What's the matter with the white spots on the glans?

White spots on the glans may be related to factors such as pearly penile papules, smegma accumulation, fungal infection, allergic reaction, or genital warts.

1. Pearly penile papules

Pearly penile papules are a benign physiological variation, characterized by the appearance of small white or skin-colored papules around the coronal sulcus of the glans penis, about 1-3 mm in diameter, arranged in rows. It may be related to local hygiene or foreskin and usually does not require treatment. If it affects the appearance, you can use laser treatment or cryotherapy as directed by your doctor.

2. Accumulation of smegma

Smegma is formed by a mixture of exfoliated epithelial cells and secretions, which may accumulate into white spots if not cleaned in time. It is recommended to wash the perineum daily with warm water and avoid using harsh cleansers. Circumcision may be considered in patients with excessive foreskin.

3. Fungal infection

Candida albicans infection may cause white patches and itching on the glans penis, and is common in patients with diabetes or long-term antibiotic use. Antifungal drugs such as miconazole nitrate cream, clotrimazole cream or nystatin tablets can be used as directed by your doctor.

4. Allergic reaction

Contact with allergenic substances such as condoms and detergents may cause white papules with redness and swelling on the glans penis. The suspected allergen needs to be stopped immediately and oral loratadine tablets or topical hydrocortisone cream should be taken as directed by the doctor.

5. Genital warts

Sexually transmitted diseases caused by human papillomavirus infection initially appear as white cauliflower-like growths. It is necessary to seek medical attention and perform an acetate white test to confirm the diagnosis. Treatment methods include podophyllotoxin tincture, imiquimod cream and other drugs, or laser surgery to remove it.

Daily care should be taken to keep the perineum clean and dry and avoid unclean sex. It is recommended to choose cotton breathable underwear to avoid prolonged sitting and local friction. If the white spots continue to enlarge, rupture, or are accompanied by discharge, you should go to a dermatology and venereology department in time. The diet can be appropriately supplemented with vitamin B family and high-quality protein to enhance immunity.