Glans Issues: Causes and Solutions for Red Spots - Urology

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Glans issues


A few months ago, I noticed red spots on my glans.
After researching online, I came to the conclusion that it might be balanitis, possibly due to an infection or inflammation caused by the foreskin covering the glans.
I was advised to keep the foreskin retracted, which seemed to improve the condition, and the red spots gradually disappeared.
However, a month later, the glans started to develop red spots again, even though I continued to keep the foreskin retracted.
I thought it would resolve on its own like before, but the red spots turned into a large area of redness.
The glans also became wrinkled and rough, and occasionally there would be some flaking skin, but there was no pain or itching.
The glans has lost its previous smoothness, and I'm unsure of the cause.
Could it be that masturbation is worsening the symptoms? Here is the current image: https://drive.google.com/file/d/0B6F9cxTouT16bEtwMWR4SGMyVXM/view

Xiao Shun, 20~29 year old female. Ask Date: 2015/11/29

Dr. Xu Weikai reply Urology


Hello, regarding the care of the glans, it is recommended to use clean water and avoid any cleaning products such as soap or body wash.
After ejaculation, it is important to promptly rinse off the semen with cool water to prevent it from remaining on the skin, which can reduce the risk of infection or local irritation.
If you have any further questions or need clarification, feel free to ask, and we can discuss it further.
Please remember that online responses should only be used as a reference; if necessary, it is best to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/29

More Info


When it comes to understanding issues related to the glans, particularly the appearance of red spots or changes in texture, it's essential to consider various potential causes and solutions. Based on your description, it seems that you may be experiencing a condition known as balanitis, which is inflammation of the glans penis. This can be caused by several factors, including infections, irritants, or underlying skin conditions.

1. Balanitis: This condition often manifests as redness, swelling, and sometimes peeling or flaking of the skin on the glans. It can be triggered by poor hygiene, irritants such as soaps or lotions, or infections (both fungal and bacterial). Keeping the area clean and dry is crucial, and in some cases, antifungal or antibacterial treatments may be necessary.

2. Fungal Infections: One common cause of balanitis is a yeast infection, particularly if you have a history of such infections. The presence of red spots and rough texture could indicate a fungal infection, which may require antifungal creams or medications for treatment.

3. Irritation and Allergic Reactions: Sometimes, the use of certain soaps, detergents, or even latex condoms can lead to irritation or allergic reactions, resulting in redness and discomfort. If you suspect this might be the case, consider switching to hypoallergenic products and observe if the symptoms improve.

4. Sexual Activity: You mentioned the possibility of masturbation exacerbating the symptoms. While masturbation itself is not inherently harmful, excessive friction or lack of lubrication during the act can lead to irritation of the sensitive skin on the glans. If you notice that symptoms worsen after masturbation, consider using a water-based lubricant to reduce friction.

5. Underlying Skin Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to changes in skin texture and color. If the symptoms persist or worsen, it might be beneficial to consult a dermatologist or urologist for a thorough evaluation.

6. Hygiene Practices: Maintaining proper hygiene is vital. Ensure that you are cleaning the area gently with mild soap and water, and avoid using harsh soaps or scrubs that can irritate the skin. Keeping the area dry is also important, as moisture can promote fungal growth.

7. When to Seek Medical Attention: If the redness and texture changes do not improve with basic hygiene measures, or if you develop additional symptoms such as pain, itching, or discharge, it is crucial to seek medical attention. A healthcare provider can perform a physical examination and may conduct tests to determine the underlying cause of your symptoms.

In summary, the appearance of red spots and changes in the texture of the glans can be attributed to various factors, including infections, irritants, and underlying skin conditions. Maintaining good hygiene, avoiding irritants, and seeking medical advice when necessary are essential steps in managing these symptoms. If the condition persists or worsens, a healthcare professional can provide a more accurate diagnosis and appropriate treatment options.

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