Itchy Foreskin: Causes and Solutions for Teens

Itching of the foreskin?

Hello doctor, I am 17 years old.
After taking a shower on the night of April 28, I suddenly experienced intense itching in my foreskin.
At first, I didn't think much of it, but then it started to hurt when I scratched it.
I took a photo with my phone and noticed that there were several small bumps on my foreskin, with one particularly large bump that is somewhat painful when touched.
I would like to ask for your advice, doctor.

Xiao Bai, 10~19 year old female. Ask Date: 2019/04/28

Dr. Cai Zhuorong reply Urology

The above condition is mostly still balanitis, please visit a urology outpatient clinic for consultation.

Reply Date: 2019/04/28

More Info

Itchy foreskin, especially in teenagers, can be a common issue and may arise from various causes. The symptoms you describe, including itching and the appearance of small bumps on the foreskin, can be concerning, but they are often manageable with the right approach.

Firstly, let's discuss some potential causes of your symptoms:
1. Infections: One of the most common causes of itching and irritation in the genital area is an infection. This could be a yeast infection, which is more common in individuals who are uncircumcised, or a sexually transmitted infection (STI) such as herpes or genital warts. If the bumps are painful or if you notice any unusual discharge, it’s important to seek medical attention promptly.

2. Dermatitis: Contact dermatitis can occur due to irritation from soaps, lotions, or other products that come into contact with the genital area. Allergic reactions to certain materials, such as latex in condoms, can also cause similar symptoms.

3. Poor Hygiene: Inadequate cleaning of the genital area can lead to a buildup of smegma (a combination of dead skin cells and oils), which can cause irritation and itching. It’s essential to maintain proper hygiene by gently cleaning the area with mild soap and water.

4. Skin Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to itching and the formation of bumps. These conditions may require specific treatments to manage symptoms effectively.

5. Pearly Penile Papules: These are small, harmless bumps that can appear on the penis and are often mistaken for warts or other infections. They are normal anatomical variations and do not require treatment unless they cause discomfort.

Given your symptoms, it is crucial to avoid self-diagnosing and self-treating. Here are some steps you can take:
- Avoid Irritants: Refrain from using scented soaps, lotions, or any products that may irritate the area. Stick to mild, unscented products for cleaning.

- Maintain Hygiene: Ensure that you are cleaning the area properly. Gently retract the foreskin (if applicable) and wash with warm water and mild soap.

- Avoid Scratching: While it may be tempting to scratch the itchy area, doing so can lead to further irritation or even infection.

- Seek Medical Attention: If the itching persists, the bumps do not improve, or if you experience pain, discharge, or other concerning symptoms, it is essential to consult a healthcare professional. A doctor can perform a physical examination, possibly conduct tests, and provide a proper diagnosis and treatment plan.

In summary, while itchy foreskin and the presence of bumps can be distressing, many causes are treatable. Proper hygiene, avoiding irritants, and seeking medical advice when necessary are key steps in managing your symptoms. Remember, it’s always better to err on the side of caution when it comes to your health, especially in sensitive areas.

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