Sexually Transmitted Diseases/White spots on glands


Spots near Corona
Spots near Corona  

Spots near Tip
Spots near Tip  
I am a 25 year old male who is sexually active with one partner. I am uncircumcised and have vitiligo.

I have clusters of small white spots on my penis head, that don't itch or burn, that showed up the day following having sex without lubrication.

A couple months back the same spots occurred in similar places the day after I stimulated myself three times in the same day, at the time I assumed I just roughed myself up but now that the same thing has happened I'm wondering if it's something else. They cleared up in about a week last time it happened.

I'm going to my yearly check up in a few weeks and am trying to find out what questions to ask my GP and to better gauge if i should go to urgent care before then.

Thank you in advance.

Hello Rob,
The tiny white spots are not evidence of vitiligo, although that skin condition can occur on the penis. No reason to go to urgent care.  You are uncircumcised, and when exposed to a lot of friction through sex or otherwise, the top layer of non-keratinized skin may slough off due to friction, excessive dryness or other problems. remaining "islands" my appear as these white dots. Give yourself a few weeks to heal up, and the skin should begin to look more normal.  In some cases, such white dots and patches may be associated with human papilloma virus (HPV) infection, but the only way to know for sure is either wait and see how it progresses (gets worse) or regresses (gets better), or more radically, biopsy or treat the area and hope for a positive outcome.  Needless to say, biopsy or treatments are painful, and are usually unnecessarily so.  

Good luck!

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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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