The penis is prone to skin abrasions?
Hello Doctor: For the past two months, I have been experiencing peeling near the glans of my penis (at the junction with the foreskin), along with flaking skin.
Additionally, there is pain and skin breakdown with friction during intercourse, resulting in the secretion of tissue fluid.
I have never experienced this before, and this issue has only arisen recently.
My wife and I are monogamous and have not engaged in any extramarital activities.
I suspect a bacterial infection, but when I consulted a urologist, they said there was nothing wrong and advised me to maintain better hygiene, yet the situation has not improved.
I have been hesitant to engage in sexual activity, which has severely affected my sex life.
What should I do, Doctor?
Shi, 20~29 year old female. Ask Date: 2016/10/13
Dr. Sun Hongshun reply Urology
Hello, it is recommended to temporarily avoid vigorous exercise until the foreskin has fully healed.
Additionally, since the symptoms have persisted and have not improved for a long time, it is advisable to seek further consultation at another urology or dermatology clinic.
Wishing you good health.
Reply Date: 2016/10/13
More Info
When it comes to penile skin issues, particularly those involving peeling, discomfort, and potential infections, it is essential to understand the underlying causes and explore appropriate treatment options. Based on your description, it sounds like you are experiencing symptoms that could be related to several factors, including skin irritation, infections, or even dermatological conditions.
Possible Causes
1. Irritation or Allergic Reaction: The skin on the penis is sensitive, and exposure to irritants such as soaps, lotions, or even certain fabrics can lead to irritation. If you have recently changed any personal care products, this could be a contributing factor.
2. Infections: While you mentioned that a urologist did not find anything significant, it is still possible to have a mild fungal or bacterial infection that may not be immediately apparent. Conditions like balanitis (inflammation of the glans) can cause peeling and discomfort.
3. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to symptoms like peeling skin and discomfort. These conditions can sometimes be exacerbated by stress or changes in the environment.
4. Sexual Activity: Friction during sexual activity can lead to micro-tears in the skin, especially if there is any underlying irritation or infection. This can cause pain and further peeling.
Recommended Solutions
1. Gentle Cleansing: Ensure that you are using a mild, unscented soap to clean the area. Avoid harsh soaps or products with strong fragrances that can exacerbate irritation. After washing, gently pat the area dry rather than rubbing it.
2. Moisturizing: Applying a gentle, fragrance-free moisturizer can help soothe the skin and prevent further peeling. Look for products specifically designed for sensitive skin.
3. Avoid Irritants: Pay attention to any products you use in the genital area, including lubricants or condoms. If you suspect an allergy, consider switching to hypoallergenic options.
4. Consult a Dermatologist: If symptoms persist despite good hygiene and moisturizing, it may be beneficial to see a dermatologist who specializes in skin conditions. They can provide a more thorough examination and may recommend topical treatments, such as corticosteroids or antifungal creams, depending on the diagnosis.
5. Avoid Sexual Activity: Until the symptoms improve, it may be wise to refrain from sexual activity to prevent further irritation and discomfort. Communicate with your partner about your situation to maintain intimacy in other ways.
6. Consider Lifestyle Factors: Stress, diet, and overall health can impact skin conditions. Ensure you are managing stress effectively and maintaining a balanced diet rich in vitamins and minerals that support skin health.
7. Follow-Up: If you notice any worsening of symptoms or if new symptoms arise, such as increased redness, swelling, or discharge, seek medical attention promptly.
Conclusion
Penile skin issues can be uncomfortable and distressing, especially when they affect your sexual health and overall quality of life. By understanding the potential causes and implementing appropriate care strategies, you can work towards alleviating your symptoms. Remember, it is crucial to consult healthcare professionals for personalized advice and treatment tailored to your specific situation. Your health and comfort are paramount, and addressing these issues with the right approach can lead to significant improvements.
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