White Cheesy Patches and Red Scabs on the Glans: Causes and Treatments

Q: White Cheesy Patches and Red Scabs on the Glans: Causes and Treatments

Hello： If you engage in sexual activity, is your girlfriend experiencing an increase in vaginal discharge? This is because women are prone to gynecological infections, and sometimes there can be fungal infections transmitted. <br>In such cases, it is important to use condoms. <br

There are white cheesy plaques and dark red crusts present at the coronal sulcus of the glans penis?

Hello, Doctor Du.
I'm not sure if this is caused by a glans injury, but I have white, cheese-like patches and dark red crusts around the coronal sulcus of my glans.
This condition has been present for almost two months.
About a month ago, I noticed it while showering.
At that time, I accidentally rubbed off the crust with my hand, but after about 3-5 days, the dark red crust and white, cheese-like patches reappeared.
I saw a doctor today, and he said he couldn't determine the exact condition but suspected it might be a candidal infection.
The doctor suggested applying medication and if it persists, I should return for further evaluation.
I would like to ask if this condition could be considered as caused by an injury?

Xiao Zhuo, 30~39 year old female. Ask Date: 2018/05/29

Dr. Du Shixi reply Urology

Hello: If you engage in sexual activity, is your girlfriend experiencing an increase in vaginal discharge? This is because women are prone to gynecological infections, and sometimes there can be fungal infections transmitted.
In such cases, it is important to use condoms.
Additionally, do you have a family history of diabetes? If so, you should get your blood sugar tested, as high blood sugar can hinder skin healing.
If you have non-monogamous partners and are not practicing safe sex, it is advisable to get tested for sexually transmitted infections.
Wishing you good health.

Reply Date: 2018/05/29

More Info

The symptoms you are describing, specifically the presence of white cheesy patches and red scabs on the glans (the head of the penis), can be indicative of several conditions, with candidiasis (yeast infection) being a strong possibility, as suggested by your doctor. Let's break down the potential causes, treatments, and considerations regarding your situation.

Possible Causes
1. Candidiasis (Yeast Infection): This is a common fungal infection caused by the overgrowth of Candida species, particularly *Candida albicans*. It can lead to symptoms such as white patches, redness, and irritation. The moist environment of the genital area can promote the growth of yeast, especially if there is a disruption in the normal flora.

2. Balanitis: This term refers to inflammation of the glans, which can be caused by infections (bacterial or fungal), irritants (such as soaps or hygiene products), or underlying conditions like diabetes. Symptoms often include redness, swelling, and discharge.

3. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products that come into contact with the skin. Symptoms may include redness, itching, and scaling.

4. Sexually Transmitted Infections (STIs): Certain STIs can also present with similar symptoms, although they are typically accompanied by other signs such as discharge or pain during urination.

5. Psoriasis or Other Skin Conditions: Skin conditions like psoriasis can also affect the genital area, leading to red patches and scaling.

Treatment Options
1. Antifungal Creams: If your doctor suspects a yeast infection, they may prescribe topical antifungal medications such as clotrimazole or miconazole. These are effective in treating candidiasis.

2. Steroid Creams: In cases of inflammation, mild topical steroids may be prescribed to reduce redness and swelling, but these should be used cautiously and typically not for extended periods.

3. Good Hygiene Practices: Keeping the area clean and dry is crucial. Avoiding irritants and using gentle, unscented soaps can help prevent further irritation.

4. Avoiding Sexual Activity: Until the condition is resolved, it may be advisable to avoid sexual activity to prevent further irritation or potential transmission of an infection.

5. Follow-Up: If symptoms persist despite treatment, further evaluation may be necessary. This could include a culture to identify the specific organism causing the infection or a referral to a dermatologist or urologist for specialized care.

Conclusion
Based on your description, it is possible that the white cheesy patches and red scabs are related to a yeast infection, especially if there was a history of irritation or trauma to the area. While it is conceivable that the initial irritation could have been caused by friction or injury, the persistence of symptoms suggests an underlying infection that needs to be addressed.
It is important to follow your doctor's advice regarding treatment and to monitor your symptoms closely. If the condition does not improve with the prescribed treatment, or if you experience worsening symptoms, do not hesitate to seek further medical attention. Your health and comfort are paramount, and addressing these symptoms promptly can help prevent complications.

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