Glans Issues: Causes, Symptoms, and Treatment Options - Urology

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Glans issues


Hello, doctor.
For the past few days, I've been experiencing redness and itching on the glans and foreskin, and the affected area is continuously expanding.
I might have caused some small abrasions from scratching.
When I wash, I notice white, crumbly substances that are odorless.
Could this be caused by a Candida infection? Is it safe to apply FUSIK CREAM "Y.C." from Yuanzhou?

Lin, 10~19 year old female. Ask Date: 2019/01/17

Dr. Chen Jiansheng reply Urology


It is still advisable to seek medical evaluation for safety reasons.

Reply Date: 2019/01/17

More Info


Understanding glans issues, particularly those involving redness, itching, and the presence of white patches, is crucial for effective treatment and management. The symptoms you describe—redness, itching, and the appearance of white, odorless patches—could indeed suggest a fungal infection, such as candidiasis (commonly known as a yeast infection), which is often caused by the Candida species. This type of infection can occur in moist areas of the body, including the genital region, particularly if there is an underlying condition that predisposes one to such infections, such as diabetes or a compromised immune system.

In addition to candidiasis, other potential causes of your symptoms could include:
1. Balanitis: This is an inflammation of the glans (the head of the penis) that can result from various factors, including poor hygiene, irritants (like soaps or lotions), or infections (bacterial or fungal). Symptoms typically include redness, swelling, and sometimes discharge.

2. Contact Dermatitis: This condition arises from an allergic reaction to substances that come into contact with the skin, such as soaps, lotions, or latex from condoms. Symptoms can include redness, itching, and sometimes blistering.

3. Sexually Transmitted Infections (STIs): Certain STIs, such as herpes or genital warts, can also cause similar symptoms. It's important to consider your sexual history and any potential exposure to STIs.

4. Psoriasis or other skin conditions: Psoriasis can affect the genital area and may present with red, scaly patches. Other skin conditions may also mimic these symptoms.

Given the presence of a small wound due to scratching, it is essential to avoid further irritation and to keep the area clean and dry. The use of antifungal creams, such as the one you mentioned (FUSIK CREAM "Y.C."), which typically contains antifungal agents, may be beneficial if the diagnosis leans towards a fungal infection. However, it is crucial to ensure that the cream is appropriate for your specific condition.
Before applying any medication, including over-the-counter creams, it is advisable to consult with a healthcare professional. They can provide a proper diagnosis, which may include a physical examination and possibly laboratory tests to determine the exact cause of your symptoms. If candidiasis is confirmed, antifungal treatments are usually effective.
In the meantime, here are some general recommendations:
- Maintain Hygiene: Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

- Avoid Irritants: Refrain from using scented soaps, lotions, or other products that may irritate the area.

- Wear Loose-fitting Clothing: This can help reduce moisture and friction, which may exacerbate the condition.

- Avoid Scratching: While it may be tempting, scratching can worsen the irritation and lead to further complications, such as secondary bacterial infections.

If symptoms persist or worsen, or if you experience additional symptoms such as fever, swelling, or discharge, seek medical attention promptly. A healthcare provider can offer tailored advice and treatment options based on your specific situation.

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