Red Spots on the Glans: Could It Be an STD?

Please consult a doctor?

Hello, Dr.
Hsu.
Last month, I received oral sex from a massage therapist for about 1-3 minutes.
I did not ejaculate, and aside from saliva, I don't think she left any other fluids on my penis.
However, in the past few days, I've noticed some red spots on my glans, which are more pronounced when erect.
They are slightly raised and pink, with small indentations in the center.
There is no pain or itching, but there is a very mild burning sensation.
Could this be a sign of HIV or another sexually transmitted infection?

Yen, 20~29 year old female. Ask Date: 2010/12/01

Dr. Xu Weikai reply Urology

Hello, there may be a connection.
It cannot be completely ruled out whether there is a sexually transmitted infection, particularly HIV.
Recommendations: 1.
Seek medical attention.
2.
Get tested for HIV, syphilis, and other STIs three months later.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/12/01

More Info

When it comes to red spots on the glans (the head of the penis), it's understandable to be concerned, especially after a potential exposure to sexually transmitted infections (STIs). Based on your description, the red spots you are observing could be due to several reasons, and while STIs are a possibility, they are not the only explanation.

Firstly, the appearance of red spots or bumps on the glans can be attributed to a variety of benign conditions. One common cause is irritation or friction, which can occur from activities such as masturbation or sexual intercourse. The fact that you mentioned the spots are not painful or itchy is a good sign, as many STIs often present with additional symptoms such as discomfort, discharge, or lesions that are painful.

Another possibility is a condition known as pearly penile papules, which are small, benign bumps that can appear around the glans and are completely normal. They are not caused by an infection and do not require treatment. However, they can sometimes be confused with other conditions, so it’s important to have them evaluated by a healthcare professional if you are unsure.

In terms of sexually transmitted infections, while the symptoms you describe (red spots, slight burning sensation) could potentially be associated with infections such as herpes or human papillomavirus (HPV), they are not definitive indicators of these conditions. For example, herpes typically presents with painful blisters or sores, while HPV can cause warts that may appear as raised bumps. The absence of pain, itching, or discharge makes it less likely that you have a typical STI, but it does not completely rule it out.

Given your recent sexual encounter, it is wise to consider getting tested for STIs, including HIV, especially if you have concerns about potential exposure. Many STIs can be asymptomatic, meaning you might not show any symptoms even if you are infected. Regular testing is a key part of sexual health, particularly after new or unprotected sexual encounters.

Additionally, if the red spots persist, change in appearance, or if you develop new symptoms (such as pain, itching, or discharge), you should seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to rule out infections or other conditions.

In conclusion, while the red spots on your glans could be concerning, they are not necessarily indicative of an STI, especially given the lack of accompanying symptoms. However, it is important to monitor the situation and consult a healthcare professional for a thorough evaluation and appropriate testing. Taking proactive steps in your sexual health is crucial, and addressing any concerns with a medical provider can provide peace of mind and ensure your well-being.

Similar Q&A

Red Spots on Glans: Are They a Sign of STDs?

I currently have red spots on my glans that are very itchy. They are not in the form of bumps, but rather red dots. Could this be a sexually transmitted infection?

Dr. Pan Zhenqin reply Urology
Based on your description, the vast majority of cases are likely not sexually transmitted infections (STIs), but rather an inflammatory phenomenon. This could be due to a general genital infection following sexual activity (such as if the partner has noticeable vaginal discharge ...

Red Spots on the Glans: Could It Be an Infection or STD?

Two days ago, I had unprotected sex with my girlfriend. Afterward, when I went to clean up, I noticed some small red spots on the glans. They are not itchy or painful. My girlfriend had a yeast infection two weeks ago. Could this be a sexually transmitted infection, or is it an i...

Dr. Li Yilun reply Urology
Based on the initial description, the inflammatory manifestations of glans skin may be due to an infection or an irritant allergic reaction. It is important to note that a simple description cannot determine the condition; a thorough medical history and examination are necessary....

Red Spots on the Glans: Could It Be an STD or Balanitis?

Doctor, I had unprotected sex with my girlfriend on November 4th, and on November 10th, I noticed red spots and redness on my glans. Currently, there is no pain or itching. Is it possible that I have a sexually transmitted infection or balanitis?

Dr. Xu Wencang reply Urology
You can visit the outpatient clinic for examination and treatment.

Red Bumps on Glans: Understanding Possible STIs After Unprotected Oral Sex

Last week, I had an encounter with a sex worker. She performed oral sex without a condom, but we used a condom during intercourse. Last night, I noticed red spots suddenly appearing on my glans, along with some raised areas scattered irregularly across the glans. Additionally, th...

Dr. Li Xinyi reply Urology
It doesn't sound like a sexually transmitted infection. If you have concerns, it is advisable to see a urologist for an examination to find out.