Red spots on the foreskin?
Hello Doctor, I would like to ask about my situation.
I had a circumcision six months ago, and everything has been fine except for occasional sharp pain at the suture site and some discomfort from hair getting caught, so I have been trimming the hair.
Previously, I experienced itching on the skin of my scrotum and went back to the clinic where the doctor diagnosed it as a fungal infection and prescribed me Miconazole cream.
At that time, I also mentioned that I had a few red spots on my skin, and the doctor said that it was not a concern.
However, I have noticed an increasing trend in the number of red spots over the past couple of days, and they become more pronounced when I pull the skin back, which makes me very worried.
Is this normal? Will it possibly resolve on its own over time? If it is normal, can I apply the Miconazole cream on the red spots? Currently, I am wearing tight-fitting boxers; could this be causing the issue due to lack of ventilation? Thank you, Doctor, for taking the time to respond!
Niming, 20~29 year old female. Ask Date: 2016/12/01
Dr. Du Shixi reply Urology
Hello: If the doctor has already seen you, please continue using the ointment.
Keep the skin of the scrotum dry, and avoid using body wash or soap for the time being.
Wear loose-fitting underwear, and you should feel better in a few days.
Thank you for your inquiry.
Reply Date: 2016/12/01
More Info
After circumcision, it is not uncommon for patients to experience various changes in the skin of the penis, including the appearance of red spots. These spots can be caused by a variety of factors, and understanding their nature is crucial for determining whether they are a cause for concern.
Firstly, it is important to recognize that the healing process after circumcision can lead to temporary changes in the skin. The area may be sensitive, and the presence of stitches can cause irritation, leading to discomfort or pain. The occasional sharp pain you experience at the suture site is not unusual as the skin continues to heal and adjust post-surgery.
The red spots you mentioned could be a result of several conditions. One possibility is irritation or inflammation of the skin, which can occur due to friction, moisture, or lack of ventilation, especially if you are wearing tight-fitting underwear. This can lead to a condition known as contact dermatitis, where the skin reacts to irritation or allergens.
Another potential cause for the red spots could be a fungal infection, especially since you previously experienced itching and were treated for a yeast infection. Fungal infections can manifest as red, itchy spots and may require antifungal treatment if they persist or worsen.
Given that your doctor previously assessed the spots and deemed them not concerning, it is possible that they are benign and part of the normal healing process. However, the increase in the number of spots is something to monitor closely. If they continue to proliferate or if you experience additional symptoms such as increased pain, itching, or discharge, it would be prudent to follow up with your healthcare provider for a more thorough evaluation.
Regarding the use of the medication you were prescribed (Miconazole cream), it is generally safe to apply antifungal creams to the affected area if you suspect a fungal infection. However, it is essential to ensure that the red spots are not indicative of a different condition, such as an allergic reaction or another type of infection. If you decide to use the cream, apply it sparingly and monitor the area for any changes.
In terms of clothing, wearing tight-fitting underwear can indeed contribute to discomfort and irritation. Opting for looser-fitting, breathable fabrics can help reduce moisture and friction, potentially alleviating some of the irritation you are experiencing.
In summary, while the red spots may be a normal part of the healing process, it is essential to remain vigilant. If you notice any changes or if the spots do not improve, consult your healthcare provider for further evaluation. They may recommend a physical examination or additional treatments based on their findings. Remember, open communication with your healthcare provider is key to addressing any concerns you may have about your recovery.
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