Red Bumps and Itching on the Glans: When to See a Urologist? - Urology

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It sounds like you're experiencing some concerning symptoms related to your glans and foreskin, particularly after having unprotected sexual intercourse. The presence of red bumps, itching, and a foul-smelling discharge can indicate a few potential conditions, and it’s essential to take these symptoms seriously.

Firstly, the red bumps on the glans and the itching could be indicative of a few different issues, including a fungal infection (such as candidiasis), a sexually transmitted infection (STI), or even a skin condition like balanitis. The white discharge you described, which resembles a cheesy substance, is often associated with a yeast infection, particularly if it has a strong odor. This type of infection can occur when there is an overgrowth of yeast, which can thrive in warm, moist environments, such as under the foreskin.

Given that you've already consulted a doctor who suggested that these symptoms are common with age, it’s important to note that while some skin changes can be normal, the presence of itching, discharge, and red bumps should not be ignored. These symptoms can be indicative of an underlying infection or condition that may require treatment.

Here are a few steps you should consider:
1. Consult a Urologist: It is advisable to see a urologist for a thorough examination. They can provide a proper diagnosis and determine whether you have an infection or another condition that needs treatment. They may perform tests, including swabs of the affected area, to identify any infections.

2. Avoid Self-Medication: While it might be tempting to use over-the-counter antifungal creams or other treatments, it’s best to avoid self-medicating until you have a clear diagnosis. Using the wrong treatment could exacerbate the issue or lead to further complications.

3. Maintain Hygiene: In the meantime, ensure that you maintain good genital hygiene. Gently clean the area with mild soap and water, and avoid using harsh soaps or products that could irritate the skin further. Make sure to dry the area thoroughly after washing.

4. Avoid Irritants: Refrain from using scented products, lotions, or powders in the genital area, as these can cause irritation and worsen your symptoms.

5. Monitor Symptoms: Keep an eye on your symptoms. If they worsen or if you develop additional symptoms such as fever, increased pain, or swelling, seek medical attention promptly.

6. Consider Sexual Health: Since you mentioned unprotected intercourse, it may also be wise to get tested for STIs, even if you are not experiencing other typical symptoms. Early detection and treatment of STIs are crucial for your health and the health of your partners.

In conclusion, while some changes in the genital area can be normal, the symptoms you are experiencing warrant further investigation by a healthcare professional. A urologist will be able to provide you with the appropriate care and treatment options based on a comprehensive evaluation of your condition. Don’t hesitate to seek help; your health is important.