Smegma: Causes, Symptoms, and Cleaning Tips - Urology

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The issue of smegma?


Hello, doctor.
I previously consulted you about the white spots on my glans, and you mentioned that it could be caused by smegma.
Recently, I have been cleaning it more thoroughly, and I noticed that the tip of the white spot seems to have a white substance that is about to come out.
Is that smegma? Should I continue cleaning it to achieve complete cleanliness?

Wai guan, 10~19 year old female. Ask Date: 2018/08/19

Dr. Du Shixi reply Urology


Hello: If it is smegma, continue to keep the area clean and dry.
If it persists for more than a week, you should see a doctor, as it may indicate other conditions that require medical evaluation.
Wishing you good health.

Reply Date: 2018/08/19

More Info


Smegma is a natural substance that can accumulate under the foreskin in males, consisting of dead skin cells, oils, and moisture. It is often mistaken for an infection or other medical condition, but it is a normal bodily secretion. However, excessive smegma can lead to hygiene issues and may contribute to infections if not properly managed.


Causes of Smegma Accumulation
Smegma typically accumulates due to inadequate cleaning of the genital area. Factors that can contribute to the buildup include:
1. Poor Hygiene: Not cleaning the genital area regularly can lead to smegma buildup.

2. Foreskin Anatomy: Males who are uncircumcised may be more prone to smegma accumulation, as the foreskin can trap moisture and debris.

3. Skin Conditions: Certain skin conditions can lead to increased shedding of skin cells, contributing to smegma.


Symptoms of Smegma
The primary symptom of smegma accumulation is the presence of a white, cheesy substance under the foreskin. Other symptoms may include:
- Foul odor
- Irritation or inflammation of the glans (the head of the penis)
- Discomfort during sexual activity or urination

Cleaning Tips
To manage and prevent smegma buildup, consider the following cleaning tips:
1. Regular Cleaning: It is essential to clean the genital area regularly. Gently retract the foreskin (if uncircumcised) and wash the area with warm water. You can use a mild, unscented soap, but be cautious as harsh soaps can irritate the sensitive skin.

2. Gentle Technique: When cleaning, use a gentle touch to avoid irritation. You may notice white or yellowish substances; this is likely smegma. It is important to clean this area thoroughly but gently.

3. Drying: After washing, ensure the area is dried properly. Moist environments can promote bacterial growth, leading to infections.

4. Avoid Irritants: Avoid using heavily scented soaps, lotions, or other products that can irritate the sensitive skin of the genital area.

5. Monitor Changes: If you notice any changes in color, consistency, or odor of the smegma, or if you experience pain, swelling, or other concerning symptoms, it is advisable to consult a healthcare professional.


Addressing Your Concerns
Regarding your specific situation, if you have noticed a white substance at the tip of the glans that seems to be coming out, it is likely smegma. Continuing to clean the area regularly should help in managing this. However, if the white spots persist or if you experience any discomfort, it would be wise to consult a healthcare provider for a thorough examination. They can determine whether the white spots are indeed smegma or if there is another underlying condition that needs to be addressed.

In summary, maintaining proper hygiene is crucial in managing smegma. Regular cleaning, gentle techniques, and monitoring for any changes can help prevent complications. If you have any further concerns or symptoms, do not hesitate to seek medical advice.

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