Redness and Dryness on the Glans: Causes and Treatments - Urology

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Understanding redness and dryness on the glans can be concerning, especially after experiencing symptoms following an event like masturbation. Based on your description, it seems you are dealing with a combination of redness, dryness, and possibly some irritation or allergic reaction.
Firstly, the redness you observed on the glans (the head of the penis) could indeed be a sign of irritation or an allergic reaction, especially if it appeared after using a new soap or cleaning product. The skin in this area is sensitive, and exposure to irritants can lead to inflammation. The fact that you mentioned the redness was not accompanied by pain or itching is a good sign, as these symptoms often indicate a more severe infection or condition.

The treatment prescribed by your dermatologist, which includes a topical corticosteroid (like the one in 落濕康乳膏) and an oral antihistamine (特息敏錠), is appropriate for managing allergic reactions and inflammation. These medications can help reduce redness and swelling, and they are generally effective for mild allergic dermatitis. Since you have noticed an improvement after five days of treatment, it suggests that the initial diagnosis of an allergic reaction was likely correct.

However, the presence of small, granular-like spots on the glans and the feeling of dryness could indicate a few possibilities. One common condition is balanitis, which is inflammation of the glans. This can be caused by various factors, including infections (bacterial or fungal), irritants, or even underlying skin conditions. The "white bruise" feeling you described at the urethral opening could also be related to irritation or a mild infection.

It's important to note that while your symptoms may suggest a mild case of balanitis or an allergic reaction, they could also be indicative of other conditions, such as a yeast infection or a sexually transmitted infection (STI). Given your concerns and the persistence of some symptoms, it is wise to follow up with a healthcare provider.

Regarding whether to see a dermatologist or a urologist, both specialists can address your concerns. A dermatologist can help with skin-related issues, while a urologist specializes in urinary and male reproductive health. Since your symptoms involve the glans and possibly the urethra, a urologist may be particularly well-suited to evaluate your condition comprehensively.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Gentle Cleansing: Use mild, unscented soap and avoid harsh chemicals or fragrances that can irritate the sensitive skin of the glans.

2. Moisturization: Consider applying a gentle, hypoallergenic moisturizer to the area to combat dryness. Avoid products that contain alcohol or fragrances.

3. Avoid Irritants: Refrain from using any new products on the genital area until you determine what may have caused the reaction.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of new spots, increased redness, or any discomfort.

5. Follow-Up: Attend your scheduled appointment with the healthcare provider to discuss your ongoing symptoms and receive a thorough examination.

In conclusion, while your symptoms may be related to an allergic reaction, it is essential to continue monitoring your condition and seek further medical advice if symptoms persist or worsen. Your health and peace of mind are important, and getting a professional evaluation will help clarify the situation.