The glans is purple and looks like bruises

A purple ring around the glans that looks like congestion may be caused by local blood circulation disorder or trauma, or it may be related to diseases such as foreskin incarceration and vasculitis. It is recommended to seek medical treatment promptly for a clear diagnosis.

Partial purple discoloration of the glans is commonly caused by capillary rupture after external squeezing or impact, such as excessive sexual intercourse or excessive friction from clothing. This condition is usually accompanied by mild pain, and the congestion will gradually resolve within 1-2 weeks. During this period, you should avoid stimulating the affected area again and keep the perineum clean and dry. If it is accompanied by foreskin edema or severe pain, you need to be alert to the possibility of foreskin incarceration. This situation will cause the blood reflux of the glans to be blocked, and emergency treatment is required to relieve the incarceration.

In a few cases, it may be related to systemic diseases such as vasculitis and coagulation dysfunction. Vasculitis can lead to inflammatory occlusion of small blood vessels, manifesting as purpura-like changes in the skin and mucous membranes, which may be accompanied by systemic symptoms such as joint pain and fever. Patients with coagulation abnormalities can develop obvious congestion after minor trauma, which is common in diseases such as hemophilia and thrombocytopenic purpura. This type of situation requires further diagnosis through blood tests, vascular ultrasound, etc.

Pay attention to the range of color changes and accompanying symptoms on a daily basis, and avoid applying heat or medication on your own. Wear loose-fitting cotton underwear to reduce friction and stop having sex until symptoms subside. If symptoms such as difficulty urinating, expansion of purpura, or fever occur, you must seek immediate medical attention from a urology or vascular surgery department. Doctors may prescribe medications such as Maizhiling tablets to improve microcirculation and anti-inflammatory prednisone tablets depending on the situation. In case of severe ischemia, surgery is required to reconstruct blood supply.