Red Dots on the Glans: Causes and Concerns

Small red spots on the glans?

Hello Dr.
Hsu, the small red spots are not on the corona but rather on the central part of the glans.
I previously consulted another doctor who mentioned a mild fungal infection and prescribed a three-day course of oral medication.
Today is the third day, so the medication's effectiveness may not be fully determined yet.
However, those small red spots are still quite noticeable after an erection, which makes me a bit worried that it could be another sexually transmitted infection.
Thank you for your previous response.
Sam

Sam, 20~29 year old female. Ask Date: 2010/04/16

Dr. Xu Weikai reply Urology

If it is on the glans, it is likely not pearly penile papules.
It may be a fungal or bacterial infection.
Generally, applying some topical ointments related to the condition can effectively treat most cases.

Reply Date: 2010/04/16

More Info

Hello Sam,
Thank you for your inquiry regarding the red dots on the glans of your penis. It’s understandable to feel concerned about any changes in your body, especially in such a sensitive area. Let's break down the potential causes and what you should consider moving forward.

1. Possible Causes of Red Dots: The appearance of red dots on the glans can be attributed to several factors. Common causes include infections (like fungal infections, which your doctor has already suggested), irritations due to friction or allergic reactions, or even sexually transmitted infections (STIs). Since you mentioned that a doctor diagnosed you with a mild fungal infection and prescribed oral medication, it’s likely that the red dots are related to this condition. Fungal infections can cause localized inflammation, leading to redness and the formation of small spots.

2. Timing and Treatment: You are currently on the third day of your antifungal treatment. It’s important to note that while some improvement may be visible within a few days, complete resolution can take longer. If the red dots persist or worsen after completing the medication, it would be wise to follow up with your healthcare provider. They may want to reassess your condition and possibly conduct further tests to rule out other causes.

3. Concerns About STIs: Your concern about sexually transmitted infections is valid, especially if you have had unprotected sexual encounters. Some STIs can present with similar symptoms, including red spots or lesions. If you have any additional symptoms such as discharge, pain during urination, or systemic symptoms like fever, it is crucial to seek medical attention promptly. Testing for STIs can provide peace of mind and ensure appropriate treatment if necessary.

4. Self-Care and Monitoring: In the meantime, practice good hygiene by keeping the area clean and dry. Avoid irritants such as scented soaps or lotions, and refrain from sexual activity until you have clarity on the diagnosis and treatment. Monitor the red dots for any changes in size, color, or associated symptoms.

5. When to Seek Further Help: If the red dots do not improve after completing your antifungal treatment, or if you experience new symptoms, it’s important to return to your healthcare provider. They may consider a referral to a dermatologist or a urologist for specialized care. Additionally, if you have any concerns about STIs, do not hesitate to request testing.

In conclusion, while the red dots on your glans may be related to a mild fungal infection, it’s essential to remain vigilant and proactive about your health. Follow your treatment plan, monitor your symptoms, and seek further evaluation if necessary. Your health and peace of mind are paramount, and addressing these concerns with a healthcare professional will help ensure you receive the appropriate care.

Take care, and I hope you find relief soon.

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