Red Spots on the Glans: Causes and Treatment Options - Urology

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I previously asked about red spots on the glans?


Thank you for your response, doctor.
I have consulted my girlfriend, and she reported no abnormalities.
However, I have noticed an increase in the number of red spots, particularly at the tip of the glans, where several new spots have appeared, and there are also a few more concentrated spots at the front.
There is no pain or itching when I touch it or when using the restroom.
If this condition worsens, are there any medications that can help manage it? Due to my relationship with my girlfriend, I cannot disclose this to my family, which makes seeking medical attention a bit challenging.
I also forgot to mention to the doctor that I have not undergone circumcision, but I can easily retract the foreskin both before and after an erection.
I used to clean regularly, so I would appreciate your recommendations for effective management.

Niming, 20~29 year old female. Ask Date: 2015/10/28

Dr. Xu Weikai reply Urology


Anonymous: Hello, based on your description, I really can't provide assistance.
At 24 years old, there shouldn't be any issues with seeking medical care.
You should visit a urologist or dermatologist to have a doctor examine you for a proper diagnosis.
As mentioned before, there are many conditions that can cause such lesions: bacteria, viruses, fungi, etc.
It could also simply be a skin allergy or eczema.
Therefore, it's not possible to diagnose or even discuss treatment based on this information alone.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, you should seek care at a medical facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/10/28

More Info


Understanding red spots on the glans can be concerning, especially when they appear to increase in number. Based on your description, it seems that you are experiencing red spots on the glans (the head of the penis) without accompanying pain or itching. This is a significant point, as the absence of discomfort often suggests that the condition may not be infectious or inflammatory in nature.

There are several potential causes for red spots on the glans, including:
1. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for abnormalities. They are a normal anatomical variant and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands without hair follicles. They are also harmless and common.

3. Irritation or Allergic Reaction: Sometimes, irritation from soaps, lotions, or even friction can cause redness or spots. If you've recently changed any products you use for personal hygiene, consider reverting to previous products to see if the condition improves.

4. Infections: While you mentioned no pain or itching, it is still possible for certain infections (like yeast infections or sexually transmitted infections) to present with red spots. However, these usually come with other symptoms.

5. Dermatological Conditions: Conditions like lichen planus or psoriasis can also manifest as red spots or lesions on the glans. These conditions may require specific treatments.

Given that you are experiencing an increase in the number of spots, it is advisable to monitor the situation closely. If the spots continue to multiply or if you develop any new symptoms (such as pain, itching, or discharge), it would be prudent to seek medical attention, even if it feels challenging to discuss with family.

In terms of treatment options, here are a few recommendations:
- Maintain Good Hygiene: Continue to clean the area gently with mild soap and water. Avoid harsh soaps or products that can irritate the skin.

- Topical Treatments: If the spots are bothersome or if you suspect irritation, over-the-counter hydrocortisone cream may help reduce inflammation. However, it’s best to consult a healthcare provider before starting any treatment.

- Avoid Irritants: If you suspect that any products you are using might be causing irritation, stop using them and see if the condition improves.

- Consult a Healthcare Provider: If the situation worsens or does not improve, consider seeking a consultation with a urologist or dermatologist. They can provide a proper diagnosis and treatment plan tailored to your specific condition.

While it may feel uncomfortable to seek medical advice, especially regarding sensitive areas, healthcare professionals are trained to handle such issues discreetly and professionally. They can offer the best guidance and treatment options based on a thorough examination.

In summary, while many causes of red spots on the glans are benign, it is essential to keep an eye on any changes. If you notice an increase in the number of spots or any new symptoms, do not hesitate to seek medical advice. Your health and peace of mind are important, and there are professionals who can help you navigate this situation.

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