Black dots on the scrotum - all the reasons with photos and treatment

Visit to the urologist

To determine the causes of redness, visit a urologist. A qualified doctor, using differential diagnostics and tests, will be able to make the correct diagnosis and relieve the patient of discomfort and pain.

What to expect at your doctor's appointment?

The urologist will conduct an external examination and make a preliminary judgment
To confirm the diagnosis, you will need an ultrasound examination of the scrotal organs to determine their internal condition. There is no need to prepare specially for the procedure, but the genitals, of course, must be clean.
The doctor will also take swabs from the surface of the affected skin, from the urethra, and prescribe other necessary tests.

Seek medical help immediately (even call an ambulance) if the following alarming symptoms are present:

are bothered by sudden, sharp pain in the groin,
pain is accompanied by nausea, vomiting, high fever,
changes in color (blueness, redness), the structure of the tissue of the scrotum itself, its contours or size are visible.

Etiology and clinic

Among the most common causes of blackheads on the scrotum are:

atheroma - appears when the sebaceous gland is blocked, and is benign in nature. The provoking factor is a high concentration of testosterone, increased sweating, a significant number of sebaceous glands in the skin of the scrotum, as well as severe physical activity. At first, atheroma looks like a small black dot that is difficult to notice. There are no complaints at this stage. Over time, the atheroma is filled with a composition of sebum and epidermal cells, so the formation becomes convex. In this case, the atheroma becomes visually noticeable, it is easy to feel during palpation (it moves slightly when touched);
If black dots appear on the testicles, you can suspect infection with the human papillomavirus, since it is the genital warts caused by this infection that have this appearance. Papillomas can be located not only on the scrotum, but also on the penis, foreskin, and around the anus. At first, papillary warts look like individual black dots, but they grow quite quickly, increase in size, and resemble cauliflower in appearance. The growth of condylomas is accompanied by a burning sensation and sometimes by an enlargement of the testicle;
varicocele - damage to venous vessels like varicose veins. Its development is accompanied by the appearance of dark blood spots on the testicles, pain in the scrotum, and discomfort when walking. The disease progresses slowly, so it is rarely diagnosed in the early stages. At later stages of development, varicocele appears as dark spots on the skin of the scrotum. If left untreated, the nutrition of the spermatic cord is disrupted, chronic inflammation occurs in the urethra, erection decreases, and infertility is possible;
if black dots appear on the testicles, these may be angiokeratomas (Fordyce papules). This is a completely safe rash that does not cause any subjective complaints. Its etiology is not fully understood. Injuries to the scrotum, blockage of the sebaceous glands, and hormonal disorders play a certain role. The appearance of such elements is associated with disorders of the digestive system. They are more often found among patients with concomitant Crohn's disease, hemorrhoids, and chronic constipation;
contact dermatitis - develops as the body’s response to intimate hygiene products, powders, synthetic underwear or condoms. Associated symptoms are intense itching, burning and redness of the inflamed area;
Molluscum contagiosum - has a viral nature, accompanied by rashes in the groin, on the torso and face. On the testicles, the rash looks like dark dots that turn into formations with white contents. They are mobile and soft. When you press on the rash, a white and thick liquid appears;
mechanical injuries to the scrotum due to rough sexual intercourse, shaving with an old razor, friction with synthetic underwear;
hyperpigmentation in the form of age spots, moles. They do not cause other clinical manifestations, except for changes in skin color, do not require treatment, but require constant monitoring. If there is active growth of pigment elements on the skin, you should consult a doctor;
very rarely, the cause of black spots on the scrotum is skin cancer or HIV infection.

Consequences

In mature representatives of the stronger sex, redness of the scrotum and pain may indicate:

Allergic edema. The scrotum increases in size (usually on both sides, symmetrically), the skin on it acquires a reddish tint, becomes tense, and the patient feels itching of the genitals. An allergic reaction is diagnosed using ultrasound, diaphanoscopy (tissue x-ray) - to exclude other pathologies; blood and urine tests.
Varicocele - varicose veins of the testicle, spermatic cord. This is a fairly common problem in young men. It does not pose a serious threat to the patient; in mild cases it may not manifest itself in any way. However, complications of the disease include pain and infertility.
Inflammation of the testicle and its epididymis. Symptoms are redness of the scrotum, noticeable swelling, pain, fever, problems with urination. The urethra and prostate are also often affected.
Urolithiasis. You can identify it yourself like this: the pain affects not only the scrotum, but also the lower back, and there is blood in the urine.
Sexually transmitted infections or local inflammatory process. In addition to hyperemia, there is itching in the genitals, peeling of the skin, the appearance of ulcers or ulcers, and other similar “charms”.

