Darkening of Glans Near Urethra: Causes and Concerns Explained

A small area near the glans, approximately 0.8 cm to 1 cm in diameter, has changed to a darker color?

1.
There is a small area (diameter 0.8cm to 1cm) on both sides near the glans that has noticeably darkened (normally red) but is not painful or itchy.
Could this be a sign of a viral infection?
2.
I have a habit of masturbation and recently I may have overdone it (about once or twice a day, occasionally with a few days in between).
Could this cause the glans to darken?
3.
I used to have strong sexual performance, and recently I have had no issues with erections during sex or masturbation.
However, I have recently experienced a loss of rigidity when distracted, whether during solo or partnered activities (for example, while using a condom).
Could this be related to excessive masturbation? Is it a case of sexual fatigue? I have already reduced the frequency, but there hasn't been much improvement.
Thank you for your response.

Shijing Xiaomin A, 40~49 year old female. Ask Date: 2019/02/21

Dr. Chen Jiansheng reply Urology

Please shift your focus for one to two months to adjust your daily routine, and then try again.
If it still doesn't work, consider whether there may be an organic issue.

Reply Date: 2019/02/21

More Info

The darkening of the glans near the urethra can be concerning and may have several potential causes. Let's break down your questions and provide a comprehensive understanding of the situation.

1. Possible Causes of Darkening: The localized darkening of the glans, particularly near the urethra, could be due to a variety of factors. While it is not uncommon for the skin in this area to change color due to friction, irritation, or increased blood flow, persistent changes should be evaluated. Conditions such as hyperpigmentation, which can occur due to friction or irritation, might be responsible. However, infections, including sexually transmitted infections (STIs) like herpes or HPV, can also cause changes in color or texture. If there are no accompanying symptoms such as pain, itching, or discharge, it may be less likely to be an infection, but it is still advisable to consult a healthcare provider for a proper evaluation.

2. Impact of Masturbation: Engaging in frequent masturbation, especially if it is vigorous, can lead to temporary changes in the skin, including darkening due to increased blood flow or irritation. However, it is unlikely that occasional or even frequent masturbation alone would cause a significant change in color of the glans. If the practice is causing irritation or friction, it may be worth considering gentler techniques or reducing frequency to see if the condition improves.

3. Erectile Function Concerns: The issue of experiencing difficulty maintaining an erection, especially if it occurs when using a condom or during moments of distraction, can be multifactorial. Psychological factors, such as anxiety or stress, can significantly impact sexual performance. Additionally, if you have been engaging in frequent masturbation, it may lead to temporary desensitization, making it more challenging to maintain an erection during intercourse. This phenomenon is sometimes referred to as "sexual fatigue" or "neurogenic fatigue," where the nervous system becomes less responsive due to overstimulation. Reducing the frequency of masturbation, as you have started to do, is a good approach. It may take some time for your body to recalibrate, so patience is essential.

Recommendations:
- Consult a Healthcare Provider: Given the changes in color and your concerns about sexual performance, it is advisable to consult a urologist or a healthcare provider specializing in sexual health. They can conduct a physical examination and may recommend tests to rule out infections or other underlying conditions.

- Monitor Symptoms: Keep an eye on any changes in the area, including the development of new symptoms such as pain, itching, or discharge. If these occur, seek medical attention promptly.

- Practice Safe Sex: If you are sexually active, ensure that you and your partner are practicing safe sex to reduce the risk of STIs, which can also contribute to changes in genital health.

- Consider Psychological Factors: If you find that anxiety or stress is affecting your sexual performance, consider speaking with a mental health professional. They can provide strategies to manage anxiety and improve your sexual health.

- Healthy Lifestyle: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate hydration, can improve overall health and potentially enhance sexual function.

In conclusion, while the darkening of the glans may not be immediately alarming, it is essential to monitor the situation and seek medical advice to ensure that there are no underlying health issues. Additionally, addressing any psychological factors and maintaining a healthy lifestyle can contribute positively to your sexual health and overall well-being.

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