Skin Changes: Is That Spot on My Penis Normal? - Dermatology

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Hello, doctor?


I would like to ask, on the upper right side of my glans, there is a spot that looks like a mole; it is flat and seems to have been there for a while.
I had a circumcision during my military service.
Is this simply a case of pigmentation, or could it be another condition? Is this normal?

Niming, 20~29 year old female. Ask Date: 2013/01/17

Dr. Yang Zhiya reply Dermatology


Hello, it is recommended to see a physician for an accurate diagnosis.

Reply Date: 2013/01/17

More Info


When it comes to skin changes, particularly in sensitive areas such as the penis, it is essential to approach the situation with caution and awareness. The appearance of a spot on the glans (the head of the penis) that resembles a mole or a flat lesion can be concerning, especially if it has been present for some time.
First, it is important to note that the skin on the penis can undergo various changes due to a multitude of factors, including hormonal fluctuations, friction, infections, and skin conditions. The fact that you mentioned having undergone circumcision during your military service could also play a role in the changes you are observing. Circumcision can alter the skin's sensitivity and its response to various stimuli, which may lead to changes in pigmentation or texture.

The spot you are describing could be a benign condition such as a seborrheic keratosis, a common non-cancerous skin growth that can appear as a brown or black spot. It could also be a result of hyperpigmentation, which is often harmless and can occur due to friction or irritation. However, there are other possibilities that should not be overlooked, including sexually transmitted infections (STIs), pearly penile papules, or even more serious conditions such as melanoma or other skin cancers.

Given the sensitive nature of the area and the potential for various underlying conditions, it is crucial to seek a professional evaluation from a dermatologist or a urologist. They can perform a thorough examination and, if necessary, a biopsy to determine the exact nature of the spot. Self-diagnosis can often lead to unnecessary anxiety or, conversely, a dangerous underestimation of a serious condition.

In terms of what you should do next, here are some recommendations:
1. Avoid Irritation: Until you have a professional opinion, try to avoid any activities that might irritate the area, such as vigorous sexual activity or using harsh soaps.

2. Monitor Changes: Keep an eye on the spot for any changes in size, color, or texture. If it becomes painful, itchy, or starts to bleed, seek medical attention promptly.

3. Consult a Specialist: Make an appointment with a healthcare provider who specializes in skin conditions or male reproductive health. They can provide a proper diagnosis and recommend treatment options if necessary.

4. Educate Yourself: Understanding the normal anatomy and variations of the penis can help alleviate some concerns. Many men have benign skin variations that are completely normal.

5. Practice Safe Sex: If you are sexually active, ensure you are practicing safe sex to reduce the risk of STIs, which can also present with skin changes.

In conclusion, while the spot on your penis may be benign, it is essential to have it evaluated by a healthcare professional to rule out any serious conditions. Early diagnosis and treatment are key to maintaining skin health and overall well-being. Remember, your health is paramount, and seeking professional advice is always the best course of action when it comes to changes in your body.

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