Dermatology/Red splotch on Penis head
I just noticed 2 or 3 odd red splotches on the tip of my penis. I am married, 37, white and circumcised. They don't itch, burn, no pain or discomfort, no discharge or liquid coming out like with a blister or pustule. I do shave my pubic area and have sex a lot with my wife, so I thought it could just be some kind of irritation/friction burn sort of thing. Any advice would be greatly appreciated. Thanks!
Balanitis is swelling (inflammation) of the foreskin and head of the penis.
Causes, incidence, and risk factors
Possible causes include:
Diseases such as reactive arthritis and lichen sclerosis et atrophicus
Not rinsing soap off properly while bathing
Redness of foreskin or penis
Other rashes on the head of the penis
Painful penis and foreskin
Signs and tests
Your health care provider may be able to diagnose your balanitis by examination alone. However, you may need skin tests for viruses, fungi, or bacteria. Sometimes, a skin biopsy is needed.
Treatment depends on the cause of the balanitis. For example, balanitis that is caused by bacteria may be treated with antibiotic pills or creams. Balanitis that occurs with skin diseases may respond to steroid creams. Anti-fungal creams will be prescribed if it is due to a fungus.
In severe cases, circumcision may be the best option. If you cannot pull back (retract) the foreskin to clean it, you may need to be circumcised.
Most cases of balanitis can be controlled with medicated creams and good hygiene. Surgery is not usually needed.
Long-term inflammation or infection can:
Scar and narrow the opening of the penis (meatal stricture)
Affect the blood supply to the tip of the penis