumps on the Glans: Causes and Treatments - Dermatology

More Info

---

The small red bumps you are observing on the glans (the head of the penis) can be concerning, especially when they are noticeable during an erection. While I cannot provide a definitive diagnosis without a physical examination, I can offer some insights into potential causes and treatments based on common medical knowledge.

One possible explanation for the small red bumps is the presence of Pearly Penile Papules (PPP). These are small, benign growths that typically appear around the corona of the glans and are completely normal anatomical variations. They are not harmful and do not require treatment unless they cause psychological distress. They are often mistaken for sexually transmitted infections (STIs) due to their appearance, but they are not contagious and do not pose any health risks.

Another possibility could be Fordyce Spots, which are small, painless, pale bumps that can appear on the glans or shaft of the penis. These spots are sebaceous glands that are not associated with hair follicles and are also considered a normal variant. Like PPP, they do not require treatment.

If the bumps are new, changing, or accompanied by other symptoms such as pain, itching, or discharge, it could indicate a different condition, such as:
1. Balanitis: This is inflammation of the glans, often due to irritation, infection, or poor hygiene. It can cause redness, swelling, and discomfort. Treatment typically involves good hygiene practices and may include topical antifungal or antibacterial medications if an infection is present.

2. Genital Warts: Caused by certain strains of the human papillomavirus (HPV), these can appear as small, flesh-colored or red bumps. They may be itchy or uncomfortable and can be treated with topical medications or procedures to remove them.

3. Folliculitis: This is an inflammation of the hair follicles, which can occur in the genital area and may present as small red bumps. Treatment usually involves topical antibiotics or antiseptics.

4. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products. If you have recently changed any products you use, consider discontinuing them to see if the condition improves.

Given that you have already seen a doctor but the examination was not thorough due to the lack of an erection, it may be beneficial to schedule another appointment. This time, you might want to inform the doctor about the specific circumstances under which the bumps are more visible. A urologist or dermatologist specializing in genital skin conditions would be particularly helpful in providing a more accurate diagnosis.

In the meantime, avoid any irritants or harsh soaps in the genital area, and maintain good hygiene. If you notice any changes in the bumps, such as increased size, pain, or discharge, seek medical attention promptly.

In summary, while small red bumps on the glans can be benign, it is essential to monitor them and consult with a healthcare professional for a thorough examination and appropriate management. Your health and peace of mind are paramount, so do not hesitate to seek further medical advice.