What's the matter with the small pimple growing on the glans?

A circle of small pimples on the glans may be caused by pearly rash, genital warts, contact dermatitis, balanitis, lichen planus, etc. It can be improved by local cleaning, drug treatment, laser treatment, etc.

1. Pearl rash

Pearly rash is a benign lesion that manifests as neatly arranged white or light red papules on the coronal sulcus of the glans penis, which may be related to excessive foreskin or poor local hygiene. It is usually not accompanied by pain or itching and does not require special treatment. If it affects the appearance, laser or cryo removal can be considered, but it must be performed by a professional doctor.

2. Genital warts

Genital warts are caused by human papillomavirus infection and appear as papillary or cauliflower-like growths with a rough surface and may be itchy. It is mostly spread through sexual contact and requires prompt medical diagnosis. Treatment options include laser removal, topical imiquimod cream or podophyllotoxin tincture and other medications, which must be used strictly as directed by your doctor.

3. Contact dermatitis

Contact dermatitis may be related to allergies to condoms, detergents and other substances, and manifests as red papules with burning or itching. Symptoms may gradually ease after the suspected allergen is stopped immediately. In severe cases, you can use hydrocortisone cream or oral loratadine tablets as directed by your doctor to relieve symptoms.

4. Balanitis

Balanitis is often caused by bacterial or fungal infection, accompanied by redness, swelling, and increased discharge. A white film-like substance may appear during Candida albicans infection. Treatment requires selecting drugs based on the pathogen, such as ketoconazole cream for fungal infections and mupirocin ointment for bacterial infections. Patients with recurrent attacks may consider circumcision.

5. Lichen planus

Lichen planus is a chronic inflammatory skin disease manifesting as purple-red flat papules that may be accompanied by oral mucosal lesions. The cause is related to immune abnormalities and requires dermatological diagnosis. For treatment, fluticasone propionate cream can be applied topically. In severe cases, oral prednisone tablets are required to control the inflammatory reaction.

It is necessary to keep the perineum clean and dry on a daily basis and avoid excessive washing or use of harsh lotions. Choose breathable cotton underwear to avoid friction and irritation. If the pimple continues to enlarge, rupture, or is accompanied by abnormal secretions, you should see a dermatologist or urologist in time. Sexual life should be suspended during treatment, and sexual partners should be checked simultaneously to prevent cross-infection. The diet should be light and the intake of spicy food should be reduced to reduce local irritation.