Sexually Transmitted Diseases/Recurrent red dots on glans


QUESTION: Hi my name is Kalle and I am from Sweden 23 years old,I have had two girlfriends both where virgin and they are the only I have had sex whit.I get the red dots after masturbation but not always, usually day after masturbation, but the strange thing is I get more red dots some days after and more, but then after 4-5 days something all red dots disappear and they do not return for 1 week and they are back again ? and it is after masturbation they come back.Sometimes I think I have got red dots after washing my penis but that s also day after washing.I wash my penis every day one time.I usually keep my penis very dry because I think I have an yeast infection ? oh by the way I do not have any pain.What I have notice is if I do not keep an good hygiene I get red dots but I am not sure about this because I can t remmember.

ANSWER: Hello Kalle,
My guess is that you are not circumcised (and therfore have a foreskin). "Red dots" after sex or masturbation represents just worn away unkeratinized epithelial cells on the moist underside of the foreskin. Using silicone based lubrication may help to prevent this, as water soluble lubes may dry out and cause irritation. Washing the penis is best done with just plain water, without irritating and harsh soaps. If you have a skin fungus such as yeast, than this requires treatment with an effective antifungal cream, such as terbenifine, miconazole, or tolnaftate.

Good luck!

---------- FOLLOW-UP ----------

QUESTION: Yes I am not circumcised, When I mean red dots, I mean red dots on glans. So this dosen t sound like an yeast infection ? Do I have to worry about this ? by the way do you whant me to upload an image ?

Hi Again, Kalle,
Your description was sufficient, without a photo. The red dots on the glans are suggestive of just a worn away epithelium.  It does not necessarily mean you have a fungal infection, but it is possible. See my previous comments.


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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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