White Bumps on Genitals: Causes and Treatments - Urology

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The presence of white bumps on the genital area can be concerning, and it’s important to understand the potential causes and appropriate treatments. Based on your description, these bumps may be related to several conditions, including but not limited to, pearly penile papules, folliculitis, or even sexually transmitted infections (STIs) such as herpes or molluscum contagiosum.

Pearly Penile Papules: These are small, harmless bumps that typically appear around the corona of the penis. They are a normal anatomical variant and are not associated with any disease. They usually do not cause pain or itching and do not require treatment unless for cosmetic reasons.

Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection, irritation, or blockage. It can present as small red or white bumps and may be itchy or painful. Treatment typically involves topical antibiotics or antifungal creams, and in some cases, oral antibiotics may be necessary if the infection is widespread.

Herpes Simplex Virus (HSV): Genital herpes can cause painful blisters or sores, but it can also present as small bumps that may not be painful. If you have experienced itching and a stinging sensation, it could indicate an outbreak. Antiviral medications can help manage symptoms and reduce the frequency of outbreaks.

Molluscum Contagiosum: This is a viral infection that leads to small, painless bumps on the skin, which can appear anywhere on the body, including the genital area. These bumps can be itchy but are generally harmless. Treatment options include cryotherapy, curettage, or topical medications.

Given that you have had these bumps for an extended period and they have not caused pain or itching recently, it is less likely to be an acute infection. However, the initial symptoms you experienced could indicate a previous infection or irritation. It’s crucial to consult a healthcare provider for a proper diagnosis, especially since you have a history of skin issues and the bumps have persisted for three years.

Diagnosis and Treatment: A healthcare provider will likely perform a physical examination and may take a sample of the bumps for laboratory analysis to determine the exact cause. Depending on the diagnosis, treatment options may include:
1. Topical Treatments: Depending on the diagnosis, creams or ointments may be prescribed to reduce inflammation or treat infections.


2. Oral Medications: If an infection is confirmed, oral antibiotics or antivirals may be necessary.

3. Surgical Options: For cosmetic concerns or persistent lesions, procedures such as cryotherapy or excision may be considered.

4. Lifestyle Modifications: Maintaining good hygiene, avoiding irritants, and using barrier methods during sexual activity can help prevent further irritation or infection.

In conclusion, while white bumps on the genitals can be benign, it is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help manage any underlying conditions and provide peace of mind. If you experience any changes in symptoms, such as increased pain, itching, or discharge, it is crucial to seek medical attention promptly.