Sensitivity and Pain in the Glans After Bathing: Causes and Solutions

There is a slight pain sensation in the glans due to friction against the underwear?

I initially experienced some leakage of urine after putting on my pants following urination.
I consulted a doctor who tested my urine and found no signs of infection, and imaging showed no stones.
The doctor reassured me that it was not a concern and suggested taking hot baths to improve the situation.
I took hot baths for three days but then stopped.
However, after bathing, I noticed that my glans became sensitive, and I experienced slight pain when it came into contact with my underwear.
I thought it would improve over time, but a month has passed without any improvement.
I returned to the doctor, who prescribed Meikang cream.
I have been applying it for three days, but there has been no change.
I would like to know if this is due to inflammation or a burn (I suspect the bath water might have been too hot, and I'm unsure if it caused a burn), and whether I should continue using the Meikang cream.
Please help me, thank you.

Xiao Zhi, 30~39 year old female. Ask Date: 2018/10/22

Dr. Sun Hongshun reply Urology

Hello, aside from the pain, do you have any other symptoms? I recommend that you visit an outpatient clinic for an examination to assess for signs of balanitis.

Reply Date: 2018/10/22

More Info

Understanding sensitivity and pain in the glans after bathing can be quite complex, as it involves various factors including skin sensitivity, potential irritation, and underlying medical conditions. Based on your description, it seems that you have experienced increased sensitivity and pain in the glans after taking hot baths, and despite using a topical treatment (美康乳膏), there has been no improvement over the course of a month.

Possible Causes of Sensitivity and Pain
1. Irritation from Hot Water: Soaking in hot water can lead to irritation of the sensitive skin in the genital area. The skin on the glans is particularly delicate, and exposure to high temperatures can cause thermal irritation, leading to increased sensitivity and discomfort. If the water was too hot, it might have caused a mild burn or irritation, which could explain the persistent pain.

2. Chemical Irritation: If you are using soaps or bath products that contain fragrances, dyes, or other harsh chemicals, these could contribute to irritation. It’s essential to use mild, hypoallergenic products in the genital area to minimize the risk of irritation.

3. Infection or Inflammation: Although your doctor ruled out urinary tract infection (UTI) and kidney stones, other forms of inflammation or infection could still be present. Conditions such as balanitis (inflammation of the glans) can cause sensitivity and pain. If there is any redness, swelling, or discharge, it would be prudent to consult a healthcare provider for further evaluation.

4. Skin Conditions: Conditions like eczema or psoriasis can also affect the genital area, leading to discomfort and sensitivity. If you have a history of skin issues, this could be a contributing factor.

Recommendations for Management
1. Avoid Hot Baths: Given that hot water seems to exacerbate your symptoms, it would be wise to avoid hot baths and instead opt for lukewarm water. Limit the duration of baths and ensure that the water temperature is comfortable.

2. Gentle Cleansing: When bathing, use a gentle, unscented cleanser specifically designed for sensitive skin. Avoid scrubbing the area, as this can further irritate the skin.

3. Topical Treatments: Continue using the prescribed cream (美康乳膏) as directed. If there is no improvement after a week or two, or if symptoms worsen, it is crucial to follow up with your healthcare provider. They may consider alternative treatments or investigate further for underlying issues.

4. Moisturization: Applying a gentle, fragrance-free moisturizer to the area may help soothe irritation and maintain skin hydration. Ensure that the product is safe for use on sensitive areas.

5. Avoid Tight Clothing: Wearing loose-fitting underwear and clothing can help reduce friction and irritation against the sensitive skin of the glans.

6. Consult a Specialist: If symptoms persist despite these measures, consider consulting a dermatologist or urologist who specializes in genital skin conditions. They can provide a more thorough examination and tailored treatment options.

Conclusion
In summary, the sensitivity and pain you are experiencing in the glans after bathing could be due to thermal irritation, chemical irritation, or an underlying skin condition. It is essential to modify your bathing habits, use gentle products, and consult a healthcare provider if symptoms persist. Proper care and attention to the sensitivity of the area can help alleviate discomfort and promote healing.

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