It's understandable that you feel less comfortable talking to your health care provider about intimate areas of your body, but rest assured that these conversations happen every day. If it causes pain during erection, masturbation, or any other activity, a procedure under local anesthesia can be performed by a health care provider. Having phimosis means that the foreskin cannot be retracted fully (or at all) over the head of the penis. Since you've mentioned a tight foreskin, it's possible you are experiencing a condition known as phimosis. A health care provider can provide a diagnosis and recommend the appropriate treatment. These papules are frequently misdiagnosed as genital warts. Although their cause is not known, pearly penile papules seem to be more common in uncircumcised men. The bumps could also be pearly penile papules which are common, harmless, and not sexually transmitted. Your white-headed spots, as you call them, on the underside of your penis could be genital warts.
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January 2023
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