Reasons for appearance

The reason for the appearance of black dots on male testicles can be:

features of the intimate zone. The delicate skin of the scrotum has glands, the number of which varies individually. If the ducts of the glands become clogged with excess discharge, pimples appear;
Regular shaving using improper methods. Leads to ingrown hairs;
personal hygiene and lifestyle of men. The groin area is sensitive. It requires regular care, breathable, loose underwear;
heavy physical activity leads to increased sweating, including in the intimate area. Excessive sweating causes clogged pores, which looks like comedones.

In addition, the reasons for the appearance of black dots on the testicles may lie in diseases of the internal organs:

varicocele is varicose veins;
benign neoplasm – atheroma;
benign formations of blood vessels, so-called angiokeratomas;
hormonal imbalance in the body. On its own, it does not cause skin problems, but it can cause increased sweating and provoke the growth of tumors;
inflammatory diseases of the skin – seborrhea;
infections: viral, fungal, bacterial. This also includes sexually transmitted infections.

Comedones and pimples on the scrotum in 80% of cases appear in men during puberty. This is due to increased activity of the sebaceous and sweat glands. At this time, the risk of developing varicocele is also increased, doctors say.

READ ALSO: Why do acne appear on the face and chin before menstruation and how to fight it?

Redness of the skin on the testicles photo

Characteristic symptoms and signs of diseases

Some features can distinguish one disease from another. In any case, understand when emergency medical care is required. In addition, it is important to understand the consequences of delaying or refusing treatment in each individual case. Here are the characteristic signs of the most likely causes:

Testicular cyst. It practically does not manifest itself in any way; it can only be detected using an ultrasound examination, and removed only through surgical intervention. The only sign of this formation is redness of the skin in the scrotum area.
Malignant neoplasm. As you know, cancer does not manifest itself in any way until a certain moment. Pain appears only when the disease has already reached severe stages. Meanwhile, at an early stage, cancer can be successfully treated, so identifying it as early as possible is a great success. In this case, redness of the scrotum may be the very sign that will identify the disease at the initial stage.
Inflammation of the epididymis and/or testis is accompanied by a number of symptoms. First of all, an increase in the size of the testicle is noted, in addition, redness of the skin in this area may occur. This disease requires professional examination and treatment.
Diseases of the circulatory system, accompanied by damage to the veins in the scrotum, can also cause redness on the testicles in men. In this case, nodular thickenings will be observed, reminiscent of varicose veins. This disorder also requires treatment, mainly through surgery.
One of the rarest, yet most dangerous diseases, accompanied, among other things, by redness of the scrotum, is Fournier’s gangrene. In this case, the man experiences acute pain and swelling in this area, body temperature rises, a rash appears in the intimate area, and nausea. The process develops rapidly and threatens tissue atrophy, which is fraught with organ loss, and in the most severe cases, death.
If a man's testicles are red and itchy, the cause may be a mycotic skin lesion. Fungal infection is often localized in the inguinal fold and on the scrotum, since there is the most favorable environment for the proliferation of pathogenic fungi. In this case, the man will feel severe itching in the groin, the redness will begin to peel off as the process progresses, and its area will increase. Over time, large red spots and rashes appear in the groin area, and there is peeling on the pubis. A fungal infection requires treatment using special antifungal agents.

It should be emphasized that none of these diseases will go away on their own. Moreover, all of them threaten a man’s health, and some even his life. Therefore, postponing a visit to the doctor in the hope that the situation will stabilize is extremely irresponsible. If redness of the testicles and itching turn out to be signs of simple irritation, then they will disappear on their own the next day. However, if this does not happen, there is no point in waiting any longer; you need to contact a specialist.

If we are talking about redness of the testicle in a child or teenager, then the cause may be a mechanical injury, for example, a blow, compression, etc. During the game, a child may not even pay due attention to the incident that occurred, and subsequently completely forget about it. In any case, you should show the child to a doctor, undergo an examination if necessary, and monitor his condition for some time, at least a year. This will avoid possible complications in the future.

