The appearance of red dots or red spots on the glans , as well as any manifestation in the genital area, is a condition that establishes a strong sense of anxiety in the subject which is associated with important psychological implications such as shame, insecurity and sometimes social isolation.
This situation is common to many men, because the glans is not only a very complex and delicate site, but any genital disorder also plays a fundamental role in the identity of the subject and consequently creates a feeling of strong discomfort.
This sense of fear and insecurity often lead the subject to wait a long time before turning to a doctor, in fact, risking to worsen or even seriously compromise his state of health.
Therefore it is good to clarify that the presence of red dots or red spots on the glans is a situation common to many men, therefore there is no reason to feel an isolated case because it is the only fact that you do not talk about it that makes you perceive the problem. as if it were a taboo.
The presence of red spots and spots on the glans, on the shaft of the penis and on the scrotum can be the consequence of a multitude of events, many of which are easy and quick to resolve. However, a minority of cases are the sign of a more serious pathology that it is necessary in any case to talk about the problem with a doctor.
In fact, as we will see later, the causes range from simple inflammation, to allergic reactions or to much more serious sexually transmitted infections. In relation to the causes there are also additional symptoms which vary from case to case, such as itching , fever, pain, secretions and burning .
By virtue of this it is useful to encourage each subject to overcome their fears, because most of the disorders if treated early have a high probability that they will be resolved completely.
If you feel too embarrassed to talk about the problem with your GP, perhaps because it is shared with the rest of the family or with a view to feeling ashamed in subsequent visits, we invite you to contact a specialist in dermatology and venereology or to a of the structures specialized in the treatment of sexually transmitted diseases (STDs) present in the territory of belonging.
Having clarified the importance of a medical finding, let’s move on to illustrate the main causes that determine the appearance ofred dots and red spots on the glans on the surface of the glans.

What are the main causes of the appearance of red spots and red spots on the glans
As mentioned above, the causes of this disorder can be very different from each other. We have tried to rationalize the problem and to list the main manifestations that can lead to the formation of red dots and red spots on the glans . Let’s see them in detail.

Folliculitis
It is an inflammatory process that follows mechanisms that are completely similar to the appearance of pimples on the face, neck and back. There is inflammation of a hair follicle usually caused by infection with a staph bacterium that causes the formation of red dots that can later fill with pus.
The final result of this disorder is the formation of small red eruptions localized at the subcutaneous level of the glans, but which can also extend to the shaft of the penis and the scrotum.

Pearly papules
They appear as well delineated red and white reliefs, circumscribed and small in size. The pearly penile papules (PPP) are mainly located in the crown of the glans (peripheral area that surrounds the glans).
These are benign lesions that are not transmitted sexually, occur without itching and generally do not cause pain or burning, represent a danger to the patient’s health, therefore they are hardly treated. They can appear as small red dots which tend to remain so.

Molluscum contagiosum
The molluscum contagiosum is one of the most common forms of viral infection among children but it can easily attack even the adult man.
It is a contagious disease (as the name suggests) that is painless and presents with the appearance of red dots or red spots on the glansbut it can also extend to the scrotum region, to the penis and to the skin of the inner thighs.
It usually clears up on its own, but some cases need to be treated as the red lesions can leave scarring.

Lichen Planus
Lichen Planus manifests itself with pink spots located on the glans penis and on the penis that generally do not cause symptoms other than a slight itch . It is not a sexually transmitted disease and usually resolves with anti-inflammatory therapy;

Balanitis or Balanoposthitis
This is a common inflammation that affects the skin of the penis and occurs with the appearance of red dots or spots on the glansand on the shaft of the penis, to which pain, burning, itching , swelling and the presence of pus under the foreskin can be added.
Inflammation can result from a multitude of causes such as irritation from allergies to fabrics (it is advisable to use only white cotton underwear), allergies to substances contained in intimate detergents or personal hygiene products, and can also be consequent to poor hygiene.
Furthermore, this inflammatory state may be due to frequent sexual intercourse and therefore the red spots appear after intercourse , remaining for a few days before resolving on their own.
Source: nhs.uk/conditions/balanitis/

