What should I do if there are red spots on the glans penis that are not painful or itchy?

Red spots on the glans that are not painful or itchy can be treated by keeping the area clean, avoiding irritating factors, observing changes in symptoms, using topical drugs, and seeking medical examination. This symptom may be related to factors such as poor local hygiene, contact dermatitis, fungal infection, allergic reaction, pearly penile papules, etc.

1. Keep the area clean

Gently clean the glans and the inside of the foreskin with warm water every day, and avoid using alkaline cleansers such as soap or shower gel. Wipe dry after cleaning to keep the perineum dry and breathable. Choose pure cotton underwear and change it daily to reduce skin irritation from friction with clothing.

2. Avoid irritating factors

Stop using condoms, lubricants and other products that may cause allergies. Avoid wearing tight pants or synthetic underwear. It is not advisable to have sex or masturbate in the near future to prevent repeated friction from aggravating the red spots. Spicy food and alcohol should be avoided in the diet.

3. Observe changes in symptoms

Record the number, size, and morphological changes of the red spots, and observe whether there is exudation, desquamation, or diffusion tendency. If the red spots persist for more than two weeks, or are accompanied by symptoms such as burning sensation or increased secretions, you need to seek medical attention promptly for a clear diagnosis.

4. Use topical drugs

For fungal infections, you can apply miconazole nitrate cream or bifonazole cream as directed by your doctor. Short-term use of hydrocortisone ointment is recommended for allergic dermatitis. Bacterial inflammation needs to be treated with mupirocin ointment. The affected area should be cleaned before use of all medications and avoid scratching after use.

5. Medical examination

If self-care is ineffective or red spots increase, you need to see a dermatologist or urologist. Doctors may identify pearly penile papules, lichen planus and other diseases through secretion microscopy, dermoscopy or pathological biopsy. Depending on the results, targeted options such as laser treatment or oral antihistamines may be used.

Daily care should be taken to avoid damage to the skin barrier caused by excessive cleansing, and the bath water temperature should not exceed 40°C. It is forbidden to use strong hormonal ointments or antibiotics on your own before a clear diagnosis is made. It is recommended that spouses undergo simultaneous checks to rule out the possibility of cross-infection. Maintaining a regular schedule can help improve immunity and reduce the chance of recurrence. If abnormal symptoms such as ulcers, blisters, or swollen lymph nodes occur, seek medical attention immediately.