It should also be remembered that in adolescents, inflammation of the appendages and testes can occur as a complication after infectious diseases, tonsillitis, or mumps. Therefore, it is necessary to pay attention to the child’s health in this area if he has suffered from one of these diseases. The surest tactic under any circumstances, both for children and adults, is regular preventive examination by specialized specialists.

What is scrotal atheroma?

Among the many diseases of the male genital organs, skin atheroma occupies a special place.
What is it? It is a benign, tumor-like formation that develops as a result of blockage of the sebaceous glands. The second name is sebaceous gland cyst. A similar formation is observed in approximately every fifth man. At the initial stages of development, it does not pose any threat to the health or life of the patient, but as it progresses it can cause complications (suppuration). Over time, the number of such formations may increase, and atheromatosis (multiple atheromas) develops. Atheroma of the scrotum and other organs can be observed more often in men than in women.

It should be noted that cysts can form on any part of the body where there are sebaceous glands.

Most often it occurs on the head, face, back, neck and genitals. Let us consider in more detail what atheroma of the scrotum is, the causes of its occurrence, and the treatment of this disease.

Redness of the testicles in men

Changes in the color and structure of the external genitalia always affect not only the physical, but also the psychological state of a man. Any deviations from the norm make him feel insecure. He is embarrassed by the problem and avoids intimacy. Unfortunately, men often forget that any symptom is not just a cosmetic defect, but a signal of a possible disorder in the genitourinary system.

When skin peeling occurs, black spots appear, pimples and itching in the perineum cause discomfort, and the skin cracks, you cannot hesitate.

Most diseases of the genital area can be easily treated if you consult a doctor in time. Effective therapy can be selected only after the cause of redness of the testicles has been established and an accurate diagnosis has been made.

Spermatocele

This disease is characterized by the appearance of a cystic formation on the testicle itself or its appendage. The only symptom of a cyst is redness.

Spermatocele can only be diagnosed by ultrasound. To detect a cyst, a sonologist usually only needs a surface probe. But sometimes the place where the formation is located can only be detected using an internal scanner. If we talk about treatment, spermatocele can be eliminated surgically.

Varicocele

This is a disease in which the veins in the testicles and spermatic cords dilate. In addition to redness noticeable to the naked eye, cutting pain occurs in the affected area. It is caused by slowing blood flow.

The violation is also accompanied by:

fever;
edema;
hyperemia;
protrusion of veins

Poor circulation requires immediate intervention from a specialist. Without surgery, a man develops infertility, the size of the testicle decreases, and other disorders occur in the sexual sphere.

Testicular torsion

Redness of the testicle is one of the first symptoms of twisting of the seminiferous tubule when the testicle moves within the scrotum. This pathology is called testicular torsion. In addition to such a sign as redness, torsion has other characteristic symptoms:

nausea;
urge to vomit;
collapse.

Testicular torsion occurs when there is a bruise, strong tension in the muscle tissue, or sudden turns. All these factors increase blood flow and lead to redness.

Symptoms

The dots usually appear in clusters. In this case, up to 100 spots can be observed on the scrotum at the same time. But sometimes single papules appear. They are not painful, but may become irritated or bleed if scratched.

Most people do not experience any other associated symptoms.

But if blackheads are the result of Fabry disease, then it has its own additional symptoms. Although the first most noticeable sign may just be dark spots on the scrotum or body, other signs may appear later with age. These include:

Sharp pain in the arms and legs, especially after strenuous activity or exercise
Insufficient sweat production (hypohidrosis)
Ringing in the ears (tinnitus)
Blurred vision
Bowel problems such as diarrhea and constipation.

Inflammatory processes

If you suspect the development of an inflammatory process in the scrotum area, it is important to find out its true cause. For this reason, postponing a visit to the doctor is contraindicated. Otherwise, serious complications may develop that affect the man’s health.

Bacteria such as streptococci, staphylococci and E. coli can easily enter the reproductive system area through microtraumas of the skin. In such cases, the inflammatory process begins to develop in the scrotum area.

