Itchy Red Bumps on the Penis: Causes and Solutions

A few days ago, I noticed itching in my genital area, and there are small red bumps at the tip of my glans?

Hello doctor, a few days ago I noticed itching in my genital area, but I thought it was just an issue with cleanliness.
However, when I took a closer look, I discovered that there are small red bumps on the tip of my glans.
The itching occurs sometimes but not always.
Yesterday, while masturbating, I suddenly felt intense pain, but when I woke up this morning, the pain was gone.
The red bumps sometimes appear red and sometimes fade.
I have had a consistent sexual partner for the past six months.
What could be happening?

Dada, 10~19 year old female. Ask Date: 2015/09/23

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 related to sexual activity, so it is important to rule out the possibility of sexually transmitted infections.
Clinically, a visual and physical examination is necessary to determine the potential causes of the skin changes.
Other causes may be related to hygiene practices, dermatitis, or allergic skin conditions.
Additionally, it could be associated with diabetes, but the condition can vary among different patients.
It is important to note that a simple description cannot provide a definitive diagnosis.
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, physical examination, and tests to confirm the diagnosis and treatment plan.
It is advisable to seek care from a dermatologist or urologist for examination and treatment if there are any health concerns.
Furthermore, it is recommended to have a stable sexual partner and to use condoms consistently to reduce the risk of sexually transmitted infections.

Reply Date: 2015/09/23

More Info

Itchy red bumps on the penis can be concerning and may arise from various causes. Given your description of the symptoms, it is essential to consider several potential conditions that could be responsible for the itchy red bumps and the associated pain.

1. Irritation or Allergic Reaction: Sometimes, irritation from soaps, lotions, or laundry detergents can cause allergic reactions, leading to red, itchy bumps. If you've recently changed any products you use for personal hygiene, this could be a factor.

2. Infections:
- Fungal Infections: Conditions like candidiasis (yeast infection) can cause red, itchy bumps on the penis. This is more common in warm, moist environments and can occur even in men, especially if they have diabetes or are on antibiotics.

- Bacterial Infections: Bacterial infections can also lead to similar symptoms. Balanitis, an inflammation of the glans (the head of the penis), can cause redness, swelling, and discomfort.

- Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or genital warts (caused by the human papillomavirus), can present as red bumps or lesions on the genital area. The sudden onset of pain during masturbation could suggest an active infection.

3. Dermatological Conditions: Conditions like psoriasis or eczema can also manifest as red, itchy bumps on the penis. These conditions may flare up due to stress, changes in weather, or other triggers.

4. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are normal anatomical variations and are not associated with any disease or infection.

Given that you have a consistent sexual partner and have not reported any changes in your sexual practices, it is less likely that this is a sexually transmitted infection, but it cannot be entirely ruled out without proper testing.

Recommendations:
- Avoid Irritants: If you suspect that soaps or lotions may be causing irritation, try switching to hypoallergenic products or simply using water for cleaning.

- Maintain Hygiene: Keep the area clean and dry. Avoid tight-fitting clothing that may cause friction or trap moisture.

- Consult a Healthcare Provider: It is crucial to see a healthcare professional, preferably a urologist or dermatologist, for an accurate diagnosis. They may perform a physical examination and possibly recommend tests, such as swabs or blood tests, to rule out infections or other conditions.

- Avoid Self-Diagnosis: While it may be tempting to self-diagnose based on symptoms, many conditions can present similarly. A healthcare provider can offer a definitive diagnosis and appropriate treatment.

In summary, while itchy red bumps on the penis can arise from various causes, it is essential to seek medical advice for a proper diagnosis and treatment plan. Early intervention can help prevent complications and alleviate discomfort.

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