What is the reason for the red spots on the head of the penis?

Patient's question:

Medical Description: There are red bumps and spots on the head of the penis with some itching, but my foreskin is a bit long. There's also another issue: during sex at night, the first time is short, but the second time is normal. Why is this? I hope for a detailed explanation. Thank you!
History of Treatment and Effects: No treatment has been done!
What kind of help do you want: Medication or topical medication?

Doctor's answer:

Hello, there are red spots on the glans with itching, which is likely caused by balanoposthitis due to excessive prepuce. The main reason is the accumulation of smegma, as the prepuce's sebaceous glands also secrete sebum. If it's not cleaned promptly, smegma can easily lead to inflammation and produce a foul odor. It is recommended that you avoid sexual activity for the time being, as it can easily lead to mutual infection.
Advice: Hello, there are red spots on the glans with itching. It is recommended that you pay attention to personal hygiene and rinse the prepuce with warm water daily. If you have an issue with excessive prepuce, it is advisable to undergo a prepuce circumcision surgery at a professional urological hospital. In terms of diet, avoid spicy foods and maintain regular bowel movements. Keep a positive mindset and consume more fruits and vegetables.

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