Foreskin issues
Hello, doctor.
I am currently traveling abroad and unable to visit a hospital for an examination of my phimosis.
Due to my work shifts, my foreskin occasionally becomes inflamed.
I only seek medication when it becomes severe; otherwise, for mild inflammation, I let it air out after showering to keep it dry, which usually helps.
The doctor advised me similarly.
However, since I left in mid-July, the time difference and humidity have caused it to become inflamed again, leading to itching and slight pain.
I have been using an ointment I obtained in June, which was also prescribed due to inflammation from my night shifts.
After nearly a month of application, the condition is not as severe as it was initially, but there is still redness and swelling around the urethral opening and on both sides of the foreskin, which fluctuates between better and worse.
It does not itch or hurt, but it appears red and slightly swollen.
I let it air out for about 30 minutes each day, and I also wipe with tissue after urination and clean it during showers.
I apply a thin layer of ointment as well.
Am I over-cleaning? Is it better to use lubricant when masturbating? I am concerned about worsening the condition and find it troublesome to see a doctor.
Thank you, doctor, for your hard work.
DEI DEI, 20~29 year old female. Ask Date: 2016/08/09
Dr. Sun Hongshun reply Urology
Hello, based on your description, there don't seem to be any specific issues with the cleaning process.
It is likely that prolonged friction and heat during your travels have contributed to this.
I recommend wearing looser underwear and shorts if the weather permits.
If there are any abrasions on the genital area, try to reduce the frequency of masturbation to avoid infection.
Additionally, using lubricant during masturbation is not advisable, as it can create a non-breathable environment and exacerbate the symptoms.
Reply Date: 2016/08/09
More Info
Managing phimosis, especially while traveling, can be challenging, but there are several strategies you can employ to alleviate discomfort and prevent further complications. Phimosis is a condition where the foreskin cannot be easily retracted over the glans (the head of the penis), which can lead to inflammation and discomfort, particularly if hygiene is compromised.
Tips for Managing Phimosis While Traveling:
1. Maintain Hygiene: It’s crucial to keep the area clean and dry. Since you are already allowing the area to air out after bathing, continue this practice. Make sure to wash the area gently with mild soap and water daily. Avoid harsh soaps or products that can irritate the skin.
2. Use of Topical Treatments: If you have a medicated cream or ointment prescribed by your doctor, continue to apply it as directed. It’s important to use a thin layer and not to over-apply, as excessive moisture can lead to further irritation. If you notice any adverse reactions, such as increased redness or swelling, discontinue use and consult a healthcare professional if possible.
3. Avoid Over-Cleaning: While maintaining hygiene is important, over-cleaning can irritate the skin. It’s good that you are washing the area, but ensure you are not scrubbing too hard or using abrasive materials. Gentle cleaning is sufficient.
4. Lubrication During Sexual Activity: Using a lubricant during masturbation can help reduce friction and irritation, especially if you are experiencing any discomfort. Opt for a water-based lubricant, as it is less likely to cause irritation compared to oil-based products.
5. Monitor Symptoms: Keep an eye on your symptoms. If the redness and swelling persist or worsen, or if you experience significant pain, it may be necessary to seek medical attention, even if it’s inconvenient. Ignoring worsening symptoms can lead to complications such as infections.
6. Stay Hydrated and Healthy: Ensure you are drinking plenty of fluids and eating a balanced diet while traveling. Staying hydrated can help maintain overall health and may assist in the healing process.
7. Avoid Tight Clothing: Wear loose-fitting underwear and pants to minimize friction and allow for better air circulation. This can help reduce irritation and promote healing.
8. Consider Over-the-Counter Options: If you experience itching or discomfort, over-the-counter hydrocortisone cream may help reduce inflammation. However, consult a pharmacist or healthcare provider to ensure it’s appropriate for your situation.
9. Plan for Medical Care: If your symptoms do not improve or worsen, consider finding a local healthcare provider. Many countries have clinics that cater to travelers, and it’s better to address potential issues sooner rather than later.
10. Educate Yourself: Familiarize yourself with the signs of complications related to phimosis, such as severe pain, inability to urinate, or signs of infection (such as fever or pus). Knowing when to seek help is crucial.
Conclusion
Traveling with phimosis requires careful management, but with proper hygiene, the right use of topical treatments, and attention to your symptoms, you can minimize discomfort. Always prioritize your health and do not hesitate to seek medical attention if necessary. Remember, while it may seem inconvenient, addressing health concerns promptly can prevent more serious issues down the line. Safe travels!
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