Male Candida Infections: Symptoms, Treatment, and Recovery - Urology

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Male candidiasis infection


Hello, I am a gay man and I take the Top role during sexual intercourse.
Since I have been in a long-term relationship with my partner, we do not use condoms (and sexually transmitted infections have been ruled out).
After sexual activity, I notice small red spots on the glans that are itchy, but usually, the symptoms resolve within a few hours or by the next day.
However, when I masturbate, there are no abnormal symptoms.
I have seen a doctor and received medication; the doctor diagnosed me with a Candida infection and advised me to refrain from sexual activity and to keep the area dry while waiting for recovery.
The doctor also mentioned that it might be related to the foreskin and could be caused by friction during sexual activity.
How can I know if I am healed? It has been about two months since my doctor visit, and I still experience this issue after sexual activity.
If I leave this untreated, what worse symptoms could develop? Does my partner's hygiene also play a role?

Ya, 20~29 year old female. Ask Date: 2017/03/31

Dr. Du Shixi reply Urology


Hello: Candida infections and similar infections are generally difficult to resolve and prone to recurrence.
In addition to maintaining cleanliness and dryness, it is also recommended to use condoms.
Furthermore, you should undergo sexually transmitted infection (STI) testing, as many bacterial infections can coexist with other infections.
It is advisable to consult a urologist at a hospital.
(Your partner should also get tested.)

Reply Date: 2017/03/31

More Info


Understanding male Candida infections, particularly in the context of sexual activity, is crucial for both treatment and prevention. Candida infections, commonly known as yeast infections, can occur in men and are often characterized by specific symptoms, treatment options, and recovery processes.


Symptoms of Male Candida Infections
The symptoms of a Candida infection in men can vary but typically include:
1. Redness and Itching: The most common symptoms are redness and itching around the glans (the head of the penis) and the foreskin. This can manifest as small red spots or patches.

2. Discomfort During Sexual Activity: Many men report discomfort or pain during sexual intercourse, particularly if there is friction involved.

3. Unusual Discharge: While not always present, some men may notice a thick, white discharge that resembles cottage cheese.

4. Dryness or Cracking: The skin may become dry or cracked, particularly if the infection is severe or prolonged.


Causes and Risk Factors
In your case, the symptoms you are experiencing after sexual activity could be attributed to several factors:
- Moisture and Friction: The warm, moist environment under the foreskin can promote the growth of Candida. Friction during sexual activity can exacerbate this condition.

- Antibiotic Use: If you have recently taken antibiotics for any reason, this can disrupt the normal flora of the body, allowing Candida to proliferate.

- Diabetes: High blood sugar levels can also contribute to yeast infections, as yeast thrives in sugar-rich environments.

- Immunosuppression: If your immune system is compromised for any reason, you may be more susceptible to infections.


Treatment Options
The treatment for a Candida infection typically involves antifungal medications. These can be prescribed in various forms, including:
- Topical Antifungals: Creams or ointments applied directly to the affected area can help reduce symptoms and eliminate the infection.

- Oral Antifungals: In more severe cases, oral medications may be necessary to fully eradicate the infection.

In addition to medication, your doctor may recommend lifestyle changes, such as:
- Maintaining Dryness: Keeping the genital area dry is crucial. After bathing or sweating, ensure that the area is thoroughly dried.

- Avoiding Irritants: Steer clear of scented soaps, lotions, or other products that may irritate the skin.

- Wearing Breathable Fabrics: Cotton underwear and loose-fitting clothing can help reduce moisture buildup.


Recovery and Monitoring
Recovery from a Candida infection can take time. It is essential to follow your doctor's recommendations and complete the full course of any prescribed medication. To monitor your recovery:
- Observe Symptoms: Keep track of any changes in symptoms. If redness and itching persist after treatment, a follow-up with your healthcare provider is necessary.

- Avoid Sexual Activity: It is advisable to refrain from sexual activity until you are fully healed to prevent irritation and further complications.

- Partner Hygiene: Ensure that your partner is also practicing good hygiene. While Candida is not classified as a sexually transmitted infection, maintaining cleanliness can help prevent recurrence.


Potential Complications
If left untreated, a Candida infection can lead to more severe symptoms, including:
- Chronic Inflammation: Persistent infections can cause chronic inflammation of the glans and foreskin, leading to phimosis (inability to retract the foreskin).

- Secondary Infections: The compromised skin barrier may allow for secondary bacterial infections to occur.

- Impact on Sexual Health: Ongoing discomfort can affect sexual health and relationships.


Conclusion
In summary, male Candida infections can be uncomfortable and may require careful management. Given your symptoms and the duration of your condition, it is crucial to maintain open communication with your healthcare provider. Regular follow-ups and adherence to treatment protocols will help ensure a complete recovery. If symptoms persist or worsen, further evaluation may be necessary to rule out other underlying conditions.

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