If a man has received a serious injury to the scrotum (from a fall or from a blow), then redness of the scrotum (photo of a similar blow in the article) will not only be accompanied by pain, but the development of an inflammatory process against the background of the injury is possible. It is important not to delay contacting a specialist who can determine the severity of the injuries and select treatment.

Condylomas acuminata

Black dots on the testicles in men may turn out to be incipient condylomas. Given the roughness of the skin of the scrotum and its dark color compared to other areas, small developing condylomas may look like small dots that protrude slightly above the surface. Over time, they will, of course, increase in size, and they can be viewed and determined with greater accuracy.

At the initial stage, genital warts on the testicles may look like small, often multiple, protruding growths. In addition to the scrotum, they can be localized in areas such as:

shaft and head of the penis;
foreskin;
periphery of the anus;
rectum.

It should be remembered that condylomas do not disappear on their own. In any case, treatment cannot be avoided. Therefore, it is better to start it as soon as growths are detected. In addition, this type of neoplasm is viral in nature, easily spreads over the surface of the skin and is transmitted to other people through any type of contact, in this case mainly sexual.

In the absence of treatment, condylomas usually greatly increase in size and number, merge, forming a complex of growths. Condylomatosis is treated surgically, removing growths from the surface of the skin. There are several methods used in this case. Laser and radio wave removal remain the most preferred.

If black spots on the scrotum turn out to be the result of hyperhidrosis, hormonal disorders, skin and other diseases, it is necessary to establish and eliminate the cause of their formation. Of course, in this case it makes no sense to fight directly with the points themselves. Problems such as hormonal disorders or seborrheic manifestations are sometimes chronic and protracted. Solving them requires a lot of time and considerable effort. It is impossible to cope with this task on your own, but leaving it unattended is dangerous, since you may encounter complications. Therefore, the appearance of blackheads should be considered as a reason for examination and consultation with a doctor.

Blackheads on the scrotum are usually caused by a condition called Fordyce's angiokeratoma, and are medically called papules. These dark spots are made up of blood vessels that dilate and become visible on the surface of the skin.

The dots may be uneven and rough to the touch, and are often dark purple or red rather than black. Angiokeratoma of Fordyce can also appear on the surface of the penis and inner thighs.

These growths are usually not a cause for concern, especially if you have no other symptoms. The article discusses the causes of spots, symptoms and possible treatment.

Causes
Symptoms
Diagnostics
Treatment
Forecast

Infections of the genitourinary system

Sexually transmitted infections are known pests to men's health. When entering the genitourinary system, pathological bacteria begin to actively multiply. Some diseases are accompanied by clear symptoms, while others can proceed completely unnoticed.

The main danger is:

Chlamydia.
Mycoplasmosis.
Ureaplasmosis.
Trichomoniasis.

Such diseases are accompanied by a number of their own symptoms, but redness of the scrotum is most likely inevitable, although not necessary. It is important to consult a venereologist in time and undergo a course of treatment. Sexually transmitted infections are dangerous not only for a man, but also for his sexual partner.

Allergic reactions

Allergies can be an unexpected and unpleasant surprise for a man. It is very difficult to insure against such a reaction of the body; most often an allergic reaction occurs against the background of wearing synthetic underwear, or using inappropriate cosmetics.

In most cases, individual intolerance is accompanied by a number of symptoms:

Increase in size of the scrotum.
Redness and itching of the skin.
Feeling of skin tightness (increased tension).
Deterioration of the condition after contact with the catalyst (this makes it possible to identify the allergen).

The problem can be solved by eliminating the irritating factor; if allergies cause severe concern, then it is better to consult a doctor and choose a hypoallergenic remedy.

Forecast

In most cases, blackheads on the scrotum are harmless. However, you should see a doctor for a diagnosis to rule out Fabry disease.

Fabry disease may require long-term treatment to control the accumulation of fat in cells and associated symptoms. If left untreated, the disease can lead to heart failure, kidney failure, or stroke.

Black spots on the testicles are a common cause of anxiety among men. Any changes in the appearance of the genitals require careful diagnosis. The appearance of black dots in the scrotum area may be of a viral, fungal or bacterial origin. In some cases they do not pose a danger, in others they require urgent treatment.

Based on the frequency of occurrence, two reasons can be distinguished: blockage of the sebaceous glands and skin injury (bruising) after shaving. They do not pose any danger to the life of men; in most cases they disappear without a trace.

