What could cause greyish-black patches on the glans of my penis?

Hello,

Welcome to icliniq.com.

I have read what you have described and gone through the photos (attachments removed to protect the patient's identity). The only spots that I can see are toward the right lower half of your penile head. This condition is called penile melanosis or hyperpigmentation. It is a harmless condition and occurs when melanin (brown pigment) forms deposits in the surface layer of the skin. It is not anything to be concerned about and does not require any treatment. It is not going to interfere with your sexual life or cause any other issues. Unfortunately, there is no way to predict whether this will stop here or if a person will develop multiple spots in other places. With regard to your ejaculation issues, I have a few details I would like you to answer: Are you diabetic? Do you smoke? Have you had any surgeries in the past? Do you have any difficulty in passing urine, such as: straining to pass urine, urgency, the feeling of incomplete, or emptying of the bladder?

Please revert about the details, and I will do my best to assist you further, and once again, I would like to reiterate that the spots on your penis are completely harmless and do not require any treatment.

Thank you.

Hello,

Thank you for reverting to the details.

As I said, you do not need to do anything for the discoloration seen. It will be the same, or a few more spots may come up. With regards to your ejaculation concerns, it is not anything major you should worry about either. With time, and as you become sexually active, it will get better. This is what I suggest you do for now:

1. Limit masturbation to only a couple of times a week.

2. Use techniques such as squeezing or start-stop to delay ejaculation.

3. Take tablet Tadalafil 5 mg once at night for a month (then stop).

Hope this helps.

Thank you.