Foreskin Issues: Causes and Solutions for Discomfort

Prepuce issues

Doctor, I have a question.
After I had intercourse with a girl last week, a few days later I started to feel some itching on my foreskin.
I scratched it, and after a few days it became a bit painful, and I noticed some white discharge.
It also feels a bit swollen, and the foreskin has become very tight.
What could be the reason for this?

J王, 10~19 year old female. Ask Date: 2016/04/10

Dr. Liu Jiaju reply Urology

For your issue, it is advisable to visit a urology clinic where a physician can perform a detailed physical examination to accurately determine the cause and provide targeted treatment.

Reply Date: 2016/04/10

More Info

Foreskin issues, particularly discomfort, can arise from a variety of causes, and it’s important to understand these to seek appropriate solutions. Based on your description, it seems you are experiencing symptoms that could be indicative of a few conditions, such as balanitis, a yeast infection, or possibly a sexually transmitted infection (STI).
1. Balanitis: This is an inflammation of the glans (the head of the penis) and can occur due to poor hygiene, irritants, or infections. Symptoms often include redness, itching, swelling, and sometimes a discharge. If you have been engaging in sexual activity, it’s possible that irritation from friction or a reaction to a partner's bodily fluids could have contributed to this condition.

2. Yeast Infection: Yeast infections can occur in men, particularly if there is an overgrowth of Candida, a type of fungus. This can happen due to factors such as antibiotic use, diabetes, or a weakened immune system. Symptoms typically include itching, redness, and a thick, white discharge that may resemble cottage cheese.

3. Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or gonorrhea, can cause similar symptoms, including itching, pain, and discharge. If you have had unprotected sex, it is crucial to consider the possibility of an STI.

4. Phimosis: This is a condition where the foreskin cannot be easily retracted over the glans. If you are experiencing tightness in the foreskin, it could be a sign of phimosis, which can lead to discomfort and pain, especially during erections or sexual activity.

What to Do Next:
- Seek Medical Attention: It is essential to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and possibly recommend tests to determine the underlying cause of your symptoms.

- Avoid Irritation: Until you see a doctor, try to avoid further irritation. This means refraining from scratching the area and avoiding sexual activity until you have a clearer understanding of what is happening.

- Maintain Hygiene: Keep the area clean and dry. Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

- Consider Over-the-Counter Treatments: If you suspect a yeast infection, antifungal creams available over the counter may provide temporary relief. However, it’s best to wait for a professional diagnosis before starting any treatment.

- Avoid Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, many conditions can present similarly. A healthcare provider can offer a definitive diagnosis and appropriate treatment options.

In conclusion, while discomfort in the foreskin area can stem from various causes, it is crucial to seek medical advice to determine the exact issue and receive appropriate treatment. Ignoring the symptoms or delaying consultation can lead to complications, so addressing the issue promptly is advisable. Remember, sexual health is an important aspect of overall well-being, and seeking help is a positive step towards recovery.

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