Suspected balanitis or posthitis?
Hello Dr.
Wu, a few days ago I experienced some excessive friction on the glans during masturbation.
The next day, I noticed that my foreskin sometimes itches.
When I retract the foreskin, I see some red patches on both the glans and the inner foreskin, but they are flat and not raised.
The itching occurs only once or twice a day and is not very bothersome.
My urination is normal.
What could this situation be, and will it heal on its own if I do not seek medical attention?
Sean, 20~29 year old female. Ask Date: 2018/07/31
Dr. Wu Yuxin reply Dermatology
No lesions were observed, making it difficult to determine the issue.
If it is causing significant distress, please seek medical attention promptly.
Reply Date: 2018/07/31
More Info
Balanitis is an inflammation of the glans (the head of the penis) and can often involve the foreskin as well. It can be caused by a variety of factors including irritation, infection, or an allergic reaction. Based on your description, it seems that you may be experiencing symptoms consistent with balanitis, particularly following the excessive friction during masturbation.
The symptoms you mentioned—itching, redness, and flat lesions on the glans and inner foreskin—are common signs of this condition. The fact that you are not experiencing significant pain or discomfort during urination is a positive sign, as it suggests that there may not be a severe underlying infection or complication at this time.
Balanitis can be caused by several factors:
1. Irritation: This can occur from excessive friction, as you mentioned, or from the use of soaps, lotions, or other products that may irritate the sensitive skin of the genital area.
2. Infections: Both bacterial and fungal infections can lead to balanitis. For instance, yeast infections (often caused by Candida) are a common culprit, especially in individuals who may have diabetes or other conditions that affect the immune system.
3. Allergic Reactions: Sometimes, an allergic reaction to latex condoms, lubricants, or personal hygiene products can cause inflammation.
4. Poor Hygiene: Inadequate cleaning of the area can lead to the accumulation of smegma, which can irritate the skin and lead to inflammation.
In terms of management, mild cases of balanitis may resolve on their own, especially if the irritant is removed. However, here are some general care tips:
- Gentle Cleaning: Clean the area gently with warm water and avoid harsh soaps or chemicals. Pat the area dry rather than rubbing it.
- Avoid Irritants: If you suspect that a product may have caused the irritation, discontinue its use.
- Over-the-Counter Treatments: If itching or discomfort persists, you might consider using over-the-counter hydrocortisone cream or antifungal creams, but it’s best to consult with a healthcare provider before starting any treatment.
- Monitor Symptoms: Keep an eye on your symptoms. If they worsen or do not improve within a few days, it would be wise to seek medical attention.
If you notice any of the following, it is important to consult a healthcare provider:
- Increased redness, swelling, or pain
- Discharge from the penis
- Fever or systemic symptoms
- Persistent symptoms lasting more than a week
In conclusion, while your symptoms may resolve on their own, it is essential to monitor your condition closely. If you have any concerns or if the symptoms do not improve, it is advisable to seek medical advice for a thorough evaluation and appropriate treatment. Balanitis can often be effectively treated, but identifying the underlying cause is crucial for preventing recurrence.
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