Managing Red Spots on the Glans: Causes and Treatment Options - Urology

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Red spots on the glans?


I often have red spots on my glans that can be a bit itchy.
The last time I saw a doctor, he prescribed me a cream called "Yankezhi." After applying it, my condition improved, but once I stopped using it, the symptoms returned repeatedly.
Many red spots appear after masturbation, and the number increases.
What can I do to improve this condition?

Xiao Wang, 10~19 year old female. Ask Date: 2007/10/02

Dr. Xu Weikai reply Urology


Xiao Wang: Hello, it seems that there may be issues with local hygiene practices, leading to an infection in the area.
It appears to be a fungal/candidal infection.
Recommendations: 1.
Maintain local cleanliness and avoid using hot water.
2.
Do not use soaps or other cleaning products for perineal hygiene.
3.
If necessary, after cleaning, apply baby lotion/oil to the area to reduce the risk of infection.
If there are any unclear points, we can further discuss and research together.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2007/10/02

More Info


Managing red spots on the glans (the head of the penis) can be a concerning issue, especially when accompanied by itching or discomfort. The appearance of red spots can be attributed to various causes, including infections, allergic reactions, irritations, or skin conditions. Here’s a comprehensive overview of potential causes and treatment options.


Possible Causes of Red Spots on the Glans
1. Irritation or Allergic Reactions: Frequent masturbation or the use of certain soaps, lotions, or lubricants can lead to irritation or allergic reactions. This can manifest as red spots or rashes on the glans.

2. Infections:
- Bacterial Infections: Conditions like balanitis (inflammation of the glans) can be caused by bacterial infections. Symptoms often include redness, swelling, and discharge.

- Fungal Infections: Yeast infections can also cause red spots and itching. This is more common in individuals who are uncircumcised or have diabetes.

- Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or syphilis, can present with red spots or sores on the genital area.

3. Dermatological Conditions: Skin conditions such as psoriasis or eczema can affect the genital area, leading to red spots or patches.

4. Folliculitis: This is an inflammation of the hair follicles that can occur in the genital area, leading to red bumps or spots.


Treatment Options
1. Topical Treatments:
- The use of topical corticosteroids, like the "炎可治" ointment you mentioned, can help reduce inflammation and itching. However, it’s important to use these medications as directed by your healthcare provider to avoid potential side effects from long-term use.

- Antifungal creams may be prescribed if a fungal infection is suspected.

2. Hygiene Practices:
- Maintaining good hygiene is crucial. Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

- Avoid using harsh soaps or products that may irritate the skin.

3. Avoid Irritants:
- If you notice that certain products (like lubricants or condoms) exacerbate the condition, consider avoiding them or switching to hypoallergenic alternatives.

4. Limit Friction:
- If masturbation is leading to increased irritation, consider reducing the frequency or using adequate lubrication to minimize friction.

5. Consult a Specialist:
- If the condition persists despite treatment, it’s advisable to consult a urologist or dermatologist. They can perform a thorough examination and may conduct tests to determine the underlying cause of the red spots.

6. Lifestyle Modifications:
- Consider lifestyle factors that may contribute to the issue, such as stress or dietary habits. A balanced diet and stress management techniques can improve overall skin health.


When to Seek Medical Attention
If you experience any of the following symptoms, it’s important to seek medical attention promptly:
- Persistent or worsening symptoms despite treatment.

- Development of sores, blisters, or discharge.

- Fever or systemic symptoms that may indicate an infection.

- Any new or unusual symptoms that cause concern.

In conclusion, while red spots on the glans can be bothersome, understanding the potential causes and treatment options can help manage the condition effectively. It’s essential to follow up with your healthcare provider for personalized advice and treatment tailored to your specific situation.

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