Red Spots on the Glans: Allergy or Something Else? - Urology

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Red spots on the glans can be concerning, especially when they appear suddenly after sexual activity. Based on your description, it seems that you are experiencing small red spots on the glans that are not accompanied by itching, pain, pus, or blisters. This is an important detail, as it helps narrow down potential causes.

1. Possible Causes: The red spots could be due to several reasons. One common cause is irritation or allergic reaction to the materials in the condom, even if you have used the same brand for years. Latex allergies are possible, but if you have been using latex condoms without issues in the past, it may be less likely. Other potential causes include friction or trauma during intercourse, which can lead to temporary irritation or petechiae (small red or purple spots caused by bleeding under the skin).
2. Stress and Immune Response: You mentioned that work stress might be affecting your immune system. While stress can indeed impact your overall health and immune response, it is less likely to be the direct cause of localized skin changes like the red spots you are observing. However, a weakened immune system can make you more susceptible to infections or irritations.

3. Observation and Self-Care: Since the spots are not painful or itchy, it may be reasonable to observe them for a few days. Many mild irritations or allergic reactions can resolve on their own without treatment. During this time, it is advisable to keep the area clean and dry, avoid any potential irritants (such as scented soaps or lotions), and refrain from sexual activity until the spots have resolved.

4. Topical Treatments: If the spots do not improve or if they worsen, you might consider using a mild topical corticosteroid cream to reduce inflammation, but it is best to consult with a healthcare professional before applying any medication. Over-the-counter hydrocortisone cream can sometimes help with mild irritation, but it should not be used for extended periods without medical advice.

5. When to Seek Medical Attention: If the red spots persist for more than a week, start to itch, become painful, or if you notice any other symptoms such as swelling or discharge, it is important to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to rule out infections or other conditions, such as sexually transmitted infections (STIs) or dermatitis.

6. Prevention: To prevent future occurrences, consider using non-latex condoms if you suspect a latex allergy, and ensure that you are using adequate lubrication to minimize friction during intercourse. Additionally, maintaining good hygiene and managing stress levels can contribute to overall skin health.

In summary, while the red spots on your glans may be concerning, they are likely due to irritation or a mild allergic reaction. Monitoring the situation and practicing good self-care is advisable. However, do not hesitate to consult a healthcare professional if you have any concerns or if the condition does not improve. Your health and peace of mind are paramount.