Candida Infections: Risks and Sensitivity After Uncovering the Glans - Urology

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Candidiasis


I have had a tight foreskin for over thirty years and have never retracted it during intercourse (as I could still have sex without retracting it).
Recently, I made an effort to retract it during intercourse and succeeded, but now my glans is very red, and I seem to have developed candidal balanitis! I always use a condom during intercourse.
I would like to know if my glans has become more sensitive after being protected by the foreskin for so long, making it more susceptible to a yeast infection.
Can using a condom during intercourse lead to a yeast infection? Additionally, is it possible to contract a yeast infection through oral sex?

Xiao Li, 30~39 year old female. Ask Date: 2017/06/17

Dr. Du Shixi reply Urology


Hello: The risk of contracting candidiasis through oral sex is relatively low; however, the risk is higher with sexual intercourse.
If condoms are not used consistently, improvements should be made, as the inability to keep the glans clean and dry may contribute to the issue.
Additionally, it is advisable to wash and dry thoroughly after sexual activity, and avoid wearing tight underwear.
Please refer to safe sex practices at http://www.isu.edu.tw/upload/04/7/news/postfile_60883.pdf.
Wishing you good health.

Reply Date: 2017/06/17

More Info


Candida infections, particularly those affecting the genital area, are a common concern and can arise from various factors, including changes in hygiene, moisture levels, and sensitivity of the skin. In your case, it seems that the recent attempt to retract the foreskin and engage in sexual activity may have led to irritation and subsequent infection.


Understanding Candida Infections
Candida is a type of yeast that is normally present in small amounts in the body, particularly in the mouth, gut, and on the skin. However, when the balance of microorganisms is disrupted, Candida can overgrow, leading to infections such as candidiasis. This is especially common in warm, moist areas of the body, including the genital region.


Sensitivity and Irritation
When you have had a foreskin for many years, the glans (the head of the penis) is typically protected from direct exposure to friction and moisture. When you retract the foreskin for the first time, the glans may become more sensitive due to the sudden exposure to air and friction during sexual activity. This sensitivity can lead to irritation, making it easier for Candida to thrive, especially if the area remains moist or is not kept clean.


Risk Factors for Candida Infections
1. Moisture: The genital area is prone to moisture, which can promote yeast growth. If you are engaging in sexual activity and sweating, or if there is inadequate drying after washing, this can create an environment conducive to Candida overgrowth.

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

3. Diabetes: High blood sugar levels can also encourage yeast infections, as Candida thrives in sugary environments.

4. Hygiene Practices: Inadequate hygiene can lead to an accumulation of moisture and bacteria, increasing the risk of infection.


Condom Use and Candida
Using condoms during sexual intercourse can help reduce the risk of transmitting infections, including sexually transmitted infections (STIs). However, condoms do not prevent yeast infections, as Candida is not transmitted in the same way as bacterial or viral infections. If you have a Candida infection, it is possible to transmit the yeast to your partner, particularly if they are also susceptible to yeast infections.


Oral Sex and Candida
Oral sex can potentially transmit Candida, especially if the partner has an oral yeast infection. If you have a Candida infection on the genital area, it is advisable to avoid oral sex until the infection is resolved to prevent passing the yeast to your partner or developing an oral infection yourself.


Recommendations
1. Consult a Healthcare Provider: If you suspect a Candida infection, it is essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment. They may recommend antifungal creams or oral medications.

2. Maintain Hygiene: Keep the genital area clean and dry. After washing, ensure that the area is thoroughly dried to prevent moisture buildup.

3. Avoid Irritants: Be cautious with soaps, lotions, or other products that may irritate the sensitive skin of the glans.

4. Monitor Symptoms: If symptoms persist or worsen, seek medical advice. Persistent irritation or recurrent infections may require further investigation.

5. Discuss with Your Partner: If you have a partner, it may be beneficial to discuss the situation openly, especially if they have experienced similar symptoms.

In conclusion, while the sudden exposure of the glans may have contributed to increased sensitivity and the development of a Candida infection, practicing good hygiene and seeking appropriate medical care can help manage and prevent future occurrences.

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