and Managing Glans Inflammation: Symptoms and Treatments

Q: and Managing Glans Inflammation: Symptoms and Treatments

Hello： Please be reminded that balanitis and genital herpes can recur. <br>Genital herpes should be managed by avoiding excessive stress and maintaining a strong immune system; otherwise, it may reappear. <br>If symptoms do occur, it is important to rest adequately, maintain a li

Glans inflammation

In January of this year, I noticed a red spot on my glans.
After seeing a doctor, I was diagnosed with balanitis and given a tube of Meikang cream to apply.
However, in February, it developed into genital herpes (I have not engaged in sexual intercourse).
Then, in April, I noticed white flakes on my genitals, and the doctor said this was also a form of balanitis, prescribing Meikang cream again, but I experienced a recurrence of herpes.
After recovering, I had white flakes on my genitals again.
The doctor then recommended using a specialized intimate area cleansing solution, which resolved the white flakes.
However, the red spot on my glans still appears when I have an erection.
Is this normal?

Niming, 20~29 year old female. Ask Date: 2016/11/02

Dr. Du Shixi reply Urology

Hello: Please be reminded that balanitis and genital herpes can recur.
Genital herpes should be managed by avoiding excessive stress and maintaining a strong immune system; otherwise, it may reappear.
If symptoms do occur, it is important to rest adequately, maintain a light diet, and follow treatment to promote faster recovery.

For balanitis, it is essential to keep the area dry and clean (avoid using soap or body wash excessively, as the skin on the glans is more delicate and frequent washing can lead to redness and flaking).
It is recommended to rinse with clean water in the morning and evening, then gently pat dry, ensuring no residue remains.

The red spots may indicate changes in the skin due to inflammation; with proper care, they should fade.
If you are very concerned, it is advisable to visit a doctor for a professional evaluation.
Thank you for your inquiry.

Reply Date: 2016/11/02

More Info

Understanding glans inflammation, commonly referred to as balanitis, involves recognizing its symptoms, potential causes, and treatment options. Balanitis is an inflammation of the glans (the head of the penis) and can be caused by a variety of factors, including infections, irritants, and underlying medical conditions.

Symptoms of Balanitis
The symptoms of balanitis can vary depending on the underlying cause but commonly include:
1. Redness and Swelling: The glans may appear red and swollen.

2. Itching or Burning Sensation: Patients often report discomfort, which can be exacerbated by urination or sexual activity.

3. Discharge: There may be a discharge from the penis, which can be clear, cloudy, or purulent (pus-like).

4. Pain: Some individuals experience pain during erections or when the area is touched.

5. White or Flaky Skin: This can occur, particularly in cases associated with fungal infections or irritants.

Causes of Balanitis
Balanitis can be caused by several factors, including:
1. Infections: Bacterial, fungal (such as Candida), or viral infections (like herpes) can lead to balanitis. Your mention of developing genital herpes suggests a viral component that may complicate the condition.

2. Irritants: Products such as soaps, lotions, or condoms can irritate the sensitive skin of the glans.

3. Poor Hygiene: Inadequate cleaning can lead to the accumulation of smegma, which can irritate the glans.

4. Underlying Conditions: Conditions such as diabetes can predispose individuals to infections and inflammation.

Treatment Options
The treatment for balanitis depends on the underlying cause:
1. Topical Treatments: As you have experienced, topical corticosteroids or antifungal creams (like the Meikang cream prescribed) can help reduce inflammation and treat infections.

2. Antiviral Medications: If herpes is confirmed, antiviral medications may be necessary to manage outbreaks.

3. Hygiene Practices: Maintaining proper hygiene is crucial. Using a gentle, unscented cleanser for the genital area can help prevent irritation.

4. Avoiding Irritants: Identifying and avoiding any products that may irritate the skin is essential.

5. Medical Evaluation: If symptoms persist or worsen, further evaluation by a healthcare provider is necessary. This may include tests to rule out sexually transmitted infections or other underlying conditions.

Is It Normal for Red Spots to Appear During Erection?
The appearance of red spots on the glans during an erection can be concerning. While some degree of redness can be normal due to increased blood flow, persistent or recurrent red spots, especially if accompanied by discomfort or other symptoms, should be evaluated by a healthcare professional. It is essential to differentiate between normal physiological responses and signs of an ongoing inflammatory or infectious process.

Conclusion
In summary, balanitis is a manageable condition, but it requires careful attention to symptoms and appropriate treatment. Given your history of recurrent symptoms and the development of genital herpes, it is advisable to maintain open communication with your healthcare provider. They can provide tailored advice and treatment options based on your specific situation. If you notice any new symptoms or if your current symptoms do not improve, do not hesitate to seek further medical advice.

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