What causes red spots on male glans?

Red spots on the male glans may be related to factors such as allergic reactions, local infections, friction irritation, eczema or sexually transmitted diseases. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-medication.

1. Allergic reaction

Contact with allergenic substances such as condoms, detergents or underwear materials may cause redness, swelling, red spots and itching of the glans. Suspicious items need to be stopped immediately, washed with clean water and then applied cold locally. If symptoms persist, you can use loratadine tablets or topical hydrocortisone cream as directed by your doctor.

2. Local infection

Bacterial or fungal infections are common in people with excessive foreskin and appear as red spots accompanied by white discharge or odor. It may be related to Candida albicans infection and needs to be confirmed through secretion testing. Clotrimazole cream or oral fluconazole capsules can be used as directed by the doctor, and mupirocin ointment can be used in conjunction with bacterial infection.

3. Friction stimulation

Excessive masturbation or frequent sexual intercourse may cause mechanical friction damage, resulting in scattered red spots without oozing. It is recommended to suspend sexual activity to keep the area clean and dry, and wear loose cotton underwear. It usually subsides on its own in 3-5 days.

4. Eczema

Chronic eczema manifests as recurrent erythema, papules, and scaling on the glans penis, which may be related to abnormal immune function. Avoid scratching, use tacrolimus ointment or triamcinolone acetonide and econazole cream as directed by your doctor, and take ebastine tablets orally in severe cases.

5. Sexually transmitted diseases

Syphilis chancre or genital herpes may present red papules in the early stages, often accompanied by swollen inguinal lymph nodes. A blood test is required to confirm the diagnosis, syphilis requires an injection of benzathine penicillin, and herpes requires oral acyclovir tablets. Such diseases are contagious, sexual intercourse should be prohibited and sexual partners should be notified for joint examination.

Daily care should be taken to clean the perineum, wash it with warm water and dry it every day, and avoid using irritating lotions. Choose breathable cotton underwear and change them daily, and keep your diet light and limit spicy foods. If the red spots persist for more than a week or if symptoms such as ulceration, oozing, or worsening pain occur, you must immediately seek medical attention from a dermatologist or urologist. It is forbidden to drink alcohol during treatment, strictly follow the doctor's instructions to complete the course of medication, and do not stop taking medication on your own due to symptom relief.