Red Dots on the Glans: Causes and Treatments - Urology

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Understanding the presence of red dots on the glans (the head of the penis) and associated symptoms like itching can be concerning, especially after unprotected sexual intercourse. It’s essential to approach this situation with a clear understanding of potential causes, treatments, and the importance of proper medical guidance.


Possible Causes
1. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritation from soaps or detergents, or infections (bacterial or fungal). Symptoms typically include redness, itching, and sometimes discharge.

2. Yeast Infection: A common cause of itching and redness, particularly in men who are uncircumcised. The overgrowth of Candida can lead to symptoms similar to balanitis.

3. Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or gonorrhea, can cause itching and red spots. However, these usually present with additional symptoms like sores, blisters, or unusual discharge.

4. Contact Dermatitis: This can occur due to irritation from products like soaps, lotions, or latex condoms, leading to redness and itching.

5. Psoriasis or Other Skin Conditions: Conditions like psoriasis can also affect the genital area, leading to red patches or dots.


Treatment and Management
The treatment prescribed by your urologist, which alleviates the symptoms when applied, suggests that the issue may be inflammatory or infectious in nature. However, if the symptoms recur upon discontinuation of the medication, it indicates that the underlying cause may not have been fully addressed.
1. Topical Treatments: The medication you received likely contains antifungal or anti-inflammatory properties, which can provide temporary relief. However, it’s crucial to identify the root cause to prevent recurrence.

2. Hygiene Practices: Maintaining proper hygiene is vital. Ensure that the area is kept clean and dry, and avoid irritants that could exacerbate the condition.

3. Avoiding Irritants: If you suspect that soaps, lotions, or even certain fabrics are causing irritation, consider switching to hypoallergenic products.

4. Follow-Up with Your Doctor: If symptoms persist, it’s essential to return to your healthcare provider. They may recommend further testing, such as swabs or cultures, to identify any underlying infections or conditions.

5. Consider STI Testing: Given the history of unprotected intercourse, it may be prudent to undergo STI testing to rule out any sexually transmitted infections.


Conclusion
While the initial diagnosis of balanitis may explain the symptoms, the recurrence of itching and red dots upon stopping treatment suggests that further investigation is warranted. It’s essential to work closely with your healthcare provider to determine the exact cause and appropriate long-term management strategies. Self-treatment without understanding the underlying issue can lead to complications or worsening of the condition. Always prioritize open communication with your healthcare provider regarding any changes in symptoms or concerns you may have.