ZocdocAnswersWhat are these red dots on the penile glans?

Question

What are these red dots on the penile glans?

There are multiple, small, red dots on the glans of my penis. I have noticed it about three weeks ago and since then, a few more dots have popped up. They give me no pain whatsoever, even when urinating. However, I notice that there is a bit more buildup of smegma every morning and it has a very unusual odor. I am sexually active. Could this be a result of that? I have tried cleaning with body wash with no positive result.

Answer

Since these symptoms have persisted for a while and are not responding to your initial efforts to clear them up, I would recommend going to see your primary care doctor, who will be able to establish a diagnosis and help you decide what treatments to pursue. I can think of several potential causes of your symptoms. One of these would be a yeast infection, which typically causes red dots that spread outwards over the skin, similar to those which you are experiencing. They tend to be uncomfortable or itchy, but not always. Another potential cause would be herpes, which is a sexually transmitted infection. In the initial stages, herpes causes small blisters or ulcers that are very reddened at their base. One thing that argues against herpes in your case is that herpes does tend to be quite uncomfortable, but I think it still does need to be ruled out. Finally, you could have a condition called balanitis, which is an inflammation/infection of the skin of the tip of the penis, most common in men who are uncircumcised. Usually balanitis will respond to simple measures like increased washing, as you have been doing, but sometimes an antibiotic ointment is required. Please speak with your primary care doctor.

This answer is for general informational purposes only and is not a substitute for professional medical advice.

If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.