Glans Color Changes: Symptoms and Diagnosis of White Spots - Urology

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When it comes to changes in the color of the glans (the head of the penis), it is essential to understand that various factors can contribute to these changes, and they can indicate different conditions. The appearance of white spots or discoloration on the glans can be concerning, especially if accompanied by other symptoms such as itching, burning, or discomfort.

From your description, it seems that the glans appears grayish-white when not engorged with blood, but turns dark red or purplish when blood flow increases, such as during an erection. This color change is not uncommon and can be attributed to the vascular nature of the tissue in the penis. When blood flow increases, the glans becomes engorged, which can alter its color significantly.

However, the presence of persistent white spots or discoloration could indicate several conditions. One possibility is a condition known as leukoplakia, which presents as white patches on mucous membranes and can sometimes be associated with irritation or infection. Another possibility is a fungal infection, such as candidiasis, which can cause white patches and is often accompanied by itching or discomfort. Additionally, conditions like lichen sclerosus or vitiligo can also lead to changes in pigmentation and the appearance of white spots.

It is important to note that the presence of white spots does not always mean there is an infection or a serious condition. Sometimes, changes in skin color can be due to benign factors, such as friction or irritation from clothing or hygiene products. However, if the discoloration is persistent, it is advisable to seek medical attention.

A urologist can perform a visual examination and may be able to determine the nature of the discoloration based on its appearance. In some cases, further diagnostic tests, such as a biopsy or cultures, may be necessary to rule out infections or other skin conditions. It is crucial to provide the doctor with a complete history of any symptoms, including itching, pain, or changes in urination, as these can help in making an accurate diagnosis.

In summary, while changes in the color of the glans can be normal and vary with blood flow, persistent white spots warrant further investigation. It is always best to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Maintaining good hygiene and avoiding irritants can help prevent some conditions, but if you notice any concerning changes, do not hesitate to seek medical advice.