Glans Issues: Steroid Cream for Possible Candidiasis or Eczema? - Urology

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Glans issues


Hello, doctor.
I would like to ask about my glans inflammation, which is uncertain whether it is a candidal infection or eczema.
The doctor prescribed me a corticosteroid ointment.
If it turns out to be a candidal infection, will this be effective? Additionally, the doctor advised me to avoid irritating the area, but I accidentally experienced nocturnal emission.
Will this affect the treatment? Thank you, doctor!

Niming, 20~29 year old female. Ask Date: 2017/03/10

Dr. Du Shixi reply Urology


Hello: Candida infections or eczema are caused by inadequate hygiene.
It is important to maintain cleanliness and dryness; ointments are only to expedite recovery.
Additionally, a light diet and a normal lifestyle are essential.
Many people experience recurrence if they do not take care of themselves.
If you neglect your hygiene, recovery will be slow.
Nocturnal emissions do not have an impact, but cleanliness is necessary.
Thank you for your inquiry.

Reply Date: 2017/03/10

More Info


When it comes to glans issues, particularly in the context of potential candidiasis (a yeast infection) or eczema, the use of topical steroid creams can be a bit complex. Topical steroids, like the one you were prescribed, are effective in reducing inflammation and alleviating symptoms associated with eczema, such as redness, itching, and swelling. However, they are not antifungal agents and therefore may not be effective against a yeast infection like candidiasis.

If your condition is indeed caused by candidiasis, using a steroid cream could potentially worsen the situation. Steroids can suppress the local immune response, which may allow the yeast to proliferate further. This is why it is crucial to have a clear diagnosis before starting treatment. If you suspect that your symptoms are due to candidiasis, it would be advisable to consult your healthcare provider for a proper evaluation. They may recommend an antifungal cream or oral antifungal medication instead of or in addition to the steroid cream.

Regarding the concern about nocturnal emissions (wet dreams) and their impact on your treatment, it is generally unlikely that this would significantly affect the healing process. However, it is important to follow your doctor's advice to minimize irritation to the area. If you experience any worsening of symptoms or new symptoms, it would be wise to reach out to your healthcare provider for further guidance.

In summary, while topical steroids can be beneficial for inflammatory skin conditions like eczema, they are not suitable for treating fungal infections such as candidiasis. If you are uncertain about the nature of your condition, a follow-up appointment with your healthcare provider is essential for accurate diagnosis and appropriate treatment. They may also provide you with additional recommendations for managing your symptoms and preventing further irritation.

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