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Could the white spots be caused by a smegma infection due to phimosis? I have phimosis, and I often have smegma on the glans.
I also masturbate and do not clean up afterward, leaving it in my underwear.
Is it possible that this is causing the white spots?
An An, 10~19 year old female. Ask Date: 2018/08/14
Dr. Du Shixi reply Urology
Hello: It is possible, but it should be able to be washed away.
Alternatively, it may disappear after proper cleaning.
Wishing you good health.
Reply Date: 2018/08/14
More Info
Excess foreskin can indeed contribute to the accumulation of smegma, which is a combination of dead skin cells, oils, and other bodily secretions. This accumulation can lead to irritation and potentially result in white spots or lesions on the glans (the head of the penis). Smegma itself is not an infection, but if it is not cleaned regularly, it can create an environment conducive to bacterial or fungal infections, which may manifest as white spots or other symptoms.
When the foreskin is long, it can trap moisture and debris, leading to smegma buildup. This can cause inflammation of the glans, a condition known as balanitis. Symptoms of balanitis may include redness, swelling, itching, and the presence of white patches or spots. If you notice persistent white spots, it is essential to differentiate between smegma buildup and other potential conditions, such as pearly penile papules, lichen sclerosus, or sexually transmitted infections (STIs).
To manage and prevent smegma accumulation, it is crucial to maintain proper hygiene. Here are some recommendations:
1. Regular Cleaning: Gently retract the foreskin and clean the area with warm water daily. Avoid using harsh soaps, as they can irritate the sensitive skin of the glans.
2. Drying: After washing, ensure the area is thoroughly dried to prevent moisture buildup, which can promote bacterial growth.
3. Avoid Irritants: Be cautious with products that may irritate the genital area, such as scented soaps or lotions.
4. Consult a Healthcare Provider: If you notice persistent white spots, discomfort, or any other unusual symptoms, it is advisable to consult a healthcare provider. They can perform a physical examination and may recommend tests to rule out infections or other conditions.
5. Consider Circumcision: In cases of severe or recurrent issues related to excess foreskin and smegma buildup, circumcision may be considered. This surgical procedure removes the foreskin and can help prevent future problems.
6. Safe Sexual Practices: If you are sexually active, practicing safe sex is essential to reduce the risk of STIs, which can also cause similar symptoms.
In summary, while excess foreskin can contribute to smegma accumulation and potentially lead to white spots or irritation, maintaining proper hygiene is key to preventing these issues. If symptoms persist or worsen, seeking medical advice is crucial for appropriate diagnosis and treatment.
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