White Bumps on the Penis: Causes and Concerns - Urology

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Understanding white bumps on the penis can be concerning, especially when they appear without accompanying symptoms like itching or pain. The presence of white bumps in the area where the glans (the head of the penis) connects to the foreskin can be attributed to several benign conditions, but it is essential to consider the context and any changes in your health.

One common cause of white bumps in this area is Pearly Penile Papules (PPP). These are small, harmless, dome-shaped bumps that typically appear around the corona of the glans. They are a normal anatomical variant and are not associated with any disease or infection. PPP is often mistaken for sexually transmitted infections (STIs) due to their appearance, but they are completely benign and do not require treatment.

Another possibility is Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis or the scrotum. These are sebaceous glands that are not associated with hair follicles and are also harmless. They are a normal part of the skin's anatomy and do not pose any health risks.

If the bumps are more pronounced or have a different texture, they could be related to folliculitis, which is the inflammation of hair follicles, or molluscum contagiosum, a viral infection that causes small, raised, pearl-like bumps. Molluscum contagiosum is contagious and can be transmitted through skin-to-skin contact, including sexual activity.

In some cases, white bumps can indicate a more serious condition, such as genital warts, which are caused by certain strains of the human papillomavirus (HPV). These can appear as small, flesh-colored or white bumps and may require medical evaluation and treatment.

Given that you mentioned the absence of itching or pain, it is less likely that the bumps are due to an infection. However, it is still advisable to consult a healthcare professional for a proper diagnosis. A healthcare provider can perform a physical examination and may recommend tests if necessary to rule out any STIs or other conditions.

Regarding your concern about transmission to a partner, if the bumps are indeed benign (like PPP or Fordyce spots), they are not contagious and would not pose a risk to your girlfriend. However, if there is any suspicion of an infectious cause, it is best to avoid sexual contact until you have been evaluated by a healthcare provider.

In summary, while many white bumps on the penis can be harmless, it is always prudent to seek medical advice for any new or concerning symptoms. A healthcare provider can provide reassurance, appropriate diagnosis, and treatment options if needed. Regular check-ups and open communication with your partner about sexual health are also essential for maintaining overall well-being.