Red Spots on the Glans During Erection: A Urology Perspective - Urology

More Info

---

When it comes to understanding the appearance of red spots on the glans during an erection, it’s essential to consider various factors that could contribute to this condition. Based on your description, the small red spots that resemble pinpricks and are not painful may not necessarily indicate a serious issue, especially if they are different from previous experiences of redness and pain. However, let’s delve deeper into the potential causes and implications of these symptoms.

1. Normal Variations: The glans, or the head of the penis, can exhibit various colors and textures due to normal physiological changes. During an erection, increased blood flow can cause the glans to appear more engorged and redder than usual. The small red spots you describe could simply be a result of this increased vascularity. If they are not associated with pain, itching, or other symptoms, they may not be a cause for concern.

2. Irritation or Inflammation: It’s possible that the red spots could be a sign of mild irritation or inflammation, especially if there has been any recent friction, use of irritants (such as soaps or lotions), or sexual activity without protection. The history of unprotected intercourse during your girlfriend's menstrual period could also contribute to irritation or even a mild infection, although you mentioned that a urology examination showed no issues with your urine.

3. Pearly Penile Papules: Another benign condition that could explain the appearance of small red or white spots on the glans is pearly penile papules. These are small, harmless bumps that are often found around the corona of the glans and are completely normal anatomical variations.

4. Potential Infections: While you mentioned that your urine tests were normal, it’s still important to consider the possibility of a mild infection or condition such as balanitis (inflammation of the glans) or a fungal infection. These conditions can sometimes present with redness and irritation but typically come with additional symptoms like discomfort or discharge.

5. Sexual Health Considerations: Given your history of unprotected sexual activity, it’s prudent to consider sexually transmitted infections (STIs) as a potential cause of any new symptoms. While your current symptoms may not suggest an STI, it’s always a good idea to get tested if you have concerns about your sexual health.

6. Erectile Dysfunction and Premature Ejaculation: You mentioned experiencing early ejaculation, which can be a separate issue but may be related to anxiety or stress about your symptoms. Psychological factors can significantly impact sexual performance, and addressing these concerns with a healthcare professional can be beneficial.

In conclusion, while the small red spots on the glans during an erection may not be alarming, it’s essential to monitor any changes in symptoms. If the spots persist, change in appearance, or are accompanied by other symptoms such as pain, discharge, or changes in urination, it would be wise to consult a urologist for a thorough examination. They may recommend further testing or a physical examination during an erection to better assess the situation. Open communication with your healthcare provider about your sexual health and any concerns you have is crucial for maintaining overall well-being.