Red Dots on the Glans: Causes and Treatment Options

Q: Red Dots on the Glans: Causes and Treatment Options

SAM： Hello, I am pleased to assist you. <br>The small red spots in the coronal sulcus could be normal glands. <br>There are some normal glands present in this area. <br>Note： If they are normal glands, they will remain throughout your life and cannot disappear. <br>Department of

Small red spots on the glans?

Hello Dr.
Hsu, this is Sam, who asked you a question on April 5th.
After our last conversation, I visited a urologist.
The doctor diagnosed me with balanitis and prescribed tetracycline for topical application.
I have been applying the medication for five days now, and the itching in the coronal sulcus and foreskin has significantly improved, with no more redness or swelling.
However, the small red spots (or tiny flesh-colored bumps that are slightly red) on the glans are still present.
They are not very noticeable normally, but they become more prominent during an erection.
The doctor mentioned that I shouldn't worry too much about those tiny bumps, as they are normal.
I would like to ask if those red spots (bumps) will go away on their own, or if I need to continue applying tetracycline (I have mostly been applying it to the coronal sulcus) for them to disappear.
If they will go away on their own, how long might that take? I apologize for having these questions, as I find it aesthetically unpleasing during an erection, and I would like to know if I can return to normal.
Thank you, Dr.
Hsu.

Sam, 20~29 year old female. Ask Date: 2010/04/12

Dr. Xu Weikai reply Urology

SAM: Hello, I am pleased to assist you.
The small red spots in the coronal sulcus could be normal glands.
There are some normal glands present in this area.
Note: If they are normal glands, they will remain throughout your life and cannot disappear.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director: Dr.
Hsu Wei-Kai.
If you have any concerns regarding this response, please feel free to continue the discussion.

Reply Date: 2010/04/12

More Info

Hello Sam,
Thank you for reaching out with your concerns regarding the red dots on the glans. It’s great to hear that you’ve seen some improvement with the treatment prescribed by your urologist. Let’s delve into your questions regarding the red dots and their potential implications.

Firstly, it’s important to understand that the presence of small red or flesh-colored bumps on the glans can be quite common and may not necessarily indicate a serious condition. These bumps can be a result of various factors, including inflammation, irritation, or even normal anatomical variations. In your case, since you have been diagnosed with balanitis (inflammation of the glans), it’s likely that the inflammation has caused these changes in appearance.

The fact that the redness and itching have improved with the use of tetracycline ointment is a positive sign. Tetracycline is an antibiotic that can help reduce bacterial infections, which may be contributing to the inflammation. However, the persistence of the small red dots may not be directly related to an ongoing infection. Instead, they could be remnants of the inflammation or irritation that occurred prior to treatment.

Regarding your question about whether these red dots will naturally disappear, it’s possible that they may fade over time as the inflammation subsides completely. The duration for this to happen can vary widely among individuals, depending on factors such as the severity of the initial condition, individual healing responses, and whether any irritants are still present. It may take a few weeks to several months for the skin to return to its normal appearance.

As for whether continued application of tetracycline is necessary for the red dots to resolve, it’s best to follow your urologist’s advice. If the doctor indicated that these bumps are not a cause for concern and are a normal part of your anatomy, then additional treatment may not be required. However, if you notice any changes, such as increased redness, swelling, or discomfort, it would be wise to consult your doctor again.

In terms of aesthetics, many individuals experience variations in the appearance of their skin, especially in sensitive areas like the glans. If the red dots are not associated with pain or discomfort and your symptoms of itching and inflammation have improved, it may be best to give your body some time to heal naturally.
If you are still concerned about the appearance of these red dots after a reasonable period, or if they seem to change in any way, I would recommend scheduling a follow-up appointment with your urologist. They can provide a thorough examination and determine if any further treatment is necessary.

In summary, while the red dots may be concerning, they are likely a result of the previous inflammation and may resolve on their own. Continue with the prescribed treatment and monitor your symptoms. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider.

Wishing you a smooth recovery and good health!
Best regards.

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