What's the matter with millet pimples on the glans?

The appearance of millet pimples on the glans may be related to pearly penile papules, sebaceous heterotopia, genital warts, folliculitis or allergic reactions. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Pearly penile papules

Pearly penile papules are common benign lesions of male genitals, appearing as small white or skin-colored papules arranged neatly around the coronal sulcus of the glans penis. It may be related to poor local hygiene or excessive foreskin, and usually does not require treatment. If it affects the appearance, it can be removed by laser or freezing. It is necessary to keep the perineum clean every day and avoid excessive friction.

2. Ectopia of sebaceous glands

Ectopia sebaceum is an abnormal proliferation of sebaceous glands in the mucous membrane, manifesting as yellow or pale white granular protrusions on the glans. The disease is related to changes in hormone levels and is not contagious or malignant. Generally, no special treatment is required. In severe cases, retinoic acid cream or electrocautery treatment can be used as directed by the doctor. Be careful to avoid using harsh lotions.

3. Genital warts

Genital warts are caused by human papillomavirus infection and appear as cauliflower-like or papillary growths that are contagious. It needs to be removed by freezing, laser or photodynamic therapy, which can be combined with imiquimod cream, podophyllotoxin tincture and other drug treatments. Sexual contact is prohibited during the onset of the disease, and partners need to be checked simultaneously.

4. Folliculitis

Folliculitis is mostly caused by bacterial infection of hair follicles and manifests as red papules with pain. Mupirocin ointment, fusidic acid cream or compound polymyxin B ointment can be used externally to fight infection. Keep the area dry and breathable, and avoid scratching. Those with recurring symptoms need to check for underlying diseases such as diabetes.

5. Allergic reaction

Contact with allergenic substances such as condoms and detergents may cause itchy papules on the glans penis. Suspicious items need to be stopped immediately, rinsed with water and then apply hydrocortisone cream. For severe allergies, oral loratadine tablets can be taken. It is recommended to choose hypoallergenic care products and wear pure cotton underwear to reduce irritation.

You should pay attention to washing your genitals with warm water every day and avoid using alkaline shower gel. Choose loose and breathable cotton underwear, wash them frequently and expose them to the sun for disinfection. The diet should be light and reduce the intake of spicy and irritating foods. If the pimple continues to enlarge, rupture, or is accompanied by secretions, you must immediately go to a dermatology or urology department. If necessary, perform a pathological examination to rule out malignant lesions.