What causes a pimple near the penis that bleeds when ruptured, and what should be done about it?
Dec 03, 2025
Source: Cainiu Health
Dr. Li Feng
Introduction
In general, pimples near the penis that bleed may be caused by factors such as clogged hair follicles, local friction, folliculitis, genital warts (condyloma acuminata), or genital herpes. Patients can choose appropriate treatments based on their specific condition. It is important to maintain proper local hygiene in daily life and avoid unclean sexual practices to reduce the risk of infection. Wearing loose clothing can help minimize skin irritation.
In general, pimples appearing near the penis that bleed may be caused by factors such as follicular blockage, local friction, folliculitis, genital warts (condyloma acuminata), or genital herpes. Patients can choose appropriate management methods based on their specific condition. A detailed analysis is as follows:
1. Follicular Blockage
Excessive sebum production combined with inadequate cleaning in the area can lead to clogged hair follicles and pimple formation. Squeezing these pimples may damage blood vessels and cause bleeding. Cleanse the area daily with warm water, wear breathable underwear, avoid squeezing, and keep the area dry.
2. Local Friction
Tight clothing repeatedly rubbing against the skin near the penis can damage hair follicles, leading to pimple development. Continued friction may cause the pimples to rupture and bleed. Switch to loose-fitting cotton clothing, reduce physical activity, and avoid prolonged pressure on the affected area.
3. Folliculitis
Bacterial infection of the hair follicles causes inflammation, resulting in red, swollen pimples. Inflamed follicles have fragile blood vessels that are prone to bleeding. Under medical guidance, topical antibiotics such as mupirocin ointment or fusidic acid cream may be used, along with oral cephuroxime axetil tablets. Maintain cleanliness of the affected area.
4. Genital Warts (Condyloma Acuminata)
Infection with human papillomavirus (HPV) leads to skin overgrowth forming warts. These warts are fragile and easily break, causing bleeding. Treatment should follow medical advice and may include topical imiquimod cream, injection of recombinant human interferon α2b, and oral transfer factor solution. In severe cases, laser ablation or surgical removal may be required.
5. Genital Herpes
Infection with the herpes simplex virus causes blisters that, when ruptured, form erosive sores prone to bleeding. Under medical supervision, antiviral medications such as acyclovir tablets or valacyclovir tablets can be taken orally, and penciclovir gel can be applied topically. Avoid sexual intercourse during treatment.
Maintain good hygiene in the genital area and avoid unsafe sexual practices to reduce infection risk. Wear loose clothing to minimize skin irritation. Do not squeeze any pimples that appear. If symptoms recur frequently or are accompanied by fever, seek prompt medical attention for accurate diagnosis and treatment.