Manifestations of hematocele

There are pathologies that develop inside the scrotum, affecting the main reproductive organs, but do not cause an inflammatory focus. For example, hydrocele, which involves the accumulation of excess fluid around a man's testicles, which provokes increased bleeding in this area (hematocele). Against the background of such a deviation from the norm, it is characterized by the appearance of red lesions on the surface of the scrotum.

Hematocele causes a feeling of constant discomfort in the groin area, accompanied by pain. If an infection enters the body, the body temperature may increase.

Injuries

There is a high probability of injury to the scrotum after falls, blows, or unsuccessful cycling. Tissue swelling occurs, blood vessels dilate, and local hemorrhage (hematoma) may develop. Redness of the scrotum in these cases is accompanied by sharp pain and an increase in size. Here it is important to consult a doctor as early as possible, identify the extent of the damage and begin treatment, usually conservative. Only in cases of irreversible tissue changes (compression, crushing) is surgical correction indicated.

In case of secondary infection, a delayed reaction is possible (see below)

Secondary infection after injury

Clinically, a delayed reaction occurs (after a few days):

pain and tenderness and palpation;
swelling and redness;
increase in temperature (general and local, in the area of infection development).

The most serious consequences are the formation of abscesses (limited purulent foci).

Specific infections

Chlamydia is the main causative agent of one of the most common sexually transmitted diseases - chlamydia

Specific infectious processes occur in sexually transmitted diseases.

The causative agents are:

chlamydia;
mycoplasma;
Trichomonas;
ureaplasma.

In this case, treatment with special antibacterial agents under the supervision of a venereologist is necessary.

Allergy

One of the significant reasons for redness of the scrotum is a local reaction to allergens. In most cases, on synthetic fabrics from which linen and hygiene products are made (shower gels, soap).

Associated symptoms:

bilateral enlargement of the scrotum;
skin tension and smoothness;
severe itching of the genitals, groin area;
worsening of the condition after contact with the allergen.

If you suspect this condition, you should avoid contact with the possible cause, refrain from consuming irritating foods and consult a doctor. Antiallergic drugs will restore health, and the use of hypoallergic hygiene products will prevent the progression of the process.

Dermatitis

Redness of the scrotum with dermatitis is quite common.

Doctors note that dermatitis itself is mainly a skin, non-infectious disease. Characterized by active inflammatory processes in the skin. Inflammation most often develops due to exposure to any negative environmental factors.

Conventionally, all dermatitis is divided into facultative and obligate. The former are constantly present and occur with periods of remissions and exacerbations. For example, dermatitis due to allergies is optional.

The latter are caused by some negative factors of a short-term type of impact. They tend to disappear as soon as the body is no longer affected by this factor. A good example of obligate dermatitis is chemical inflammation due to contact with a substance.

Dermatitis is a complex disease that is quite difficult to treat. In men, the erythematous form of this pathology most often develops in the scrotum area. It is a consequence of friction against tight clothing or low-quality fabric, which is sometimes used in the manufacture of linen. However, the scrotum can also be affected by systemic dermatitis of the skin that is not associated with friction.

Streptoderma

Redness of the scrotum with streptoderma is another problem that is traditionally associated with small children, even infants. After all, they suffer from this disease quite often. Due to the fact that the body’s immune system is not yet perfect and has not fully adapted to the surrounding world.

However, in children, streptoderma usually affects not only the scrotum, but the entire body as a whole. In this case, treatment is carried out by a pediatrician.

But few people remember that adult men can also suffer from streptoderma. In this case, the scrotum is mainly affected. Since in this area optimal conditions have been created for streptococcus to multiply at full strength.

It is important to remember that redness of the scrotum from diaper rash is often accompanied by a streptococcal infection. The patient experiences itching, burning and other unpleasant symptoms, which force him to see a doctor.

In the initial stage of streptoderma, providing assistance to the patient is quite simple. All that needs to be recommended is to constantly ventilate the affected area, avoiding the accumulation of sweat and frequent friction there.

If the disease is severely advanced, careful medical supervision is required. To prevent the spread of the infectious process throughout the body as a whole.

