Red Bumps on Foreskin: When to Seek Further Medical Advice?

There are two small red bumps appearing on the foreskin?

I have a habit of visiting sex workers about once every 2-3 months, and I always use a condom for vaginal intercourse (but not for oral sex).
Recently, I noticed two slightly raised dark red spots on my foreskin (about 1-2 mm in diameter) that do not hurt or itch.
I consulted a urologist who examined me and said there were no abnormalities on the surface of the foreskin.
He mentioned that it could be due to vigorous sexual activity and diagnosed me with a mild infection of the glans, prescribing a topical medication called Calamine lotion for the glans.
However, those two spots have not disappeared.
Should I see another doctor or consider getting blood tests? (I received the HPV vaccine last year.)

Xiao Bai, 30~39 year old female. Ask Date: 2015/07/07

Dr. Li Yilun reply Urology

Itching of the penis and small red rashes on the glans may be early signs of some skin inflammation.
In young males, balanoposthitis is often associated with sexual activity, so it is essential to rule out the possibility of sexually transmitted infections (STIs).
Clinically, visual inspection and palpation are necessary to determine the potential causes of the skin changes.
Other causes may relate to hygiene practices, dermatitis, or allergic skin conditions.
Additionally, it may also be associated with diabetes; however, the condition can vary significantly among patients.
It is important to note that a simple description cannot adequately assess the condition.
Therefore, if symptoms do not improve or worsen, it is strongly recommended to consult a healthcare professional for evaluation and examination to avoid delaying treatment.
Physicians typically require a thorough medical history, visual inspection, palpation, and tests to confirm the diagnosis and treatment plan.
If there is a medical issue, it is advisable to seek evaluation and treatment from a nearby dermatologist or urologist.
Furthermore, it is recommended to maintain a stable sexual partner and consistently use condoms to reduce the risk of STI transmission.

Reply Date: 2015/07/07

More Info

When it comes to red bumps on the foreskin, especially in the context of sexual activity, it’s essential to approach the situation with caution and awareness. Based on your description, it seems that you have been experiencing two small, dark red bumps on your foreskin for about a month. While these bumps are not painful or itchy, and a urologist has examined them without finding any significant abnormalities, it is understandable that you may still have concerns.

Firstly, it’s important to recognize that the appearance of red bumps can be attributed to various causes, including irritation, infections, or even benign conditions. Given your history of sexual activity, particularly with occasional unprotected oral sex, it’s wise to consider sexually transmitted infections (STIs) as a potential factor, even if the bumps are not currently symptomatic.
The urologist’s assessment that there might be a mild infection is a reasonable conclusion, especially if there has been any recent friction or trauma to the area. However, if the bumps persist despite treatment with the prescribed medication (in this case, a topical cream), it may be time to seek further medical advice. Here are some steps you might consider:
1. Follow-Up Appointment: Schedule a follow-up appointment with the urologist or another healthcare provider. It’s important to communicate that the bumps have not resolved and that you are still concerned. A thorough examination may provide additional insights.

2. Consider a Dermatologist: If the urologist does not provide satisfactory answers, consider consulting a dermatologist who specializes in skin conditions. They may have more experience with dermatological issues related to the genital area and could offer a different perspective or treatment options.

3. Testing for STIs: Since you have a history of sexual activity, it may be prudent to undergo testing for STIs, including herpes, syphilis, and HPV, despite having received the HPV vaccine. Some strains of HPV can still affect vaccinated individuals, and other STIs may present with similar symptoms.

4. Monitor Symptoms: Keep an eye on any changes in the bumps, such as increased size, pain, itching, or discharge. Documenting these changes can be helpful for your healthcare provider.

5. Avoid Irritation: In the meantime, avoid any activities that may irritate the area, such as vigorous sexual activity or using harsh soaps. Gentle cleansing and maintaining good hygiene can help prevent further irritation.

6. Educate Yourself: Understanding the potential causes of your symptoms can empower you to make informed decisions about your health. Research reputable sources about common conditions affecting the genital area, including benign conditions like pearly penile papules or Fordyce spots, which are harmless and often mistaken for more serious issues.

In conclusion, while the initial assessment by your urologist may not have indicated a serious problem, your ongoing concerns warrant further investigation. Seeking a second opinion or additional testing can provide peace of mind and ensure that any underlying issues are addressed. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to changes in your body.

Similar Q&A

Understanding and Managing Common Foreskin Issues: When to Seek Help

Hello Doctor: A couple of days ago, I experienced persistent itching in my foreskin, which I kept scratching. When I woke up yesterday, I noticed about a one-centimeter area of redness and swelling at the opening of the foreskin. By the afternoon, I observed some yellowish fluid ...

Dr. Xu Weikai reply Urology
Hello, it is recommended to seek medical attention as soon as possible. In severe cases, it can lead to cellulitis, which becomes difficult to manage. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should onl...

Red Bump on Foreskin: Causes and Treatment Options Explained

Last week, while taking a shower, I noticed a large red pimple on the foreskin near the base of my penis. At first, it felt slightly painful to the touch, similar to an acne pimple. I thought it was just a regular pimple that would go away on its own, but it hasn't disappear...

Dr. Xu Weikai reply Urology
Help me: It is highly recommended that you seek medical attention for diagnosis and treatment as soon as possible. Without visualizing the lesion, a definitive diagnosis cannot be made. If there are any unclear points, feel free to ask again for further discussion and research. R...

Redness and White Bumps Under the Foreskin: When to See a Doctor?

If you are experiencing a stinging sensation and redness on the glans or foreskin, along with the presence of white substances that can be washed out, it is advisable to see a doctor.

Dr. Lin Wenxu reply Urology
Please visit the urology outpatient clinic for a proper diagnosis and treatment from a physician.

Understanding and Managing Penile Skin Issues: What You Need to Know

Three weeks ago, I noticed a small, somewhat hard lump on my foreskin that is not very noticeable but can be felt. It is not painful, and I have no sexual experience. Three to four days ago, I foolishly tried to cut it off with a utility knife to see if I could remove it, but I w...

Dr. Wu Yuxin reply Dermatology
Unable to preview, it is recommended to consult a urologist or dermatologist, and do not attempt to manage it on your own.