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

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There are small red spots on the glans?


Doctor, I have small red bumps on my glans that have been increasing in number.
Initially, they were not painful or itchy, but now they have started to itch a bit.
I have consulted a physician who advised me to just keep it clean.
I'm unsure if this is an allergic reaction or a sign of syphilis.
How should I proceed? Thank you, doctor.

till, 20~29 year old female. Ask Date: 2001/06/28

Dr. Liu Jianting reply Urology


Don't worry! Based on your description, it is unlikely to be syphilis; it seems more like penile dermatitis or a fungal infection.
You should consult a urologist for proper treatment.

Reply Date: 2001/06/28

More Info


Red bumps on the glans, or the head of the penis, can be concerning, especially when they change in number or sensation. There are several potential causes for these bumps, and understanding them can help determine the appropriate course of action.

1. Pearly Penile Papules: These are small, harmless bumps that are often found around the corona of the glans. They are a normal anatomical variant and do not require treatment. They typically do not cause any discomfort or itching.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also benign and do not require treatment.

3. Folliculitis: This is an inflammation of the hair follicles, which can occur due to irritation, infection, or blockage. It may present as red bumps and can sometimes be itchy. Good hygiene and avoiding irritants can help.

4. Allergic Reactions: Contact dermatitis from soaps, lotions, or latex condoms can cause red bumps and itching. Identifying and avoiding the irritant is key to managing this condition.

5. Infections: Conditions such as genital herpes, warts (caused by HPV), or sexually transmitted infections (STIs) like syphilis can present with red bumps. If the bumps are accompanied by other symptoms like pain, discharge, or systemic symptoms (fever, malaise), it is crucial to seek medical attention.

6. Balanitis: This is inflammation of the glans, which can be caused by infections, irritants, or poor hygiene. Symptoms may include redness, swelling, and itching.

Given that you have noticed an increase in the number of bumps and that they have started to itch, it is advisable to seek further medical evaluation. While your previous consultation suggested maintaining cleanliness, the change in symptoms warrants a more thorough examination. A healthcare provider may perform a physical examination and possibly order tests to rule out infections or other conditions.

When to Seek Help: You should seek medical attention if:
- The bumps continue to multiply or change in appearance.

- You experience pain, discomfort, or significant itching.

- There is any discharge or bleeding.

- You have concerns about STIs or other infections.

In the meantime, maintaining good hygiene is essential. Gently wash the area with mild soap and water, and avoid any potential irritants. If you suspect an allergic reaction, consider switching to hypoallergenic products.

In conclusion, while many causes of red bumps on the glans are benign, changes in the condition, especially with the onset of itching, should prompt further evaluation. It is always better to err on the side of caution when it comes to changes in your genital health.

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