Red Spots on the Penis: Causes and Concerns - Urology

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When it comes to red spots or lesions on the penis, there are several potential causes, and it’s important to approach this issue with care and consideration. The symptoms you describe, such as smooth red spots that have evolved into larger red areas, could be indicative of a few different conditions.
One common cause of red spots on the penis is balanitis, which is inflammation of the glans (the head of the penis). This condition can be caused by a variety of factors, including poor hygiene, irritants (such as soaps or lotions), or infections (both fungal and bacterial). Balanitis is not necessarily a sexually transmitted infection (STI), but it can occur in sexually active individuals, particularly if there is a lack of proper hygiene or if the area is exposed to irritants.

Another possibility is contact dermatitis, which can occur due to an allergic reaction to products that come into contact with the genital area, such as soaps, lubricants, or latex condoms. This condition can lead to redness, irritation, and the formation of red spots or patches.

Sexually transmitted infections (STIs) are also a concern when it comes to red spots or lesions on the penis. Conditions such as herpes, syphilis, or human papillomavirus (HPV) can present with various symptoms, including red spots or sores. However, since you mentioned that you have a single sexual partner, the risk of STIs may be lower, but it is not entirely eliminated. It is crucial to consider the sexual health of both partners.

If the red spots are accompanied by other symptoms such as itching, burning, or discharge, this could further indicate an infection or another underlying condition. It’s also worth noting that certain skin conditions, such as psoriasis or lichen planus, can affect the genital area and may present with red lesions.

Regarding your question about whether balanitis can be transmitted through sexual intercourse, it is generally not considered contagious. However, if the inflammation is due to an underlying infection, there may be a risk of transmission depending on the nature of that infection.

Given the changes you’ve observed and the potential for various underlying causes, it is highly advisable to seek medical attention from a healthcare professional. A thorough examination and possibly some tests can help determine the exact cause of the red spots and guide appropriate treatment.
In the meantime, here are some general recommendations:
1. Maintain good hygiene: Gently clean the genital area with mild soap and water, and ensure it is thoroughly dried afterward.

2. Avoid irritants: Refrain from using scented soaps, lotions, or other products that may irritate the skin.

3. Wear breathable clothing: Opt for loose-fitting underwear made of natural fibers to reduce moisture and irritation.

4. Monitor symptoms: Keep an eye on any changes in the appearance of the spots or any new symptoms that may arise.

In conclusion, while red spots on the penis can be concerning, many potential causes are treatable. A healthcare provider can offer the best guidance and treatment options based on a proper diagnosis. Don’t hesitate to reach out for medical advice to ensure your health and peace of mind.