Red Bumps on the Glans: Causes and Treatment Options - Urology

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Red bumps on the glans, especially when they are smooth, non-painful, and non-itchy, can be concerning for many individuals. Based on your description, it seems that you have been experiencing recurrent red bumps on the glans of your penis, which appear to be associated with increased sexual activity, particularly masturbation. You mentioned that these bumps were initially treated with a topical steroid (健膚隆), which provided temporary relief but did not resolve the issue permanently.

From a medical perspective, there are several potential causes for the symptoms you are experiencing:
1. Irritation or Allergic Reaction: Frequent masturbation can lead to irritation of the skin on the glans, especially if there is insufficient lubrication or if the technique is too vigorous. This irritation can manifest as red bumps or patches and may be exacerbated by the use of certain soaps, lotions, or condoms that may contain allergens.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for other conditions. They are a normal anatomical variant and do not require treatment.

3. Folliculitis: This is an inflammation of the hair follicles, which can occur in the genital area and may present as red bumps. It can be caused by friction, shaving, or bacterial infection.

4. Genital Herpes: Although you mentioned that your doctor ruled out sexually transmitted infections, it is important to note that herpes can sometimes present with mild symptoms or be asymptomatic. If there is any doubt, a specific test for herpes simplex virus (HSV) may be warranted.

5. Other Dermatological Conditions: Conditions such as lichen planus, psoriasis, or eczema can also affect the genital area and may present with red bumps or patches.

Given that the bumps reappear with increased sexual activity, it is likely that friction or irritation is a significant contributing factor. Here are some recommendations for managing your symptoms:
- Gentle Care: Avoid aggressive masturbation techniques and consider using a water-based lubricant to reduce friction. This may help prevent irritation and the subsequent appearance of red bumps.

- Topical Treatments: While you have used a steroid cream, it is essential to use such medications judiciously, as prolonged use can lead to skin thinning and other side effects. If you feel that the steroid is not providing a long-term solution, consult your healthcare provider about alternative treatments, such as non-steroidal anti-inflammatory creams or other dermatological options.

- Avoid Irritants: Be mindful of any products that come into contact with your genital area. Switch to hypoallergenic soaps and avoid scented products that may cause irritation.

- Regular Monitoring: Keep track of when the bumps appear and any associated activities. If they persist or worsen, it may be beneficial to see a dermatologist or urologist for a more thorough evaluation.

- Testing for STIs: If there is any concern about sexually transmitted infections, consider getting tested again, especially if you have had multiple partners. This will help rule out any underlying infections that may require specific treatment.

In conclusion, while the red bumps on your glans may not be indicative of a severe condition, they warrant attention and care. By adopting gentle practices and consulting with a healthcare professional, you can work towards finding a more permanent solution to your symptoms. If the problem persists despite these measures, further investigation may be necessary to rule out other dermatological or infectious causes.