Redness of the scrotum due to STDs

With STDs, as dermatovenerologists note, redness of the scrotum may develop. It is especially often formed if the infection was not treated in time, and it migrated from the external genitalia deeper into the body.

Redness of the scrotum is often accompanied by orchitis and epidymitis caused by sexually transmitted diseases.

In orchitis, the tissues of the testicle are directly affected, while in epididymitis, the tissues of the epididymis are involved. There is also a combined pathology in which both the epididymis and the testicle itself become inflamed. Its name is orchiepididymitis.

The scrotum may also become red with prostatitis, which is caused by sexually transmitted infections. Moreover, as doctors note, such a development of events is not uncommon. It is quite common in medical practice.

It is important to remember that the incubation period of the STD itself does not play a role in the development of redness of the scrotum. This is due to the fact that in most cases, incubation is aimed at the reproduction of bacteria or other pathogens in the primary focus, that is, on the penis. When the scrotum is involved, the lesion is secondary.

There are already enough microorganisms in the body that cause the inflammatory process, that is, the incubation period has passed.

Pediculosis and redness of the scrotum

Redness of the scrotum due to lice pubis is another common problem faced by men today. Moreover, for some reason it is believed that pediculosis is a disease of the past. Allegedly, it is difficult to meet in the modern world, where without hygiene a person will become an outcast in society. However, as medical practice shows, pediculosis is still very common among the population. Moreover, people forget that lice live not only in the hair growing on the head, but also in the vegetation that is localized in the genital area.

Redness and burning of the scrotum may well be a consequence of lice pubis. Moreover, doctors note that the skin with this disease not only turns red, but tends to become covered with blisters.

Another natural symptom of the disease is itching. It is important to remember that lice drink human blood through bites. This means that parasites violate the integrity of the skin, leaving open wounds after they satisfy their hunger. As a result, the likelihood of encountering secondary infections increases.

Pediculosis pubis is not a disease of the past. And it’s a completely modern pathology, from which even city residents are not immune!

Redness of the scrotum with other pathologies

As doctors note, the scrotum can become red and inflamed for other reasons, excluding those listed.

Factors may include:

Malignant neoplasms

If the scrotum turns red due to a malignant neoplasm, then this is most likely a local reaction of immune defense. The task of which is to stop the development of the pathological process. As doctors note, redness usually occurs at fairly late stages.

Hematocele

Hematocele refers to the accumulation of blood in the lining of the testicle. Pathology usually accompanies congenital varicocele, but can also be diagnosed in isolation.

Elephantiasis

The disease is a consequence of lymph stagnation.

At the same time, lymph also stagnates in the external genitalia, which is why they can increase in size and turn red.

As doctors note, elephantiasis can be primary in nature, which is quite rare,

Or be secondary, which usually occurs with an initial infectious or neoplastic process that involves the lymphatic vessels and leads to their damage.

Treatment of scrotal angiokeratoma

If a man is diagnosed with scrotal angiokeratoma, treatment depends on the patient’s wishes . For Fordyce disease, therapy is not necessary, since the disease is not life-threatening and in rare cases leads to complications.

The main direction of treatment for scrotal angiokeratoma is the elimination of the cosmetic defect. Methods for removing rash elements are:

Removal with a scalpel under local anesthesia. This method has a disadvantage - with a large number of elements, the skin of the scrotum is significantly injured.
Removal using liquid nitrogen. Burning is carried out. Can be performed under local anesthesia. It is necessary to carry out several sessions, as the procedure is painful and leaves burns. Disadvantages include discomfort for several days after the procedure as the scrotum becomes painful.
Removal using high frequency current. The procedure is called electrocoagulation. In case of significant skin damage, several sessions are also necessary. The disadvantages are the same as when removing with liquid nitrogen.

The most modern method, which has a minimum of disadvantages, is to remove the rash using a laser. Despite the damaging effect on papules, laser removal preserves the elastic properties of the skin and regenerates all layers of the skin. It also restores microcirculation, which is necessary to prevent relapses of Fordyce’s disease. Unlike surgical removal, electrocoagulation or nitrogen application, laser therapy is not painful. It is possible to eliminate the problem in one session, and after the procedure, discomfort is noted only for 1-2 days .

To reduce the severity of the process, you can lubricate the scrotum with jojoba oil or retin A, which promote epithelial regeneration and prevent the emergence of new rash elements.

