[24M] With itchy white pimples on the penis

Patient Description

A 24-year-old male presents with a one-week history of white pimples located on the penis, which began itching yesterday. The pimples are grouped together in one area. The patient reports mild itchiness that is relieved by water application. There is no associated pain, discharge, fever, or swollen lymph nodes. The patient has a recent history of unprotected sex two weeks prior but no new or multiple partners. No past medical history, known drug allergies, or current medications were reported. The patient has not been exposed to any new environments or individuals with similar symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, the white, itchy pimples on your penis could be due to several conditions:

  • Genital Warts: These are small, fleshy growths, bumps or skin changes that appear on or around the genital or anal area. They are caused by the human papillomavirus (HPV).

    • Treatment typically involves topical medications to help clear the warts. In some cases, they may need to be removed by a healthcare provider.
  • Molluscum Contagiosum: This is a skin infection caused by the molluscum contagiosum virus. The symptoms are small, firm, raised spots on the skin, which are usually 1–5mm in diameter with a dimple or pit in the middle. They are usually not painful, but can be itchy.

    • Treatment is often not necessary as the spots usually disappear on their own. However, it can take more than a year for the spots to all go away.
  • Herpes: Genital herpes is a common sexually transmitted infection caused by the herpes simplex virus (HSV). Symptoms can include painful blisters and ulcers on the penis, but some men have no symptoms.

    • Antiviral medication can be prescribed to treat or prevent outbreaks.
  • Balanitis: This is inflammation of the head of the penis. It can cause redness, swelling, and a build-up of thick fluid. It can be caused by an infection, but is often a result of poor hygiene.

    • Treatment usually involves good hygiene practices and a topical cream.

Please note that these are potential explanations for your symptoms, but the only way to get a definitive diagnosis is to see a healthcare provider.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Maintain good hygiene: Keep the area clean and dry. Avoid using perfumed soaps or shower gels, as they can cause irritation.

  2. Avoid scratching: This can make the itchiness worse and could potentially lead to an infection.

  3. Use a condom: Until you have seen a healthcare provider and know what is causing your symptoms, it is important to use a condom during sex to prevent potentially spreading an infection to your partner.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Pain or discomfort during urination
  • Unusual discharge from the penis
  • Swelling or redness around the penis
  • Fever or feeling unwell

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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10 mo ago

People Also Ask


What are the common causes of white pimples on the penis?

Common causes of white pimples on the penis include genital warts, molluscum contagiosum, herpes, and balanitis. Each condition has distinct characteristics and may require different treatments.


How can I differentiate between genital warts and molluscum contagiosum?

Genital warts are typically small, fleshy growths caused by HPV, while molluscum contagiosum presents as small, firm, raised spots with a dimple in the center. A healthcare provider can provide a definitive diagnosis.


What are the treatment options for genital herpes?

Treatment options for genital herpes include antiviral medications such as acyclovir, valacyclovir, or famciclovir, which can help reduce the severity and frequency of outbreaks.


When should I see a doctor for symptoms like these?

You should see a doctor if you experience pain during urination, unusual discharge, swelling, redness, fever, or if the symptoms persist or worsen. A healthcare provider can offer a proper diagnosis and treatment plan.


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