Red Spots on the Glans: Causes and When to Seek Help - Urology

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When it comes to the appearance of red spots on the glans (the head of the penis), there are several potential causes that should be considered. It is important to note that while you are not experiencing significant discomfort, the presence of these red spots, along with the itching you described, warrants attention.


Possible Causes of Red Spots on the Glans
1. Irritation or Friction: Given that you mentioned experiencing friction during sexual activity, it is possible that the red spots are a result of irritation. This can occur from friction against clothing or during sexual intercourse, leading to localized inflammation and redness.

2. Allergic Reaction: Sometimes, the use of certain soaps, lotions, or even latex condoms can cause an allergic reaction, leading to redness and itching. If you have recently changed any products that come into contact with the genital area, this could be a contributing factor.

3. Infections: While you mentioned that there is no significant discomfort, it is still important to consider the possibility of a mild infection. Conditions such as balanitis (inflammation of the glans) can cause redness and itching. This can be due to yeast infections, bacterial infections, or sexually transmitted infections (STIs).

4. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for something more serious. They are a normal anatomical variation and do not require treatment.

5. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to red spots and itching. These conditions may require specific treatments to manage symptoms.


When to Seek Help
It is advisable to seek medical attention if:
- The red spots persist or worsen over time.

- You develop additional symptoms such as pain, swelling, or discharge.

- The itching becomes severe or bothersome.

- You have concerns about a possible sexually transmitted infection, especially if you have had unprotected sex.


Which Specialist to Consult
For your situation, it would be appropriate to consult a urologist. Urologists specialize in male reproductive health and can address any concerns related to the glans and surrounding areas. If the urologist determines that the issue may be dermatological in nature, they may refer you to a dermatologist for further evaluation.


Conclusion
In summary, while the red spots on the glans may be due to irritation or friction, it is essential to monitor the situation closely. If symptoms persist or worsen, seeking medical advice from a urologist is the best course of action. They can provide a thorough examination and determine the appropriate treatment if necessary. Remember, it is always better to err on the side of caution when it comes to changes in your health, especially in sensitive areas.