Foreskin Issues: Red and White Spots After Oral Sex - Urology

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When it comes to concerns about red and white spots on the foreskin following oral sex, it's important to understand the potential causes and the appropriate steps to take. Based on your description, it seems that you may have experienced some irritation or minor trauma to the foreskin during oral sex, which can lead to the development of red spots. The appearance of white spots afterward could be due to several factors, including irritation, infection, or even a benign condition.

Firstly, the red spots you noticed could be a result of friction or trauma from the oral activity. This is not uncommon, especially if it was a new experience for both you and your partner. The skin in that area can be sensitive, and any vigorous activity can lead to minor abrasions or irritation. In many cases, these types of injuries heal on their own within a few days to a week, provided there is no further irritation or infection.

The small white spots that developed afterward could be a different issue. They may represent a few possibilities:
1. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands and are completely normal. They can become more noticeable due to irritation or changes in the skin.

2. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans and are also a normal anatomical variation.

3. Infection: If the white spots are accompanied by other symptoms such as pain, itching, or discharge, it could indicate a sexually transmitted infection (STI) or another type of infection. Common STIs that can be transmitted through oral sex include herpes, gonorrhea, and syphilis, among others.

4. Irritation or Allergic Reaction: Sometimes, products such as lubricants, soaps, or even the partner's bodily fluids can cause irritation or an allergic reaction, leading to the development of spots.

Given these possibilities, here are some recommendations:
- Monitor Symptoms: If the red spots and white spots do not improve within a week or if you notice any worsening symptoms (such as increased pain, swelling, or discharge), it would be wise to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to rule out infections.

- Practice Good Hygiene: Keep the area clean and dry. Avoid using harsh soaps or products that could further irritate the skin.

- Avoid Sexual Activity: Until you have a clearer understanding of what is happening, it may be best to refrain from sexual activity to prevent further irritation or potential transmission of any infections.

- Consult a Healthcare Provider: If you have concerns about STIs or if the symptoms persist, it’s important to consult a healthcare provider. They can provide appropriate testing and treatment options if necessary.

In summary, while minor irritation from oral sex can lead to red and white spots on the foreskin, it’s essential to monitor your symptoms and seek medical advice if they do not resolve or if you experience additional symptoms. Early intervention can help address any potential issues and ensure your sexual health is maintained.