What are the pimples on my foreskin?

Acne on the foreskin may be a sign of diseases such as pearly rash, folliculitis, ectopic sebaceous glands, genital warts, or genital herpes. These symptoms are usually related to poor local hygiene, infection or allergic reactions. It is recommended to seek medical treatment in time for a clear diagnosis.

1. Pearl rash

Pearly rash is characterized by the appearance of small white or light red papules around the coronal groove of the foreskin, which are neatly arranged and painless and itchy. It may be related to poor local hygiene or abnormal physiological development. Generally no special treatment is required, just keep the perineum clean and dry. If it affects the appearance, laser treatment can be considered, but it must be carried out under the guidance of a doctor.

2. Folliculitis

Folliculitis is mostly caused by bacterial infection and manifests as red papules with pain, and there may be pus spots at the top. It is related to local moisture, sweating and friction irritation. You can use topical antibiotics such as mupirocin ointment or fusidic acid cream as directed by your doctor, and avoid scratching. Wear breathable cotton underwear every day.

3. Ectopia of sebaceous glands

Ectopia sebaceum is small yellow or white particles formed by abnormal proliferation of sebaceous glands. They are common in the inner plate of the foreskin and are soft to the touch. It is a benign condition and usually does not require treatment. If redness and swelling occur due to infection, you can use erythromycin ointment and other drugs as directed by your doctor to control inflammation.

4. Genital warts

Genital warts are caused by human papillomavirus infection and appear as cauliflower-like or papillary growths that are contagious. Warts need to be removed through cryotherapy, laser or photodynamic therapy, and combined with drugs such as interferon gel to inhibit the recurrence of the virus. After diagnosis, sexual contact should be avoided until recovery.

5. Genital herpes

Genital herpes initially manifests as clusters of small blisters, which rupture to form ulcers with burning pain. Caused by the herpes simplex virus and prone to recurrence. In the acute stage, you can take oral acyclovir tablets or topical penciclovir cream as directed by your doctor, while keeping the affected area clean and dry. It is forbidden to have sex during the attack.

Daily care should be taken to clean the foreskin and glans with warm water every day and avoid using irritating lotions. Choose loose and breathable underwear to reduce local friction. When abnormal acne occurs, it is forbidden to squeeze or apply folk remedies on your own. You should go to a dermatology or urology department in time to determine the cause through secretion testing, acetic acid whitening test and other methods. During the treatment period, medication must be strictly followed as prescribed by the doctor, and the efficacy must be reviewed regularly to evaluate the efficacy.