There are two white spots under the glans look similar to pimples may be caused by penile pearl rash, circumcision and glansitis, unclean sexual contact and other reasons. 1. Penile pearl rash: due to poor local hygiene, long foreskin, etc., in the long-term chronic stimulation, caused by a proliferation phenomenon, so resulting in localized glans under the white spots like pimples. Generally appear in the male around the coronal groove. 2. Infection of the foreskin and glans: due to the infection of Candida albicans, trichomonas, chlamydia and other germs, triggering infectious glans phimosis. It can be manifested as diffuse distribution of white spots under the glans, and accompanied by secretions, glans itching, pain and other symptoms. 3. unclean sexual contact: because men have unclean sexual life history, may be infected with human papillomavirus, triggering warts, so the white spots under the glans like acne. It is recommended that the patient go to the hospital in time, ask the doctor for a clear diagnosis and treatment, so as not to delay the condition. Normally, you should also pay attention to personal hygiene, keep the local clean.