Hello dear, Understand your concern. If it is not change in color, pain sensitivity,no blood: it is harm less. But you have to examine it repeatedly. Following are the causes of your problem: 1. Fordyce spots These are tiny purple, found on the head of the penis or the shaft. They are normal minute sebaceous glands and are just part of the natural structure of many penises. There s absolutely no need for any treatment. 2. Pearly papules Pearly penile papules are also normal. They are very small bumps, the same colour as your skin, but with a pearly appearance. They usually appear around the glans (head) of the penis in a row. they don t need any treatment. But if you really want them removed for cosmetic reasons, this is sometimes possible. 3.Hair follicles injury 4.STD is most common in sexually active men. It occur at any age. Following are the STDs disease 1. Syphilis 2. Gonorrhoea 3. Herpes 4. Human papiloma virus 5. Chlamydia 6. Hepatitis 7. Gonorrhea 8. HIV 5. Contact dermatitis 6. Hygiene problem: If you not wash penis area, segma that is deposited under fore skin irritate penile area and produce reaction 7. Balanitis: inflammation of the penis, caused by poor hygiene, especially insufficient washing under the foreskin area. Thrush, psoriasis, skin sensitivity or allergy to a product used on the penis (such as soap or lubrication) 8. overuse - as in too frequent, too long or too rough sexual activity Following is advice: 1. Avoid sex till you clear from infection 2. Use safer sex practice: Use condom, Dental dams 3. Maintain hygiene after sex 4. If fever: Tablet Paracetamol 500 mg BD 5.Tablet cetrizine 5 mg BD orally 6. If not resolved, do screening test for all above disease. 7. Showering after a workout, changing underwear, using a clean towel to dry off with and not redressing until the area is completely dry 8. Use ormulated penis vitamin formula- Man 1 Man Oil-contain: with vitamins, minerals and shea butter- it moisturizes the skin and prevents flaking or cracked skin while revitalizing and enhancing the sensitivity of the penis 9. Apply anti fungal clotrimazole cream if severe or not resolved. If not responds: For diagnosis you have to consult doctor and do testing for STDs: 1. Gram stain and culture 2. PCR and nucleic acid amplification test:swab should be taken from urethra After diagnosis you can treatment according to this. Till that time you can take single dose treatment of following drug: AZEE 1000 mg TINI 1 G ZOCON 150 mg Hope this may help you. Best regards Dr. Sagar