Sexually Transmitted Diseases (STDs)
As common as they are, they are one of the most feared and shameful occurrences. These can be caused by both bacteria and viruses and the most common pathogens are: Herpes, Papilloma virus and Candida.
Herpes simplex in addition to red spots on the glans can also be associated with other symptoms such as fever, pain and leads to the development of genital ulcers. Herpetic manifestations are easily recognizable as they have the appearance of the classic blisters that appear on the lips.
The Papilloma virus (HPV) is the same virus that can be a promoting factor for the development of cervical cancer in women, while in men it manifests itself with the appearance of red dots on the glans penis , warts located around the anus , on the scrotum and shaft of the penis which appear as pink bumps. Generally these signs appear after a few months following an unprotected sexual intercourse in which transmission takes place.
Candida is a rather widespread yeast (both in women and in men) which is characterized by the appearance of vesicles that cause pain, burning, itching and which give off an unpleasant odor. Candida can be contracted following sexual intercourseunprotected, but can also give its manifestations as a result of an unbalanced diet or the intake of antibiotics that break down the bacterial flora. This mycosis is associated with muscle and joint pain, diarrhea and a low number of leukocytes.
Furthermore, the presence of spots and red dots on the glans may be a consequence of other causes such as insect bites, amyloidosis or a carcinoma that will be evaluated by the doctor during the diagnosis.
Source: cdc.gov/std/syphilis/stdfact-syphilis.htm

How to diagnose
The appearance of red spots or red spots on the glanso on the surrounding offices must induce to overcome any form of embarrassment and seek medical advice as soon as possible. The figure of the doctor does not have the function of judging, but of investigating the causes of the disorder, of prescribing a therapy and of providing advice to preserve the patient’s health.
The doctor first proceeds to a usual anamnesis, asking the patient all those questions that are needed to investigate the signs and symptoms complained of. Questions regarding the appearance of worthy skin signs are asked: how long they persist
when they appeared
has had unprotected
sexual intercourse how many sexual partners have you hadand it must also if other symptoms such as fever, pain, itching , burning or other significant
are associated with the appearance of the skin signs .
This phase is followed by an external inspection of the genitals, at which time the doctor will evaluate the extent of the skin manifestations and their extent. On the basis of the data collected, the visit will proceed by indicating the need for more in-depth investigations that follow one or more suspected diagnostics, such as tests to identify the pathogen causing the infection.
In the case of candida, for example, there is a salivary test that in just 30 minutes can confirm or deny the candida infection.

What are the most effective therapies in these cases
? Each individual patient must be evaluated individually, therefore thetherapy and care not only takes into account the disease underlying the skin manifestations on the glans penis , but also the general condition of the patient and whether or not he is suffering from concomitant pathologies or if he is taking particular drugs.
Therefore, once again we invite you to seek medical advice, avoiding any other source of information such as the internet, do-it-yourself remedies or suggestions from friends.
The therapies used are generally of a pharmacological nature, therefore based on anti-inflammatories, antibiotics, antivirals or antifungals, but sometimes in milder cases (for example folliculitis) the situation can also resolve spontaneously.
When the presence of red spots and red dotsand due to small irritative processes in relation to rubbing with particular fabrics, contact with soaps or if they appear after sexual intercourse , small precautions must be implemented to help prevent inflammation.
It is therefore advisable to maintain proper hygiene of the genitals, which must also be carried out immediately after sexual intercourse with specific detergents that do not alter the skin’s pH and respect the normal physiology of the bacterial flora localized there.
As for the choice of detergents, these must be free of soaps that can be aggressive for the skin. Furthermore, it is essential to use only cotton underwear, thus avoiding synthetic materials that can cause irritation or allergies, and to change underwear every day.
Last but not least, we remind you of the extreme importance of using barrier methods of contraception in order to avoid the possible contagion of sexually transmitted diseases.
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