If a man has subjective sensations (itching, burning), symptomatic therapy is used.

Which doctor should I go to if my scrotum is red?

Patients who experience redness of the scrotum are often interested in the question of which doctor to contact with a complaint about such a symptom. After all, there is no specialist who specializes specifically in diseases of the scrotum.

There are several options.

Dermatovenerologist

The first doctor you should visit will be a dermatovenerologist. The doctor will be able to examine the skin, evaluate other symptoms that the patient complains about, and, after conducting the necessary diagnostics, make a diagnosis. If a dermatovenerologist cannot cope with the diagnosis, he will at least rule out skin and venereological pathologies.

Urologist or andrologist

These doctors usually specialize in treating the urinary system or the prostate itself. However, they can also provide assistance with pathological processes in the scrotum area.

Oncologist

If there is a suspicion of the development of a neoplasm - no matter whether it is malignant or benign - it is necessary to visit an oncologist.

The doctor will conduct an examination and prescribe tests, according to which a diagnosis will be made and treatment will begin. Other health care professionals may also be involved in patient care. For example, an allergist, an immunologist, an infectious disease specialist, etc.

diagnosing

The doctor will perform various tests to determine the cause of spots on the scrotum.
They may be able to make a diagnosis based on a physical examination alone, but more complex tests may be required. The doctor may also refer the person to a dermatologist who specializes in skin conditions. This will depend on the person's symptoms and other factors specific to them.

https://www.youtube.com/watch?v=3gBSQBxbi3c

Tests often used to diagnose black spots on the scrotum include:

complete blood count
liver and kidney function tests
Screening for STIs such as HIV and hepatitis B and C.
erythrocyte sedimentation rate test, which can indicate the degree of inflammation.
a biopsy, which involves taking a sample of skin for examination.
ultrasound of the lower abdomen and genital area.

Black dots on the scrotum in men photo

Treatment and prevention

Important! Whatever the nature of the blackheads on the scrotum, do not pick at them under any circumstances. The addition of a secondary infection, even with a benign course, can greatly harm health.

Unfortunately, without an in-person examination, it is not possible to determine the exact cause of black dots on the testicles. It is enough for the doctor to examine the clinical picture to make an accurate diagnosis. In case of diagnosis of angiokeratoma, Fordyce recommends not to carry out any manipulations with the rashes, since they are a normal variant. For molluscum contagiosum and genital warts, removal is recommended, as there is a high probability of infection of the sexual partner. Removal is carried out using modern technologies:

Electrocoagulation;
Laser removal;
Chemical excision;
Cryodestruction.

Or surgical excision using a sharp Volkmann spoon.

Contact dermatitis can be treated by removing the source of the allergy. If the process is acute and severe itching is observed, taking first-generation antihistamines is indicated. Fungal diseases are treated with external antifungal agents after the pathogen has been identified. To do this, a microscopic examination of scales and crusts from the lesions is carried out. And only after this an antifungal drug is selected, the active substance of which actively fights the detected type of fungus.

Benign neoplasms

Methods of disposal

Depending on the reason why a man is faced with black dots on the scrotum, treatment methods are determined.

They may be as follows:

If contact dermatitis provoked the phenomenon, then first of all it is necessary to determine the factors that provoke it and limit contact with it. It is also recommended to take an antihistamine, especially if there is severe itching, burning and redness of the skin. In the future, contact with such an irritant should be avoided;
Viral diseases that lead to the appearance of blackheads require the use of antiviral drugs and general strengthening procedures to restore immunity. This is especially true for cases with the manifestation of human papillomavirus infection. It is not possible to remove it from the body, however, a healthy immune system is able to suppress it throughout life;
if, after taking samples and laboratory tests, it was revealed that the cause is a fungal infection on the genital organ, then use antifungal drugs aimed at suppressing a specific pathogen;
in the case of severe development of condylomas or molluscum, care must be taken to remove the formations from the surface of the skin. There are 4 most common methods for removing such growths. Electrocoagulation method, laser, chemical and cryodestruction method. In exceptional cases, condylomas are removed by surgical excision;
when black spots appeared on the boy and after a doctor’s examination no pathologies were revealed, then probably the cause was Fordyce granules and no treatment was required. The body can cope with this phenomenon on its own, since it is associated with the natural process of puberty;
if black spots or bloody blisters appear due to mechanical injury, then it is necessary to treat the affected area with an antiseptic solution and apply a healing ointment or gel to speed up tissue regeneration.

