Glans Pain: Eczema or Medication Side Effects? - Urology

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Hello doctor, today while showering, I experienced pain when cleaning the glans and noticed three areas of broken skin.
Could this be due to eczema, or is it related to the medication I applied? Can I still use corticosteroids? However, the eczema on the glans hasn't healed yet; what should I do? It seems to be somewhat better than before.
I've been applying the treatment for a week; will it take a long time to heal? Today is Sunday, and there are no clinics open.

An, 30~39 year old female. Ask Date: 2017/06/25

Dr. Du Shixi reply Urology


Hello: If there is skin breakdown, you should return for a follow-up, as it could be another condition.
Wishing you good health.

Reply Date: 2017/06/25

More Info


Understanding glans pain can be quite complex, as it may arise from various causes, including eczema or medication side effects. In your case, the pain and the presence of broken skin on the glans (the head of the penis) could indeed be related to eczema, especially if you have a history of skin conditions. Eczema can cause inflammation, redness, and irritation, leading to pain and potential skin breakdown.
When it comes to the use of topical corticosteroids, they are often prescribed to reduce inflammation and alleviate symptoms associated with eczema. However, caution is necessary when applying steroids to sensitive areas such as the glans, as prolonged use can lead to skin thinning and other side effects. If you have been using a topical steroid for a week and have not seen significant improvement, it may be time to reassess your treatment plan.
If the eczema is improving but still not fully healed, it is essential to continue monitoring the area. Eczema can take time to resolve, and healing may vary from person to person. Factors such as skin care routines, hygiene, and potential irritants in your environment can all play a role in the healing process.
In the absence of a doctor's visit, here are some general recommendations:
1. Avoid Irritants: Ensure that you are not exposing the area to irritants, such as harsh soaps, fragrances, or other products that may exacerbate the condition. Use mild, fragrance-free cleansers and avoid scrubbing the area.

2. Moisturize: Keeping the skin well-moisturized can help in the healing process. Look for emollient creams or ointments that are suitable for sensitive skin.

3. Monitor Symptoms: Keep an eye on the symptoms. If you notice increased redness, swelling, or discharge, or if the pain worsens, it is crucial to seek medical attention as soon as possible.

4. Avoid Self-Medicating: While it might be tempting to continue using topical steroids, it is best to consult with a healthcare professional before proceeding, especially if you are unsure about the appropriateness of the treatment.

5. Consider Other Causes: If the pain persists or worsens, consider other potential causes such as infections (like yeast infections or sexually transmitted infections), allergic reactions, or other dermatological conditions.
6. Follow-Up: Once you have the opportunity, schedule a follow-up appointment with a healthcare provider. They can provide a thorough examination, confirm the diagnosis, and adjust your treatment plan as necessary.

In summary, while eczema could be a contributing factor to your glans pain, it is essential to consider all potential causes and seek professional medical advice when possible. Healing from eczema can take time, and proper care and treatment are crucial for recovery. If you have concerns about the use of topical steroids or the condition of your skin, do not hesitate to reach out to a healthcare professional for guidance.

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