What Are These Small Bumps Under My Glans? Possible Causes Explained

What are the symptoms?

Today, I suddenly noticed about three small, 1-centimeter bumps under the glans that look like pus-filled pimples, but they are currently smooth (really small).
I would like to know what this might resemble.
I'm really worried it could be genital warts.
If it is genital warts, would they grow quickly if infected?

Niming, 20~29 year old female. Ask Date: 2015/08/17

Dr. Fu Shizhang reply Urology

It is possible; it is recommended to visit an outpatient clinic for a physician's evaluation.

Reply Date: 2015/08/17

More Info

The presence of small bumps under the glans, especially if they resemble pimples or are smooth and small, can be concerning. However, there are several potential causes for these bumps, and understanding them can help alleviate some anxiety.

1. Pearly Penile Papules: One of the most common benign conditions that can present as small bumps around the glans is pearly penile papules. These are small, dome-shaped, white or skin-colored bumps that typically appear in rows around the corona of the glans. They are completely harmless and are considered a normal anatomical variation.

2. Folliculitis: Another possibility is folliculitis, which is the inflammation of hair follicles. This can occur due to irritation, infection, or blockage of the follicles. Folliculitis can present as small red or white bumps that may be itchy or tender. It is generally not serious and can often resolve on its own or with topical treatments.

3. Fordyce Spots: These are small, painless, pale bumps that can appear on the shaft of the penis or the glans. They are sebaceous glands that are not associated with hair follicles and are completely normal. Fordyce spots do not require treatment and are not a sign of any disease.

4. Genital Warts (Condylomata Acuminata): Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray bumps. They can be raised or flat and may cluster together. If you suspect that these bumps could be warts, it is important to consult a healthcare provider for diagnosis and potential treatment, as they can spread and may require intervention.

5. Herpes Simplex Virus (HSV): If the bumps are painful, blister-like, or accompanied by other symptoms such as itching or burning, they could be a sign of a herpes infection. Herpes lesions typically appear as painful blisters that eventually crust over. If you suspect herpes, it is crucial to seek medical advice for appropriate management.

6. Other Infections: Other sexually transmitted infections (STIs) or skin infections can also cause bumps in the genital area. Conditions like molluscum contagiosum, which presents as small, firm bumps with a central dimple, can also occur.

Regarding your concern about genital warts and their growth rate, it is important to note that while some warts can grow quickly, the rate of growth can vary significantly among individuals. If you have been exposed to HPV, it is advisable to monitor any changes in the bumps and consult a healthcare provider for evaluation.

In conclusion, while the small bumps under your glans could be benign, it is essential to get a proper diagnosis from a healthcare professional, especially if you notice any changes in size, color, or if they become painful. Early evaluation can help rule out any serious conditions and provide peace of mind. It is always better to err on the side of caution when it comes to changes in your genital area.

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