Glandular Issues: Symptoms and Treatment Options - Urology

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Glans issues


Hello, I would like to ask about a situation.
After having intercourse with my wife, I noticed many small blisters around my glans the next day, which itched when I walked.
However, after three days, the itching gradually subsided.
My wife, on the other hand, is experiencing itching around her vulva and has developed some red spots.
Could this be an infection? Is it safe to apply medication on our own?

A Gan, 40~49 year old female. Ask Date: 2019/03/09

Dr. Chen Jiansheng reply Urology


Online consultation cannot determine the cause; it may be a viral infection.
Please seek medical attention.

Reply Date: 2019/03/09

More Info


Understanding glandular issues, particularly in the context of sexual health, can be quite complex. Based on your description, it sounds like both you and your wife are experiencing symptoms that could indicate a sexually transmitted infection (STI) or another type of dermatological condition.
The small water-filled blisters you mentioned on your glans (the head of the penis) could be indicative of several conditions, including herpes simplex virus (HSV) infection, which is known for causing painful blisters or sores in the genital area. The fact that these blisters were itchy and then subsided could align with the typical course of a herpes outbreak, which often starts with itching or tingling, followed by the appearance of blisters that eventually crust over and heal.

On the other hand, the symptoms your wife is experiencing—itching and red spots around her vulva—could also suggest a similar infection or could be a reaction to irritation or an allergic response to a product used during intercourse, such as lubricants, soaps, or even latex if condoms were used.
In terms of treatment, it is crucial to approach this situation with caution. While over-the-counter treatments may provide temporary relief for itching or irritation, they may not address the underlying cause if it is indeed an infection. For instance, antiviral medications are typically required for herpes infections, while other STIs may necessitate specific antibiotics or antiviral treatments.

Here are some steps you should consider:
1. Consult a Healthcare Provider: It is essential for both you and your wife to see a healthcare provider for a proper diagnosis. They may perform physical examinations, take swabs of the affected areas, and possibly conduct blood tests to determine the exact cause of your symptoms.

2. Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to refrain from sexual activity to prevent potential transmission of an infection to your partner or vice versa.

3. Symptomatic Relief: In the meantime, you can use soothing creams or ointments for symptomatic relief, but avoid applying anything without consulting a healthcare professional first. Over-the-counter hydrocortisone cream may help reduce itching, but it is not a cure.

4. Follow Treatment Recommendations: If diagnosed with an STI or another infection, follow your healthcare provider's treatment plan closely. This may include taking prescribed medications and following up for any necessary retesting.

5. Educate Yourself: Understanding STIs, their transmission, and prevention methods can help you and your partner make informed decisions about your sexual health in the future.
In conclusion, while it may be tempting to self-diagnose or treat based on symptoms, the best course of action is to seek professional medical advice. This ensures that both you and your wife receive appropriate care and treatment, which is crucial for your overall health and well-being.

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