What is the reason for small red spots on the glans without any abnormalities?

Patient's question:

Detailed medical condition and consultation purpose: Initially, several red spots appeared on the glans, which gradually increased. Occasionally, mild itching was experienced. A few days later, white discharge with a bad odor appeared. What is the condition? How should it be treated? Does it affect fertility?
Duration and persistence of the current illness: It has persisted for 5 years.
Current general condition: Relatively stable, with a rapid decline in libido.
Medical history: 5 years.
Previous diagnoses, treatments, and outcomes: It was once suspected to be candidal balanitis. Oral Huangtong tablets and topical Paier, Daktar were used, but no improvement was observed.
Additional tests:

Doctor's answer:

Hello, the condition you mentioned should be balanitis caused by bacterial infection, such as trichomoniasis or fungal infections. Currently, there is no reaction, and no special treatment is needed. First, pay attention to hygiene—wash with clean water twice a day. Also, monitor the situation and avoid sexual activity. If any symptoms appear, then you can consider using topical medication.

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