Red Spots on the Glans: When to Seek Medical Advice - Urology

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Redness of the glans penis?


Hello Doctor: Recently, while cleaning my genital area during a shower, I noticed a small area on the glans that is dark red and stands out compared to the surrounding skin.
However, it is not painful or itchy.
I would like to ask if I should go to the hospital for an examination.

Hǎo dān xīn, 20~29 year old female. Ask Date: 2010/02/17

Dr. Xu Weikai reply Urology


I'm really worried: Hello, could you please take a look at my previous response regarding the redness of the glans? Most cases are caused by hygiene issues.
Your situation is likely a result of healing after prior inflammation.
Generally, injured skin will appear a different color during the healing process, but over time, it will get closer to the original color.
However, achieving an exact match may take several months.
If you're still concerned, it would be best to consult a healthcare professional nearby to rule out any other issues for your peace of mind.

Reply Date: 2010/02/17

More Info


When it comes to red spots on the glans (the head of the penis), it is important to approach the situation with caution and awareness of potential underlying conditions. While the absence of pain or itching may suggest that the issue is not immediately serious, it is still advisable to seek medical advice for a thorough evaluation.

Red spots on the glans can arise from a variety of causes, including but not limited to:
1. Irritation or Allergic Reaction: Sometimes, irritation from soaps, lotions, or other personal care products can lead to localized redness. If you have recently changed any products you use for personal hygiene, this could be a contributing factor.

2. Infections: Conditions such as balanitis (inflammation of the glans) can present with redness and swelling. This can be caused by bacterial or fungal infections, particularly if hygiene practices are not optimal. Even if there is no pain or itching, an infection could still be present.

3. Sexually Transmitted Infections (STIs): Certain STIs can manifest as red spots or lesions on the glans. While many STIs present with additional symptoms, some may not. If there is any possibility of exposure to STIs, it is crucial to get tested.

4. Dermatological Conditions: Skin conditions such as psoriasis, eczema, or lichen planus can also affect the genital area. These conditions may present as red spots or patches and can sometimes be mistaken for other issues.

5. Pearly Penile Papules: These are small, harmless bumps that can appear on the glans and are often mistaken for something concerning. They are a normal anatomical variation and do not require treatment.

Given the variety of potential causes, it is wise to consult a healthcare professional, especially if the red spot persists, changes in appearance, or if you develop any new symptoms. A healthcare provider can perform a physical examination and may recommend tests to determine the exact cause of the redness.

In summary, while the absence of pain or itching may initially seem reassuring, it is still advisable to seek medical advice for any new or unusual changes in your body, particularly in sensitive areas like the genital region. Early evaluation can help rule out any serious conditions and provide peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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