Penile Itching and White Bumps: Causes and Solutions

Itchy glans and white spots or papules on the inner sides of the penis?

I previously experienced itching of the glans and white papules on the inner sides of the penis.
Since I had unprotected sexual intercourse with my girlfriend, I later consulted a doctor and used an ointment, which improved my condition.
I continued to practice safe sex, but recently I had unprotected intercourse again, and the symptoms have returned.
I suspect that my girlfriend may have transmitted something to me.
What should I do? I have itching and a stinging sensation on the glans, with slight redness and white papules on the inner sides below.

123, 20~29 year old female. Ask Date: 2016/01/29

Dr. Xu Weikai reply Urology

Hello, it is recommended to visit a doctor with your girlfriend.
Otherwise, improvement may never occur.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers from the internet should only serve as a reference; it is essential to seek medical care at a healthcare facility.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/29

More Info

Penile itching and the presence of white bumps can be concerning symptoms that may arise from various underlying conditions. Based on your description, it seems you are experiencing recurring symptoms of itching, irritation, and white bumps on the glans (head of the penis) and inner sides of the shaft. These symptoms can be indicative of several conditions, and understanding the potential causes is crucial for effective management.

Possible Causes
1. Fungal Infections: One of the most common causes of itching and white bumps in the genital area is a fungal infection, such as candidiasis (yeast infection). This can occur due to an imbalance in the natural flora of the area, often exacerbated by factors like moisture, heat, and lack of ventilation.

2. Bacterial Infections: Bacterial infections, including sexually transmitted infections (STIs) like gonorrhea or chlamydia, can also present with similar symptoms. These infections may lead to inflammation, itching, and the formation of bumps.

3. Dermatological Conditions: Conditions such as lichen sclerosus or psoriasis can cause white patches or bumps on the skin, along with itching and discomfort. These are often chronic conditions that require ongoing management.

4. Allergic Reactions: Contact dermatitis due to irritation from soaps, lotions, or latex (from condoms) can lead to localized itching and irritation. If you have recently changed any products you use in the genital area, this could be a contributing factor.

5. Sexually Transmitted Infections (STIs): Given your history of unprotected sexual activity, it is essential to consider STIs as a potential cause. Infections like herpes can cause itching, pain, and the appearance of blisters or bumps.

Recommended Actions
1. Consult a Healthcare Provider: It is crucial to see a healthcare provider for an accurate diagnosis. They may perform a physical examination and possibly order tests (such as swabs or blood tests) to determine the exact cause of your symptoms.

2. Avoid Irritants: In the meantime, avoid any potential irritants, such as scented soaps, lotions, or other products that may exacerbate your symptoms. Opt for mild, unscented products for personal hygiene.

3. Practice Safe Sex: To prevent the recurrence of these symptoms, it is essential to practice safe sex. Using condoms can significantly reduce the risk of transmitting infections between partners.

4. Topical Treatments: If a fungal infection is diagnosed, antifungal creams or ointments may be prescribed. For bacterial infections, antibiotics may be necessary. Follow your healthcare provider's recommendations closely.

5. Maintain Hygiene: Keeping the genital area clean and dry is vital. After bathing, ensure that the area is thoroughly dried to prevent moisture buildup, which can promote fungal growth.

6. Monitor Symptoms: Keep track of your symptoms, including any changes in appearance, severity, or associated symptoms like discharge or fever. This information can be helpful for your healthcare provider.

Conclusion
In summary, penile itching and the presence of white bumps can stem from various causes, including infections, dermatological conditions, and allergic reactions. Given your history of unprotected sexual activity, it is essential to seek medical attention promptly to rule out STIs and receive appropriate treatment. Practicing safe sex and maintaining good hygiene can help prevent future occurrences. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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