Foreskin Issues: Causes and Solutions for Discomfort

Foreskin 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 there was 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 for a detailed physical examination by a physician to accurately determine the cause and provide appropriate treatment.

Reply Date: 2016/04/10

More Info

Foreskin issues, particularly discomfort, itching, and swelling, can arise from a variety of causes, and it's essential to understand these to seek appropriate treatment. Based on your description, it sounds like you may be experiencing a condition known as balanitis, which is inflammation of the glans (the head of the penis) and can often involve the foreskin as well.

Possible Causes
1. Infections: One of the most common causes of foreskin discomfort is an infection, which can be bacterial, fungal (like yeast infections), or viral. If you had unprotected sexual intercourse, it’s possible that you may have contracted a sexually transmitted infection (STI) that could lead to symptoms like itching, pain, and swelling.

2. Poor Hygiene: If the area is not cleaned properly, smegma (a combination of dead skin cells, oils, and moisture) can accumulate under the foreskin, leading to irritation and infection. This is particularly common in individuals who are not circumcised.

3. Allergic Reactions: Sometimes, irritation can be caused by an allergic reaction to soaps, lotions, or condoms used during sexual activity. If you recently changed any products you use in that area, this could be a contributing factor.

4. Skin Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to discomfort and inflammation.

5. 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 pain and discomfort, especially during erections.

Recommended Solutions
1. Seek Medical Attention: It is crucial to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and possibly recommend tests to determine if an infection is present.

2. Maintain Hygiene: Ensure that you are cleaning the area gently but thoroughly. Use warm water and mild soap, and avoid harsh chemicals or fragrances that could irritate the skin.

3. Avoid Irritants: If you suspect that a product may be causing an allergic reaction, discontinue its use. Opt for hypoallergenic products designed for sensitive skin.

4. Topical Treatments: Depending on the diagnosis, your doctor may prescribe antifungal or antibacterial creams to treat an infection. If it’s an allergic reaction, a topical steroid may be recommended to reduce inflammation.

5. Consider Circumcision: If phimosis is a recurring issue, your doctor may discuss the option of circumcision or other procedures to alleviate the problem.

6. Avoid Sexual Activity: Until you have seen a doctor and received treatment, it’s advisable to avoid sexual activity to prevent further irritation or potential transmission of infections.

Conclusion
In summary, the symptoms you are experiencing could be due to a variety of factors, including infections, hygiene issues, allergic reactions, or skin conditions. It is essential to seek medical advice to determine the exact cause and receive appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery. Remember, taking care of your sexual health is vital, and addressing any discomfort promptly is the best course of action.

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