Bumps on the Glans: Causes and Concerns - Urology

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Understanding bumps on the glans can be concerning, especially when they appear suddenly or change in appearance. Based on your description, it sounds like you are observing small, painless bumps on one side of the glans (the head of the penis), while the other side appears normal. There are several potential causes for these bumps, and it’s important to consider them in the context of your overall health and any recent changes in your sexual activity.

1. Pearly Penile Papules: One of the most common benign conditions that can cause small, skin-colored bumps on the glans is pearly penile papules. These are harmless and typically appear as small, dome-shaped bumps around the corona of the glans. They are not associated with any disease and do not require treatment.

2. Fordyce Spots: These are small, painless, pale bumps that can appear on the glans or shaft of the penis. They are sebaceous glands that are visible through the skin and are completely normal. Like pearly penile papules, they do not indicate any health issues.

3. Folliculitis: If the bumps are red or inflamed, they could be a sign of folliculitis, which is an inflammation of the hair follicles. This can occur due to irritation, infection, or blockage of the follicles. It is usually not serious and can be treated with topical antibiotics if necessary.

4. Genital Warts: Caused by the human papillomavirus (HPV), genital warts can appear as small, flesh-colored or gray bumps. They can be painless and may not cause any symptoms. Given your concern about potential sexually transmitted infections (STIs), it’s important to consider this possibility, especially since you mentioned not using condoms recently.

5. Other Infections: Other sexually transmitted infections, such as herpes or molluscum contagiosum, can also present with bumps or lesions on the genital area. These may be accompanied by other symptoms, such as itching, burning, or discharge.

6. Skin Conditions: Conditions like eczema or psoriasis can also affect the genital area, leading to bumps or changes in skin texture. These conditions are typically associated with other symptoms, such as itching or redness.

Given that the bumps are painless and not associated with any other symptoms, they may not be a cause for immediate concern. However, it is essential to consult a healthcare professional for a proper diagnosis. A doctor can perform a physical examination and may recommend tests if necessary to rule out any infections or other conditions.

It’s understandable to feel apprehensive about visiting a doctor, especially regarding sensitive issues. However, seeking medical advice is crucial for your peace of mind and health. Many healthcare providers are accustomed to discussing sexual health and can provide a non-judgmental environment. If you are worried about STIs, it’s advisable to get tested, as early detection and treatment can prevent complications.

In summary, while the bumps you describe could be benign, it’s essential to consult a healthcare professional for an accurate diagnosis and appropriate management. Taking this step will help alleviate your concerns and ensure that you maintain your sexual health.