Bumps on the Penis: Causes and Concerns - Urology

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When it comes to bumps on the penis, there are several potential causes that can range from benign to more serious conditions. Given your description of the bumps on the glans (the head of the penis) and the scrotum, it’s important to consider various possibilities.

1. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the glans. They are a normal anatomical variation and are not associated with any disease or infection. They typically do not require treatment unless they cause psychological distress.

2. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous (oil) glands. They are common and harmless, often appearing on the shaft of the penis or the scrotum.

3. Folliculitis: This condition occurs when hair follicles become inflamed, often due to infection or irritation. It can present as small red or white bumps and may be itchy or painful, but in some cases, it can be painless.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or gray bumps. They may be raised or flat and can sometimes be mistaken for other types of bumps. If you have had unprotected sex, it is wise to consider this possibility.

5. Cysts: Sebaceous cysts can occur in the genital area and may feel like small lumps under the skin. They are usually painless and filled with a thick, yellowish substance.

6. Herpes Simplex Virus: If the bumps were to become painful, blister-like, or associated with flu-like symptoms, this could indicate a herpes infection. However, you mentioned that the bumps are not painful and do not have any fluid, which makes this less likely.

7. Other Infections: Conditions like molluscum contagiosum, which is a viral infection, can also cause bumps in the genital area. These typically appear as small, firm, raised lesions with a dimple in the center.

Given that you mentioned these bumps appeared after engaging in unprotected sexual activity, it is crucial to consult a healthcare provider for a proper diagnosis. They may perform a physical examination and, if necessary, conduct tests to rule out sexually transmitted infections (STIs) or other conditions.
In the meantime, avoid picking at the bumps or engaging in sexual activity until you have a clearer understanding of what they are, as this can prevent potential irritation or the spread of infections.
Lastly, maintaining good genital hygiene and using protection during sexual activities can help reduce the risk of developing such conditions in the future. If you have any concerns about your sexual health or the nature of these bumps, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options.