Red Spots on the Glans: Causes and Concerns

Red spots on the glans?

Hello doctor, a few days ago I noticed small red spots on my glans.
They are not painful or itchy.
I went to see a dermatologist, and the doctor said it is candidiasis.
I would like to ask you, I usually pay attention to hygiene and I haven't been promiscuous.
I had it once in June, and now I have it again.
Is this contagious to my family? Because I wash my underwear and pants together.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2015/09/08

Dr. Xu Weikai reply Urology

Hello, Candida is prevalent in the environment and can easily cause infections.
There is no need to wash clothes separately.
For general cleaning of the glans, it is recommended to use only cool water and absolutely avoid using soap, body wash, or similar products.

Reply Date: 2015/09/08

More Info

Red spots on the glans, or the head of the penis, can be concerning for many individuals, especially when they appear suddenly or without any accompanying symptoms like pain or itching. In your case, it seems that a dermatologist has diagnosed you with a candidal infection, commonly known as a yeast infection, caused by the fungus Candida. This type of infection can occur in various parts of the body, including the genital area, and is not uncommon.

Candidiasis can manifest as red spots, irritation, or a rash, and it often occurs in warm, moist environments. Factors that can contribute to the development of a yeast infection include poor hygiene, excessive moisture, tight-fitting clothing, and certain medical conditions such as diabetes or a weakened immune system. Although you mentioned that you maintain good hygiene and have not engaged in risky sexual behavior, it is still possible to develop this type of infection due to other factors, including antibiotic use, which can disrupt the normal balance of flora in the body.

Regarding your concern about transmission to family members, candidiasis is not typically considered a sexually transmitted infection (STI). However, it can be transmitted through direct contact with infected areas. If you are sharing towels, undergarments, or engaging in close physical contact, there is a potential risk of spreading the infection. Washing your underwear and towels in hot water and ensuring they are thoroughly dried can help minimize this risk. It is also advisable to avoid sharing personal items that come into contact with the genital area.

To address the infection, your dermatologist may recommend antifungal treatments, which can be topical (applied directly to the affected area) or systemic (oral medications). It is essential to follow the prescribed treatment regimen and complete the full course of medication, even if symptoms improve before finishing the treatment. Additionally, maintaining good hygiene practices, such as keeping the area dry and avoiding irritants, can help prevent future occurrences.

If you experience recurrent infections, it may be beneficial to consult with a healthcare provider to explore underlying causes, such as diabetes or other health conditions that may predispose you to yeast infections. They may also suggest lifestyle modifications, such as wearing breathable cotton underwear, avoiding tight-fitting clothing, and managing moisture in the genital area.

In summary, while red spots on the glans can be alarming, they are often treatable and manageable. By adhering to proper hygiene, following medical advice, and being mindful of potential transmission risks, you can effectively address this issue and reduce the likelihood of recurrence. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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