White Changes in Frenulum: Causes and Treatments

The frenulum of the foreskin has turned white and may spread?

I have phimosis and recently noticed that the frenulum of my glans has turned white.
After sexual activity, it tends to tear slightly, as if it has become fragile and lacks elasticity.
I later purchased a medication for balanitis called "Clotrimazole" and applied it for about a month.
I noticed that the whiteness has faded somewhat, but recently I discovered that the right side of the coronal sulcus of the glans has developed a white area about the size of a fifty-cent coin.
After applying the medication for about another month, it seems to have faded as well, but the white areas have become thickened and rough, and there are also ring-like scars.
Could you please tell me what condition this might be?

Li Renwei, 30~39 year old female. Ask Date: 2016/04/07

Dr. Li Xinyi reply Urology

It sounds a bit like diabetes; it's advisable to see a urologist for a thorough examination.

Reply Date: 2016/04/07

More Info

The changes you are observing in the frenulum and glans penis, particularly the whitening and the associated symptoms, may be indicative of a few potential conditions. Given your description of a "pseudo-phimosis" and the white changes in the frenulum, it is important to consider conditions such as balanitis, lichen sclerosus, or even a fungal infection.

Balanitis is an inflammation of the glans penis, which can be caused by various factors including poor hygiene, infections (bacterial or fungal), or irritants. Symptoms often include redness, swelling, and sometimes a white discharge or patches on the glans. The use of topical antifungal medications like "Clotrimazole" (the active ingredient in "卡黴速停") can be effective if a fungal infection is present.

Lichen sclerosus is another condition that can cause white patches on the skin, including the genital area. It is characterized by thinning of the skin and can lead to scarring and changes in texture, which aligns with your observation of thickened and rough skin. This condition is more common in men and can cause discomfort, pain during intercourse, and other symptoms. Treatment typically involves topical corticosteroids to reduce inflammation and manage symptoms.

The fact that you have noticed changes in the appearance of the frenulum and glans, along with the symptoms of tearing and fragility, suggests that there may be an underlying dermatological issue. The presence of a ring-like scar could indicate a previous inflammatory process or trauma to the area.

It is crucial to consult a healthcare provider, preferably a dermatologist or urologist, for a thorough examination. They may perform a physical examination and possibly a biopsy if there are concerns about the nature of the lesions. This will help in accurately diagnosing the condition and determining the appropriate treatment plan.

In the meantime, here are some general recommendations:
1. Maintain Hygiene: Ensure that the genital area is kept clean and dry. Gentle washing with mild soap and water can help prevent irritation.

2. Avoid Irritants: Be cautious with soaps, lotions, or other products that may irritate the skin in that area.

3. Topical Treatments: Continue using the prescribed topical medication as directed. If you notice no improvement or worsening of symptoms, it is essential to follow up with your healthcare provider.

4. Monitor Symptoms: Keep track of any changes in symptoms, including pain, itching, or changes in the appearance of the skin. This information will be valuable for your healthcare provider.

5. Avoid Sexual Activity: If you experience pain or discomfort during sexual activity, it may be wise to avoid it until you have been evaluated by a healthcare professional.

In conclusion, the changes you are experiencing in the frenulum and glans penis could be due to several factors, including infections or dermatological conditions. It is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and improve your overall health and well-being.

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