Itchy Foreskin: Causes and Treatment Options

Itchy foreskin?

Hello Doctor, I have been experiencing an issue lately where the outer side of my foreskin itches, and there are small, grain-like spots that come and go, but I can tolerate it.
I have been cleaning daily since middle school, and this condition has persisted for over a week.
During this time, I have also engaged in masturbation.
Could this be a fungal infection caused by unclean hands? I am hesitant to apply any medications.
Additionally, I have had eczema on my feet, which later developed into hives all over my body.
I initially thought the issue in my private area was caused by eczema, but it hasn't improved.
Currently, I am maintaining cleanliness and using body wash daily.

A Jie, 20~29 year old female. Ask Date: 2016/05/10

Dr. Li Xinyi reply Urology

When engaging in masturbation, it's important to pay attention to lubrication (to avoid injuries) and cleanliness (to prevent wound infections or urinary tract infections).
It is advisable to avoid wearing tight and warm clothing and to rinse with water frequently.
Do not wash too vigorously; it is recommended to use only clean water for washing.
Minimize the glans' exposure to chemical substances.
After showering, use a hairdryer to dry off, and make sure to wipe dry after urination while maintaining cleanliness.
It is still recommended to see a urologist for examination and medication.

Reply Date: 2016/05/10

More Info

Itchy foreskin can be a distressing condition, and understanding its causes and treatment options is essential for effective management. Based on your description, several factors could be contributing to your symptoms, including hygiene practices, potential infections, and skin conditions.

Causes of Itchy Foreskin
1. Infections: One of the most common causes of itching in the genital area is a fungal infection, such as candidiasis (yeast infection). This can occur due to various reasons, including poor hygiene, excessive moisture, or even after sexual activity. Bacterial infections can also lead to similar symptoms. If you have been engaging in sexual activities, it is possible that the area may have been exposed to irritants or pathogens.

2. Dermatitis: Conditions like contact dermatitis can occur due to irritation from soaps, lotions, or even laundry detergents. If you have a history of eczema or other skin conditions, this could also contribute to the itching. You mentioned having eczema on your feet and hives, which suggests that your skin may be more sensitive or reactive.

3. Poor Hygiene: While you mentioned maintaining cleanliness, it’s important to ensure that you are cleaning the area properly. Failing to clean under the foreskin can lead to a buildup of smegma, which can cause irritation and itching.

4. Sexually Transmitted Infections (STIs): Certain STIs can cause itching and irritation in the genital area. If you have had unprotected sexual contact, it may be worth considering testing for STIs.

Treatment Options
1. Maintain Hygiene: Continue to keep the area clean. Use mild, unscented soap and ensure that you rinse thoroughly. Avoid using harsh soaps or products that may irritate the skin.

2. Topical Treatments: Over-the-counter antifungal creams can be effective if a yeast infection is suspected. However, it is crucial to avoid self-medicating without a proper diagnosis. If you suspect a fungal infection, consult a healthcare provider for appropriate treatment.

3. Avoid Irritants: Identify and avoid any products that may be causing irritation. This includes soaps, lotions, or even certain types of clothing that may not allow the area to breathe.

4. Consult a Healthcare Provider: Given the persistence of your symptoms and the history of eczema and hives, it would be wise to consult a healthcare provider. They can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis. This is especially important if you suspect an infection or if your symptoms worsen.

5. Allergy Testing: If you have a history of allergic reactions (like hives), consider discussing allergy testing with your doctor. Identifying specific allergens can help in managing your symptoms more effectively.

6. Avoid Sexual Activity: Until the cause of your symptoms is identified and treated, it may be prudent to avoid sexual activity to prevent further irritation or potential transmission of infections.

Conclusion
In summary, itchy foreskin can arise from various causes, including infections, dermatitis, and hygiene practices. It is essential to maintain proper hygiene while being cautious of potential irritants. Given your symptoms and history, consulting a healthcare provider is the best course of action to receive an accurate diagnosis and appropriate treatment. Self-treatment without a clear understanding of the underlying cause may lead to complications or prolonged discomfort.

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