How to Treat Persistent Bruising and Discoloration on the Glans

Q: How to Treat Persistent Bruising and Discoloration on the Glans

Hello： Based on personal experience, long-standing skin changes are unlikely to improve with medication. <br>Please avoid self-medicating with over-the-counter drugs. <br>The skin in the genital area is particularly sensitive, and applying various medications may lead to further

Persistent bruising of the glans penis?

Hello Dr.
Du, I would like to take a leave of absence.
When I was in middle school, I was rough while masturbating, which caused noticeable bruising on my glans (it appears dark).
I am now 21 years old, and it hasn't faded.
Additionally, I also experienced a small abrasion on my penis due to rough handling, which has healed but left a noticeable color difference (the injured area is darker).
I was circumcised around the age of 5 or 6, and I have read online and heard from friends that circumcised individuals tend to have darker glans due to the absence of the foreskin.
I would like to ask the therapist how I can make the bruising on my glans disappear and make it appear a bit pinker.
Are there any medications I can apply, such as scar ointments or lotions? Or are there other treatment options?

Xiao Ming, 20~29 year old female. Ask Date: 2018/02/16

Dr. Du Shixi reply Urology

Hello: Based on personal experience, long-standing skin changes are unlikely to improve with medication.
Please avoid self-medicating with over-the-counter drugs.
The skin in the genital area is particularly sensitive, and applying various medications may lead to further discoloration.
Wishing you good health.

Reply Date: 2018/02/16

More Info

Persistent bruising and discoloration on the glans can be concerning, especially when it has lasted for several years. It’s important to understand that the skin on the glans is sensitive and can be affected by various factors, including trauma, irritation, and even surgical procedures like circumcision. Here’s a comprehensive approach to addressing your concerns.

Understanding the Condition
1. Bruising and Discoloration: The bruising you experienced during your adolescent years may have caused damage to the blood vessels under the skin, leading to discoloration. If the discoloration has persisted for several years, it may be due to residual pigmentation changes or scarring from the initial trauma.

2. Skin Color Changes Post-Circumcision: It’s common for individuals who have undergone circumcision to notice changes in the color of the glans. The absence of the foreskin can expose the glans to more friction and irritation, which may lead to changes in pigmentation over time.

3. Healing and Scarring: The small tear you mentioned could have resulted in a scar, which may also contribute to the color difference. Scars can be darker or lighter than the surrounding skin, depending on various factors, including skin type and healing process.

Treatment Options
1. Topical Treatments:
- Scar Creams: Over-the-counter scar treatments containing ingredients like silicone, vitamin E, or onion extract (found in products like Mederma) may help improve the appearance of scars over time. Apply these as directed, usually twice daily.

- Moisturizers: Keeping the area well-hydrated can promote healing and improve skin texture. Look for gentle, fragrance-free moisturizers or lotions.

- Hydrocortisone Cream: If there is any inflammation or irritation, a mild hydrocortisone cream may help reduce redness and swelling. However, this should be used sparingly and not for extended periods.

2. Professional Treatments:
- Dermatological Consultation: If the discoloration is significant or bothersome, consider consulting a dermatologist. They can assess the area and may recommend treatments such as chemical peels, laser therapy, or microdermabrasion to help even out skin tone.

- Cryotherapy: In some cases, dermatologists may use cryotherapy to treat hyperpigmented areas, which involves freezing the skin to promote new skin growth.

3. Avoiding Irritation:
- Gentle Care: Be gentle with the area during cleaning and avoid harsh soaps or scrubs that can irritate the sensitive skin of the glans.

- Protective Measures: If you engage in activities that may cause friction or trauma, consider protective measures to minimize the risk of further injury.

4. Lifestyle Considerations:
- Healthy Diet: A balanced diet rich in vitamins (especially vitamins C and E) can support skin health and healing.

- Hydration: Staying well-hydrated helps maintain skin elasticity and overall health.

When to Seek Help
If the discoloration worsens, if you experience pain, itching, or any other concerning symptoms, it’s crucial to seek medical attention. A healthcare provider can rule out any underlying conditions that may require specific treatment.

Conclusion
While persistent bruising and discoloration on the glans can be distressing, there are several treatment options available. Start with topical treatments and consider consulting a dermatologist for more advanced options if necessary. Remember to practice gentle care and maintain a healthy lifestyle to support your skin’s healing process.

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