Frenulum Issues: Pain and Swelling in the Glans

Ligament issues

There is redness and swelling at the junction of the glans and the frenulum, and it feels like there is a small flesh protrusion at the frenulum that is painful.

Xiao Wei, 30~39 year old female. Ask Date: 2018/04/27

Dr. Du Mingyi reply Urology

Have you had any previous lacerations? Some individuals may have tighter ligaments, and if there is vigorous sexual activity, injuries can occur repeatedly, leading to pain.
As for the small growths, it is advisable to visit an outpatient clinic for proper evaluation.

Reply Date: 2018/04/27

More Info

The symptoms you are describing, including pain and swelling at the glans (the head of the penis) and a noticeable bump at the frenulum (the band of tissue connecting the glans to the shaft), could indicate a few potential conditions. It's important to consider that the frenulum is a sensitive area, and any irritation or inflammation can lead to discomfort.

One common issue that can arise in this area is frenulum breve, which is a condition where the frenulum is shorter than normal, leading to tension during erections and potentially causing pain or discomfort. This condition can sometimes lead to tearing or inflammation, resulting in the symptoms you are experiencing.

Another possibility is balanitis, which is an inflammation of the glans. This can be caused by various factors, including poor hygiene, infections (such as yeast infections or sexually transmitted infections), or skin conditions like psoriasis or eczema. Balanitis can cause redness, swelling, and pain, and it may also lead to the formation of bumps or lesions.

Additionally, pearly penile papules are small, benign bumps that can appear around the glans and are often mistaken for other conditions. They are harmless and do not require treatment, but if they are causing discomfort, it is worth discussing with a healthcare provider.

In terms of treatment, it is crucial to first identify the underlying cause of your symptoms. Here are some general recommendations:
1. Maintain Good Hygiene: Ensure that the area is kept clean and dry. Gentle washing with mild soap and water can help prevent infections.

2. Avoid Irritants: If you suspect that soaps, lotions, or other products may be causing irritation, try to eliminate them from your routine.

3. Topical Treatments: Depending on the diagnosis, a healthcare provider may recommend topical antifungal or antibacterial creams if an infection is suspected. For inflammatory conditions, topical corticosteroids may be prescribed to reduce swelling and pain.

4. Consult a Healthcare Provider: Given the symptoms you are experiencing, it is advisable to consult a urologist or a healthcare provider specializing in men's health. They can perform a physical examination, possibly conduct tests, and provide a definitive diagnosis and appropriate treatment plan.

5. Avoid Sexual Activity: Until you have a clearer understanding of the cause of your symptoms, it may be wise to avoid sexual activity to prevent further irritation or injury.

In conclusion, while the symptoms you are experiencing can be concerning, they are often manageable with proper care and treatment. Seeking professional medical advice is the best course of action to ensure that you receive the appropriate diagnosis and treatment tailored to your specific situation.

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