How to treat small red spots on glans penis

The appearance of small red spots on the glans may be related to balanitis, allergic reactions, fungal infections, contact dermatitis or sexually transmitted diseases. It can be improved through local cleaning, anti-infective drugs, anti-allergic treatment, anti-fungal ointments and standardized STD treatment. It is recommended to seek medical treatment promptly to determine the cause.

1. Partial cleaning

Wash the glans and the inside of the foreskin with warm water every day and avoid using irritating lotions. Keep the perineum dry and breathable, and wear pure cotton underwear to reduce friction. If there is excessive foreskin, the folds must be thoroughly wiped dry after cleaning to prevent the moist environment from breeding bacteria.

2. Anti-infective drugs

For bacterial balanitis, topical antibiotics such as erythromycin ointment and mupirocin ointment can be used as directed by the doctor. Gonococcal infection requires intramuscular injection of ceftriaxone sodium, while non-gonococcal urethritis can be treated with oral azithromycin dispersible tablets. It is forbidden to have sex while taking the medicine.

3. Anti-allergy treatment

If red spots appear after contact with allergenic substances such as condoms and detergents, you need to stop using the allergen immediately. Oral loratadine tablets can relieve itching, and topical hydrocortisone butyrate cream can reduce inflammation. Severe allergies require intravenous injection of dexamethasone sodium phosphate injection.

4. Antifungal ointment

For red spots caused by Candida albicans infection accompanied by white discharge, clotrimazole cream or miconazole nitrate cream can be applied together with oral fluconazole capsules. Partners need to be treated simultaneously to avoid cross-infection. Diabetics need to strictly control their blood sugar levels.

5. Standardized treatment of sexually transmitted diseases

Syphilis chancre manifests as a painless red ulcer that requires injection of benzathine penicillin； Genital herpes requires oral acyclovir tablets to suppress the virus. For all sexually transmitted diseases, sexual contact must be avoided until recovery, and sexual partners must be notified for joint screening and treatment.

You should avoid scratching the affected area and avoid eating spicy and irritating foods. Shower rather than bath during treatment, and towels need to be boiled and disinfected. If the red spots continue to expand, suppurate, or are accompanied by fever, the treatment plan must be reviewed immediately and adjusted. Regular reexaminations are required to ensure that the pathogens are completely removed. For those with recurrent inflammation of the foreskin, circumcision may be considered to prevent recurrence.