Glans Pain: Causes and When to Seek Medical Help - Urology

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Understanding glans pain, particularly in the context of your symptoms, is essential for determining the appropriate course of action. The pain you are experiencing at the glans, especially in the area where the foreskin meets the head of the penis, can be attributed to several potential causes. Given your description, it seems likely that the issue may be related to friction from the foreskin, especially since you mentioned that you have a long foreskin that does not retract fully during an erection.

Possible Causes of Glans Pain:
1. Friction and Irritation: As you noted, the friction between the glans and the foreskin during masturbation can lead to irritation and inflammation. This is particularly true if the skin is sensitive or if there is any underlying condition that makes the skin more prone to irritation.

2. Balanitis: This is an inflammation of the glans, which can be caused by poor hygiene, infections (bacterial or fungal), or irritants. Symptoms typically include redness, swelling, and pain, especially when touched.

3. Phimosis: This condition occurs when the foreskin cannot be easily retracted over the glans. This can lead to pain, especially during erections or sexual activity, and may contribute to inflammation or infection.

4. Infections: Sexually transmitted infections (STIs) or other infections can also cause pain and redness in the glans. If there are any additional symptoms, such as discharge, itching, or unusual odor, it would be important to consider this possibility.

5. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to pain and discomfort.


When to Seek Medical Help:
While some minor irritations may resolve on their own, it is advisable to seek medical attention if:
- The pain persists or worsens over a few days.

- You notice any discharge, unusual odor, or other symptoms such as fever or swelling.

- There is significant redness or swelling that does not improve.

- You experience any changes in urination, such as pain or difficulty.

- You have concerns about STIs or other infections.


Self-Care Measures:
In the meantime, here are some self-care measures you can consider:
- Gentle Hygiene: Ensure that you maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or irritants.

- Avoid Irritation: Try to minimize friction in the area. You may want to avoid masturbation until the pain subsides.

- Moisturizers: Applying a gentle, fragrance-free moisturizer may help soothe irritated skin.

- Loose Clothing: Wearing loose-fitting underwear can help reduce friction and irritation.


Conclusion:
In summary, while it is possible that your symptoms may improve with self-care, it is crucial to monitor the situation closely. If the pain persists or worsens, or if you develop additional symptoms, seeking medical advice is the best course of action. A healthcare provider can perform a thorough examination, provide a proper diagnosis, and recommend appropriate treatment options tailored to your specific condition. Remember, addressing these issues early can prevent complications and lead to a quicker resolution.