Symptoms of pathology

If the manifestations of formations bother you or there are accompanying symptoms (itching, burning, peeling of the testicles and penis), you should consult a dermatologist. He also prescribes treatment.

Rarely, additional consultation with another specialist (urologist, endocrinologist, vascular surgeon) is needed. This is the only way to make sure that men's health is safe.

You should definitely go to the hospital if:

concerns about swelling and itching;
red or flesh-colored spots on the scrotum merge and form ulcers;
the epithelium on the testicles is painful when touched;
bubbles filled with bloody fluid appeared;
the spots do not go away on their own for more than 2 weeks.

Black spots on the scrotum in children

The appearance of dark spots on the testicles of a child or teenager can be caused by the same reasons, but most often it is an allergy or clogged pores. If they do not cause burning, itching, or increase in size, then there is no cause for concern. It is necessary to explain to the child that comedones should not be touched or squeezed out, especially those that itch. Red, white pimples in the groin of newborns are manifestations of prickly heat.

In a boy, the appearance of dark spots may be associated with wearing diapers. Parents should let their baby run around in onesies more often; change the diaper more often. The moist skin of the scrotum is a favorable environment for various types of rashes.

Rarely, after bathing with potassium permanganate, rough dark patches may appear on the child’s skin. This is due to the fact that the manganese crystals are not completely dissolved and leave pinpoint burns.

Expert opinion: Contact dermatitis is a common cause of red rashes and small pimples on the scrotum and penis. Associated symptoms are burning and itching in the groin and anal area.” Changes in the epithelium of the genital organs in adults and children often result from interaction with synthetic fabrics and household chemicals. Contact dermatitis is a kind of allergic reaction.

Possible diseases

In most cases, pigmentation on intimate organs does not indicate serious diseases, but sometimes it can cause complications if the pathology is not treated in a timely manner.

What could be black spots on the scrotum:

Contact dermatitis. Pathology occurs when using underwear made of artificial synthetic fibers, wearing someone else's clothes and using detergents with aggressive chemical composition. Dermatitis can also occur with allergies to washing powders, lubricants and certain medications. Antiseptics, antibiotics and antimicrobials are used to treat pathology.
Atheroma. One of the most common diseases with increased pigmentation in the scrotum area. Atheroma is a sebaceous gland filled with sebum. Blackheads occur as a result of clogged glands due to excessive sweating. At the initial stages of the disease, the number of pigmented dots may be small; as the disease progresses, pigmentation appears on the testicles, scrotum and penis. Most often, atheroma is not accompanied by additional symptoms in the early stages; in advanced cases, the points can thicken, swell and form a bulge above the skin. The pathology is treated by restoring a normal lifestyle, carefully monitoring personal hygiene and improving nutrition. If the atheroma begins to increase in size and can be felt during palpation, surgical intervention is necessary.
Condylomas. Pigmentation on the testicles is a sign of emerging condylomas. If you look at a photo of the disease, you can see dark spots that have a dark brown tint and slightly protrude above the skin. As the disease progresses, the size of the formations increases, itching and swelling appear. Condylomas form not only on the testicles, but also on the head of the penis, anus, and inner thigh. Condylomas are formations that do not disappear on their own, but only progress in development, therefore, to eliminate complications in the future, you must consult a doctor. Otherwise, the growths will increase in size, swelling, pain, and discomfort when urinating will appear. To treat the pathology, medications, a laser, or a coagulator are used.
Varicocele. A dangerous and rare disease that is accompanied by excessive pigmentation and bleeding. With this pathology, bubbles appear on the scrotum, testicles and head of the penis, which are filled with liquid; as time passes, the bubbles burst, forming ulcers. In the initial stages, the disease may not produce negative symptoms, but as it progresses, the patient’s condition worsens sharply, pain appears when walking and urinating, and discomfort in the genital area. Varicocele is a disease that requires immediate treatment, otherwise there is a risk of infertility.

In most cases, pigmentation is a symptom indicating mechanical damage to the intimate area. This happens when rubbing underwear, improper shaving or rough sexual intercourse.