Redness and Swelling Near the Frenulum: A Urology Perspective

Q: Redness and Swelling Near the Frenulum: A Urology Perspective

Hello： When seeing the two doctors, did you mention engaging in unsafe sexual behavior (within the past few months)? It is advisable to inform your physician. <br>This platform cannot provide a diagnosis, but it appears that there may be something abnormal (skin of the coronal su

Redness and swelling of the foreskin near the annular sulcus?

1.
Recently, I had sexual intercourse with a woman, and we used a condom throughout the entire encounter.
The next day, I noticed three small red bumps on the glans, which were neither painful nor itchy.
After visiting the hospital for an examination, the doctor prescribed medication and indicated that there was no major issue, advising me to continue monitoring the situation.

2.
A few days later, I observed slight redness and swelling around the foreskin near the corona, which was also painless and itch-free.
I went back to the hospital for another consultation, and the doctor again assessed that there was no significant problem and recommended continued observation, stating that sexual activity was permissible.
3.
After two consultations, during my most recent sexual encounter, I did not use a condom.
The following day, I noticed that the previously red and swollen area near the corona had significantly enlarged, remaining painless and itch-free.
However, the small red bumps on the glans had disappeared.
After seeking medical attention, the doctor suggested that it might be eczema.
He also noted that I should continue monitoring the situation, as both the first and second consultations were with the same physician who indicated that there was no cause for concern, advising me to stop the medication and continue observation, suggesting it was likely just vascular swelling.
The third consultation was with a different doctor, who also mentioned eczema.

I would like to ask whether I should continue treatment with the first doctor or consult the second one.

Yihuo, 30~39 year old female. Ask Date: 2019/01/05

Dr. Du Shixi reply Urology

Hello: When seeing the two doctors, did you mention engaging in unsafe sexual behavior (within the past few months)? It is advisable to inform your physician.
This platform cannot provide a diagnosis, but it appears that there may be something abnormal (skin of the coronal sulcus and skin of the penis), and it might be better to get it checked.
Wishing you good health.

Reply Date: 2019/01/05

More Info

When it comes to redness and swelling near the frenulum, particularly after sexual activity, it is essential to consider various factors that could contribute to these symptoms. Based on your description, it seems that you have undergone multiple evaluations by different healthcare providers, and the consensus has been that there is no significant underlying issue. However, let’s delve deeper into the potential causes and management strategies from a urological perspective.

Understanding the Symptoms
1. Red Bumps on the Glans: The appearance of small red bumps on the glans (the head of the penis) can be attributed to several benign conditions, including:
- Folliculitis: Inflammation of hair follicles, which can occur due to friction or irritation.

- Pearly Penile Papules: These are small, harmless bumps that are normal anatomical variants and not a cause for concern.

- Allergic Reactions: Sometimes, reactions to lubricants or other products can cause localized irritation.

2. Redness and Swelling of the Frenulum: The frenulum is a sensitive area, and redness and swelling can occur due to:
- Irritation or Friction: This can happen during sexual activity, especially if there is a lack of lubrication or if the activity is vigorous.

- Infection: While you mentioned that there was no pain or itching, infections such as balanitis (inflammation of the glans) can present with redness and swelling without significant discomfort initially.

- Dermatological Conditions: Conditions like eczema or dermatitis can also manifest as localized redness and swelling.

Management Strategies
Given that you have already consulted with healthcare providers who have suggested observation and have ruled out significant pathology, here are some additional considerations:
- Continue Observation: If the symptoms are not causing pain or discomfort and the healthcare providers have indicated that they are not concerning, it may be reasonable to continue monitoring the situation. Many mild irritations resolve on their own with time.

- Avoid Irritants: If you suspect that friction or certain products may be contributing to your symptoms, consider using water-based lubricants during sexual activity and avoid any potential irritants.

- Hygiene Practices: Maintaining good hygiene is crucial. Gently clean the area with mild soap and water, and ensure that the area is dry afterward.

- Follow-Up: If the symptoms persist or worsen, or if you develop new symptoms (such as pain, discharge, or significant swelling), it would be prudent to return to a healthcare provider for further evaluation. You may also consider seeking a second opinion from a urologist who specializes in penile health.

- Consider Dermatological Evaluation: If there is a suspicion of a dermatological condition like eczema or dermatitis, a referral to a dermatologist may be beneficial for a more specialized assessment and treatment options.

Conclusion
In summary, while your symptoms appear to be benign based on the evaluations you have received, it is essential to remain vigilant. Continue to observe the situation and maintain good hygiene practices. If there are any changes or if you have concerns, do not hesitate to seek further medical advice. Communication with your healthcare providers is key, and if you feel uncertain about the management plan, discussing your concerns openly with them can help clarify the best course of action.

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