The condition may be due to several causes such as pearly penile papules (a normal anatomical variant), balanitis (fungal or irritant), friction-related dermatitis, Fordyce spots, or less commonly sexually transmitted infections. Since the lesions have persisted for 6 months, a visual examination is necessary for accurate diagnosis. Please upload clear photographs of the affected area and provide information regarding itching, redness, discharge, burning during urination, sexual history, and whether you are circumcised. Until then, maintain genital hygiene, avoid harsh soaps, and use protection during intercourse. Further treatment depends on the exact diagnosis.
Most persistent spots on the glans are benign and treatable, but diagnosis cannot be made without examination. Kindly share clear close-up photographs and details regarding itching, burning, discharge, recent sexual exposure,
diabetes status, and circumcision status. Once evaluated, I can guide you regarding appropriate treatment. Avoid self-medication or steroid-containing creams until diagnosis is confirmed.
Next Steps
As diagnosis of genital skin lesions requires visual examination, I would recommend an online/private consultation with a dermatologist or venereologist for proper evaluation and treatment guidance.
Health Tips
Maintain genital hygiene, avoid harsh soaps and over-the-counter creams, and use protection during intercourse until the condition is evaluated.