White Spots on the Penis: When to Seek Medical Advice - Urology

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Penis


Hello doctor...
Recently, I accidentally noticed a white patch the size of a ten-dollar coin on the skin of my penis.
It startled me, but there are no other symptoms or discomfort! It feels smooth to the touch and doesn't seem rough at all! It kind of resembles what people say about tinea that can appear on the face! What should I do? I've been telling my girlfriend that it's a birthmark~"~ If I really need to see a doctor, it would be so embarrassing, right?

Cai Dayou, 20~29 year old female. Ask Date: 2009/02/21

Dr. Yan Dawei reply Urology


You need to visit the urology outpatient clinic in person for a diagnosis by a physician.

Reply Date: 2009/02/21

More Info


It's understandable to feel concerned and a bit embarrassed about discovering white spots on your penis, especially if they appear suddenly and without any accompanying symptoms. However, it's essential to prioritize your health and well-being over any feelings of embarrassment. Here’s a comprehensive overview of what you might be experiencing and when to seek medical advice.


Understanding White Spots on the Penis
White spots on the penis can arise from various causes, and while some may be harmless, others could indicate an underlying condition that requires medical attention. Here are some potential causes:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans (the head of the penis). They are normal anatomical variations and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis. They are sebaceous glands that are not associated with any disease and are considered a normal finding.

3. Lichen Sclerosus: This is a chronic skin condition that can cause white patches on the skin, including the genital area. It may require treatment if it causes discomfort or other symptoms.

4. Fungal Infections: Conditions like candidiasis (yeast infection) can lead to white patches or spots, often accompanied by itching or irritation.

5. Sexually Transmitted Infections (STIs): Certain STIs, such as genital warts (caused by HPV) or herpes, can present with white spots or lesions.
6. Other Dermatological Conditions: Conditions like vitiligo or psoriasis can also cause changes in skin pigmentation, including white spots.


When to Seek Medical Advice
Given that you have noticed these spots and are feeling uncertain, it’s advisable to consult a healthcare professional, especially if:
- The spots change in appearance, size, or color.

- You develop any additional symptoms, such as itching, burning, or discomfort.

- You notice any discharge or unusual odor.

- You have a history of STIs or have had unprotected sexual encounters.


Overcoming Embarrassment
It’s completely normal to feel embarrassed about discussing genital issues, but healthcare providers are trained to handle such situations with professionalism and confidentiality. Remember that your health is paramount, and seeking medical advice can help alleviate your concerns and ensure that you receive appropriate care.


What to Expect During the Consultation
When you visit a healthcare provider, they will likely conduct a physical examination and may ask about your medical history, sexual history, and any other symptoms you may have. Depending on their findings, they may recommend:
- Observation if the spots are benign.

- Topical treatments if a fungal infection or skin condition is diagnosed.

- Further testing if an STI is suspected.


Conclusion
In summary, while the white spots on your penis may not be a cause for alarm, it’s essential to seek medical advice to rule out any serious conditions. Prioritize your health and don’t hesitate to consult a healthcare professional. They can provide you with the necessary guidance and treatment options, ensuring that you feel comfortable and informed about your condition. Remember, taking action is the best way to address your concerns and maintain your overall health.

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