Bumps on the Glans: Are They a Sign of STDs? - Urology

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I have concerns about my glans?


Hello, doctor! I would like to ask about something.
Due to frequent masturbation, I have noticed small, lump-like growths under my glans that resemble granulomas.
They have been there for a long time (they are not painful or itchy).
Could this be a sexually transmitted infection? (I have never had sexual intercourse.)

Jia, 10~19 year old female. Ask Date: 2016/01/04

Dr. Li Xinyi reply Urology


It may be pearly penile papules, which is not a sexually transmitted infection and does not require treatment.
However, a medical consultation is necessary for a definitive diagnosis.

Reply Date: 2016/01/04

More Info


When it comes to bumps or small growths on the glans (the head of the penis), it’s understandable to be concerned about the possibility of sexually transmitted diseases (STDs), especially if you have not engaged in sexual intercourse. However, it’s important to note that not all bumps or growths in this area are indicative of STDs.

The small, painless bumps you describe could be a variety of things. One common possibility is pearly penile papules, which are small, benign growths that typically appear around the corona of the glans. They are completely normal anatomical variations and are not associated with any disease or infection. They are often mistaken for warts or other lesions, but they do not require treatment unless they cause psychological distress.

Another possibility is that these bumps could be sebaceous cysts, which are small lumps filled with sebum (the oily substance produced by sebaceous glands). These cysts are also benign and typically do not cause any symptoms unless they become inflamed or infected.

If the bumps are indeed similar to what you describe as "meat granules" and have been present for a long time without any changes in size, color, or sensation (such as pain or itching), it is less likely that they are a sign of an STD. STDs typically present with additional symptoms such as pain, itching, discharge, or lesions that are painful or ulcerative.

However, it is crucial to consider that some sexually transmitted infections can present with asymptomatic lesions. For example, human papillomavirus (HPV) can cause genital warts, which may appear as small bumps. Other infections, such as herpes, can also present with lesions, but these are usually accompanied by other symptoms.

Given your history of frequent masturbation and the presence of these bumps, it is advisable to consult a healthcare professional for a proper evaluation. A dermatologist or urologist can perform a physical examination and, if necessary, conduct tests to determine the nature of the bumps. They may also provide reassurance and education about normal anatomical variations and the importance of safe sexual practices, even if you have not engaged in sexual intercourse.

In summary, while the bumps on your glans may not necessarily indicate an STD, it is essential to seek medical advice for a definitive diagnosis. A healthcare professional can help alleviate your concerns and provide guidance on any necessary treatment or management options. Remember, maintaining open communication with your healthcare provider about any changes in your body is key to ensuring your sexual health and overall well-being.

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