Red Spots on the Glans: Could It Be an Infection or STD?

Red spots on the glans?

Two days ago, I had unprotected sex with my girlfriend.
Afterward, when I went to clean up, I noticed some small red spots on the glans.
They are not itchy or painful.
My girlfriend had a yeast infection two weeks ago.
Could this be a sexually transmitted infection, or is it an infection?

Xiao Guo, 10~19 year old female. Ask Date: 2015/06/29

Dr. Li Yilun reply Urology

Based on the initial description, the inflammatory manifestations of glans skin may be due to an infection or an irritant allergic reaction.
It is important to note that a simple description cannot determine the condition; a thorough medical history and examination are necessary.
It is still recommended to consult a professional physician for evaluation and examination.
Physicians often require a detailed medical history, visual inspection, palpation, and tests to confirm the diagnosis and treatment plan.
If there are any health concerns, it is advisable to seek evaluation and treatment from a nearby urologist.

Reply Date: 2015/06/29

More Info

When it comes to the appearance of red spots on the glans (the head of the penis), it is important to consider a variety of potential causes, especially in the context of recent sexual activity. Given that you had unprotected intercourse and your girlfriend had a yeast infection two weeks prior, there are several possibilities to explore.

Firstly, the red spots could be a result of irritation or friction from sexual activity. Sometimes, vigorous sexual intercourse can lead to minor abrasions or irritation on sensitive skin, which may present as red spots. This is often not a cause for concern and may resolve on its own with proper hygiene and care.

However, it is also essential to consider the possibility of an infection. Since your girlfriend had a yeast infection, there is a chance that the infection could have been transmitted during intercourse, even if it is less common for yeast infections to be sexually transmitted. Yeast infections are typically caused by an overgrowth of Candida, a type of fungus that can thrive in warm, moist environments. If you are experiencing symptoms such as redness, irritation, or unusual discharge, it would be wise to consult a healthcare professional for a thorough evaluation.

Additionally, sexually transmitted infections (STIs) could also be a concern, especially since you had unprotected sex. Some STIs, such as herpes or gonorrhea, can present with symptoms that include red spots or lesions on the genital area. While you mentioned that the spots are not itchy or painful, it is still important to rule out any STIs, as some may not present with significant symptoms initially.

In terms of diagnosis, a healthcare provider may perform a physical examination and could recommend tests such as a swab of the affected area or urine tests to check for STIs. They may also inquire about any other symptoms you might be experiencing, such as discharge, pain during urination, or any systemic symptoms like fever.

In the meantime, it is advisable to maintain good hygiene, avoid any irritants (such as scented soaps or lotions), and refrain from sexual activity until you have been evaluated by a healthcare professional. This will help prevent any potential irritation from worsening and reduce the risk of transmitting any infections.

In summary, while the red spots on the glans could be due to irritation from sexual activity, it is crucial to consider the possibility of an infection, particularly given your recent sexual history. Consulting with a healthcare provider will provide you with the best course of action and peace of mind. They can offer appropriate testing and treatment options based on their findings. Remember, early intervention is key in managing any potential health issues effectively.

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