Red, Itchy, and Eroded Glans: Causes and Treatments - Urology

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Understanding the symptoms of red, itchy, and eroded glans (the head of the penis) is crucial for diagnosing and treating potential infections or irritations. Based on your description, it seems you are experiencing symptoms that could be indicative of either a fungal infection (such as candidiasis) or a bacterial infection, possibly exacerbated by irritation or friction from sexual activity or masturbation.


Possible Causes
1. Fungal Infections: The presence of white, flaky patches that can be easily rubbed off, along with redness and itching, suggests a possible yeast infection, commonly caused by *Candida albicans*. This type of infection is more prevalent in warm, moist areas and can occur after sexual activity, especially if there is a disruption in the normal flora of the area.

2. Bacterial Infections: Bacterial infections can also cause similar symptoms, particularly if there is an imbalance in the skin's natural flora or if there has been any trauma to the area. Conditions such as balanitis (inflammation of the glans) can arise from bacterial infections, leading to redness, swelling, and discomfort.

3. Irritation or Allergic Reactions: Sometimes, irritation from soaps, lotions, or even condoms can lead to symptoms like redness and itching. Allergic reactions to certain materials or products can also manifest in similar ways.

4. Sexually Transmitted Infections (STIs): Certain STIs can present with symptoms of itching, redness, and discharge. If there is any possibility of exposure to STIs, it is essential to consider this in the differential diagnosis.


Treatment Options
1. Topical Antifungals: If a fungal infection is suspected, over-the-counter antifungal creams (such as clotrimazole or miconazole) can be effective. These are typically applied directly to the affected area.

2. Bacterial Treatments: If a bacterial infection is suspected, a healthcare provider may prescribe topical or oral antibiotics, depending on the severity and type of infection.

3. Hydrocortisone Cream: For inflammation and irritation, a mild hydrocortisone cream may help reduce redness and itching. However, this should be used cautiously and not for extended periods without medical advice.

4. Avoiding Irritants: It is crucial to avoid any known irritants, including harsh soaps, scented products, or tight clothing that may exacerbate the condition.

5. Consultation with a Healthcare Provider: Given the recurring nature of your symptoms, it is advisable to consult a healthcare provider for a proper diagnosis. They may perform a physical examination and possibly take a culture to determine the exact cause of your symptoms.


Conclusion
While the topical cream you mentioned (德國利膚軟膏) may provide temporary relief, it is essential to identify the underlying cause of your symptoms for effective treatment. If the symptoms persist or worsen, or if you notice any unusual discharge, it is crucial to seek medical attention promptly. Early intervention can prevent complications and ensure appropriate management of your condition.