Short answer
Tiny red or purple dots, called petechiae, are small broken capillaries and a sign you used too much pressure. They usually fade within a few days. Stop pumping until they clear, then use less suction and shorter sessions next time. See a doctor if they come with significant pain, large bruises, blood in your urine, or don't fade.
Read the full guidePenis Pumps: How They Work and How to Use Them SafelyHow do penis pumps work, and how do you use one safely? Learn the types, a step-by-step routine, time limits, warning signs and cleaning tips. Updated November 9, 2026 · All questions