Red spots around my genital region?

Many possibilities: Spots & rashes are hard to describe in words, so a primary care doctor or dermatologist can evaluate. Genital rash can be folliculitis (hair follicles affected), small pustules (bacteria), irritation from friction, candida (yeast), tinea (fungus), pubic lice bites, other insect bites, an allergy to a substance or clothing, heat rash (sweat glands affected), "hot tub" rash (bacteria), eczema, etc..

Cause?: These lesions would likely need to be examined and more history obtained to be able to provide you with useful input about the diagnosis or possible treatment.