Red Spots on the Glans: Causes and Concerns for Urological Health

Red spots on the glans?

Hello doctor, I had sexual intercourse twice in the past two days and masturbated once.
After the second time, I didn't take a shower immediately and only washed my glans the next day.
I noticed a lot of red spots on the glans and the inner foreskin, which are not raised, do not hurt, and there is no discomfort when urinating.
Could this be due to insufficient hygiene leading to inflammatory rashes, or could I have contracted a sexually transmitted infection? The two women were not the same person, and neither of them washed their intimate areas beforehand.

A D, 30~39 year old female. Ask Date: 2015/11/18

Dr. Xu Weikai reply Urology

Please cherish our online medical resources.
When asking the same question, please specify only one physician or nutritionist.
Dr.
D: Hello, you may have an infection.
As for whether it is a sexually transmitted infection (STI), it cannot be determined without further testing.
May I ask if these two women have experienced increased vaginal discharge or if they already have an STI? If not, there is no need to worry too much.
If the red spots do not disappear, seek medical attention promptly.
If there are no lesions present, just monitor the situation.
If you are still concerned, consider getting tested for HIV, syphilis, hepatitis, etc., three months later.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, it is still important to visit a medical institution for care.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/18

More Info

Red spots on the glans can be concerning, especially after recent sexual activity. Based on your description, it seems that you have noticed multiple red spots on the glans and inner foreskin, which are not raised, painful, or associated with any discomfort during urination. This could potentially be related to a few different factors.

Firstly, inadequate hygiene can lead to irritation and inflammation of the skin, especially in the genital area. If you did not wash the glans after sexual activity, it is possible that residual bodily fluids or irritants could cause localized irritation, resulting in the appearance of red spots. This is often referred to as post-inflammatory erythema, which can occur when the skin reacts to irritants or friction.

Secondly, while the absence of pain and discomfort during urination is a good sign, it is still important to consider the possibility of a sexually transmitted infection (STI). Certain STIs can present with symptoms such as redness, irritation, or spots on the genital area, even if they do not cause immediate pain or discomfort. For example, infections like herpes or human papillomavirus (HPV) can lead to lesions or spots that may not be painful initially.
Given that you have engaged in sexual activity with two different partners, it is prudent to consider the risk of STIs. It is recommended to get tested for STIs, especially if you notice any changes in your genital area that are unusual for you. Early detection and treatment are crucial for managing STIs effectively and preventing complications.

In addition to hygiene and potential infections, other dermatological conditions could also cause red spots on the glans. Conditions such as balanitis (inflammation of the glans), allergic reactions to soaps or lubricants, or even friction from sexual activity can lead to similar symptoms.
To address your concerns, here are some recommendations:
1. Maintain Good Hygiene: Ensure that you clean the genital area thoroughly after sexual activity. This helps to prevent irritation and potential infections.

2. Monitor Symptoms: Keep an eye on the red spots. If they persist, change in appearance, or if you develop additional symptoms such as pain, itching, or discharge, seek medical attention.

3. Get Tested: Consider visiting a healthcare provider for STI testing. This is especially important if you have had unprotected sex or if your partners have not been screened.

4. Avoid Irritants: If you suspect that soaps, lotions, or other products may be causing irritation, try to avoid them and see if the condition improves.

5. Consult a Urologist: If the red spots do not resolve or if you have any concerns about your urological health, it is advisable to consult a urologist. They can provide a thorough examination and appropriate testing to determine the cause of your symptoms.

In conclusion, while the red spots on your glans may be due to irritation from inadequate hygiene, it is essential to rule out any potential infections or other underlying conditions. Taking proactive steps to maintain hygiene and seeking medical advice will help ensure your urological health remains in good standing.

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