Why are there so many little red spots on my glans?

The appearance of small red spots on the glans may be related to local irritation, allergic reactions, infectious diseases and other factors. Common causes include balanitis, contact dermatitis, genital herpes, etc., which need to be comprehensively judged based on specific symptoms and medical history.

1. Local stimulation

Friction from clothing or excessive cleaning may cause local congestion on the glans, which appears as scattered red dots. There is usually no discharge or pain in this condition, and it may resolve on its own by keeping the perineum clean and dry. It is recommended to choose breathable cotton underwear and avoid using alkaline lotions to clean the external genitalia.

2. Contact dermatitis

Condoms, detergents and other contact objects may trigger allergic reactions, with well-defined erythema accompanied by itching. Suspected allergenic substances need to be stopped immediately. In severe cases, topical glucocorticoids such as desonide cream or mometasone furoate cream can be used as directed by the doctor, along with loratadine tablets for anti-allergic treatment.

3. Balanitis

Candida albicans or bacterial infection is common in people with foreskin and manifests as red spots, white discharge and burning pain. After diagnosis, clotrimazole cream needs to be used to treat fungal infections, and mupirocin ointment can be used for bacterial infections. Patients with recurrent disease should consider circumcision.

4. Genital herpes

HSV-2 virus infection can cause clusters of painful blisters that rupture to form red, erosive surfaces. Viral nucleic acid testing is required to confirm the diagnosis. In the acute stage, acyclovir tablets or famciclovir tablets can be taken orally as antiviral drugs, and penciclovir cream can be applied topically.

5. Syphilis chancre

Primary syphilis is characterized by painless red ulcers and is confirmed by a serological test. Penicillin drugs such as benzathine penicillin injection are the preferred treatment option. People with allergies can use doxycycline tablets or ceftriaxone sodium injection instead.

Daily attention should be paid to observe whether the red spots are accompanied by exudation, ulcers or systemic symptoms, and avoid scratching the affected area. It is recommended to wash with warm water every day and keep it dry, and suspend sexual life until the symptoms disappear. If the red spots last for more than 3 days or if suppuration or fever occurs, you must go to a dermatology and venereology department immediately. During the treatment period, you should strictly follow the doctor's instructions to complete the entire course of medication, and your spouse should undergo simultaneous examinations to prevent cross-infection.