Pimples on Testicles? A Doctor's Guide to Scrotal Bumps

Finding a pimple or bump on your testicles can be alarming, but it's important to know that in most cases, these blemishes are common, harmless, and not actually on the testicle itself. They typically form on the scrotum, the sac of skin that holds the testicles.

The scrotal skin is equipped with hair follicles, sweat glands, and oil glands, making it just as prone to pimples as your face or back. However, because some bumps can signal a more serious issue, it's crucial to understand the difference. This guide, synthesizing information from leading health authorities and medical experts, will help you identify the likely cause of your scrotal pimples, know how to treat them safely, and recognize when it's time to see a doctor.

Common Causes of Pimple-Like Bumps on the Scrotum

Most bumps on the scrotum are benign. The warm, often moist environment of the groin can be a breeding ground for bacteria and clogged pores. Here are some of the most frequent culprits.

Folliculitis (Infected Hair Follicles)

Folliculitis is an inflammation of the hair follicles, often caused by a bacterial or fungal infection. It appears as small, red, pimple-like bumps that can be itchy and tender. Shaving, friction from tight clothing, and excessive sweating can all contribute to this condition.

Ingrown Hairs

When a pubic hair grows back into the skin instead of up and out, it can cause an ingrown hair. This results in a red, raised bump that may look like a pimple and can sometimes become filled with pus. This is especially common for those who shave or wax.

!A clinical illustration showing folliculitis, where hair follicles are inflamed and red. Image: An illustration of folliculitis, a common cause of scrotal bumps. Source: Wikipedia

Clogged Pores and Sebaceous Cysts

Just like anywhere else on your body, a buildup of oil (sebum), dead skin cells, and sweat can clog pores on the scrotum, leading to standard pimples (whiteheads or blackheads).

Sometimes, a blocked sebaceous (oil) gland can form a sebaceous cyst. These are typically slow-growing, painless, yellowish bumps under the skin that feel firm to the touch.

Fordyce Spots

These are small (1-2 mm), harmless, yellowish or white spots that are visible sebaceous glands without hair follicles. They are a normal anatomical variation and are not a sign of disease. They are extremely common on the genitals and lips and require no treatment.

Could It Be Something More Serious?

While less common, some bumps can be a symptom of a condition that requires medical treatment.

Sexually Transmitted Infections (STIs)

Certain STIs can manifest as bumps on the genitals:

• Genital Herpes: This viral infection causes clusters of small, painful blisters that break open to form sores.
• Genital Warts (HPV): Caused by the human papillomavirus, these are flesh-colored, raised bumps that can be small or grow into a cauliflower-like appearance.
• Syphilis: The primary stage of this bacterial infection can present as a single, firm, painless sore called a chancre.

Molluscum Contagiosum

This is a common and generally harmless viral skin infection that results in small, firm, raised bumps with a characteristic dimple in the center. It can spread through skin-to-skin contact, including sexual contact.

The Critical Difference: A Pimple on the Skin vs. a Lump in the Testicle

This is the most important distinction you need to make. Pimples, cysts, and ingrown hairs are superficial issues located on the skin of the scrotum. A lump that feels like it is inside the scrotum or part of the testicle itself is a different matter and requires immediate medical evaluation.

According to health experts at sources like Healthline and Men's Health, you should perform a self-exam. Gently feel the scrotal skin separately from the testicle. If the bump is on the skin, it's likely one of the common causes listed above.

See a doctor immediately if you find:

• A hard, painless lump inside the testicle.
• A change in the size or firmness of a testicle.
• A dull ache or feeling of heaviness in your scrotum.

While most testicular lumps are not cancer, any abnormality within the testicle must be professionally diagnosed to rule out serious conditions like testicular cancer.

Safe Treatment for Scrotal Pimples: What to Do (and What Not to Do)

For simple, superficial pimples on the scrotum, patience and gentle care are key.

Home Remedies & Self-Care

• DO NOT POP IT: This is the golden rule. Popping can force bacteria deeper into the skin, causing a more severe infection, pain, and potential scarring. The skin on the scrotum is sensitive and heals differently than facial skin.
• Apply a Warm Compress: Soaking a clean washcloth in warm water and holding it against the pimple for 20 minutes, 3-4 times a day, can help reduce inflammation and encourage it to drain naturally.
• Practice Gentle Hygiene: Wash the area daily with warm water and a mild, gentle soap. Pat the area dry thoroughly with a clean towel.

Over-the-Counter (OTC) Options

• Antibacterial Ointments: A dab of an OTC antibacterial cream like Neosporin or Bacitracin can help prevent infection on a pimple that has opened on its own.
• Caution with Acne Products: Avoid using strong acne treatments meant for the face (containing benzoyl peroxide or salicylic acid) on your genitals unless directed by a doctor, as they can cause severe irritation.

*Video: Dr. Sandra Lee (aka Dr. Pimple Popper) treats a patient with scrotal calcinosis cutis, highlighting the importance of seeking professional medical help for unusual or numerous bumps without embarrassment. Source: [Dr. Pimple Popper on YouTube](https://www.youtube.com/watch?v=CgVf0jKh1EE)*

Prevention: How to Keep Your Scrotum Clear

You can reduce the likelihood of developing scrotal pimples with a few simple lifestyle adjustments.

• Hygiene: Shower daily, and always after exercising or sweating heavily, to wash away bacteria and buildup.
• Clothing: Wear clean, loose-fitting underwear made from breathable fabrics like 100% cotton. This reduces friction and moisture buildup.
• Grooming: If you shave your pubic area, use a sharp, clean razor, shave in the direction of hair growth, and use a soothing aftershave balm to prevent irritation and ingrown hairs.

When to See a Doctor

While most scrotal pimples are harmless, it's time to consult a healthcare professional if you experience any of the following:

• The bump is located on or in the testicle itself.
• The pimple is extremely painful, growing larger, or doesn't improve after a week of home care.
• You see clusters of bumps, blisters, or sores.
• The bump is accompanied by symptoms like fever, pain when urinating, or a discharge from your penis.
• The pimples keep coming back frequently despite good hygiene.

A doctor can provide an accurate diagnosis and, if necessary, prescribe treatments like oral antibiotics for persistent folliculitis or specific medications for STIs.

References

1. Sissons, C. (2018). Pimple on scrotum: Causes, types, and when to see a doctor. Medical News Today. https://www.medicalnewstoday.com/articles/321986
2. Jewell, T. (2017). Pimple on Scrotum: White, Red, Blood, Black, Treatment, and More. Healthline. https://www.healthline.com/health/pimple-on-scrotum
3. Abad, M., & Matthews, M. (2023). What to Do About Pimples On Your Balls. Men's Health. https://www.menshealth.com/health/a25359856/pimple-on-balls/
4. Karger Publishers. Lumps on Genitals (Penis and Scrotum). The Waiting Room. https://thewaitingroom.karger.com/embarrassing-problems/lumps-on-genitals-penis-and-scrotum/