Balanoposthitis
The genital area is in a somewhat concerning state, but there doesn't seem to be any major issues.
The glans penis appears slightly red and has some minor peeling during erection.
After applying medication (Aing-Hui Bi-Jian ointment), the symptoms resolved.
However, there is pain during ejaculation, described as a feeling of compression in the glans, and there is also a painful sensation of compression when exerting force during erection.
At other times, there are no symptoms.
I'm unsure how to proceed with treatment.
Wang Xiaoming, 10~19 year old female. Ask Date: 2019/10/06
Dr. Du Shixi reply Urology
Hello: The red spots are mostly due to a mild infection.
Keep the area clean and dry.
If there is pain, it may feel like the glans is being compressed during ejaculation, and there may also be a sensation of compression pain when bending or straining during an erection.
This situation can be difficult to understand; it could be caused by masturbation.
It is advisable to see a doctor for evaluation.
Wishing you good health.
Reply Date: 2019/10/06
More Info
Balanitis is an inflammation of the glans (the head of the penis) that can result from various causes, including infections, irritants, or underlying medical conditions. Understanding the symptoms and potential treatments is crucial for effective management.
Symptoms of Balanitis
The symptoms of balanitis can vary, but common signs include:
- Redness and swelling of the glans
- Itching or irritation
- Pain or discomfort, especially during erections or sexual activity
- Discharge from the penis
- Foul odor
- Peeling or flaking skin
In your case, you mentioned experiencing redness and slight peeling of the glans, along with discomfort during erections and ejaculation. These symptoms suggest that you may be dealing with a mild case of balanitis, potentially exacerbated by friction or irritation.
Possible Causes
Balanitis can be caused by:
1. Infections: Bacterial or fungal infections, including yeast infections, are common culprits.
2. Irritants: Soaps, lotions, or other personal care products can irritate sensitive skin.
3. Poor Hygiene: Inadequate cleaning can lead to the accumulation of smegma, which can irritate the glans.
4. Skin Conditions: Conditions like eczema or psoriasis can also affect the genital area.
5. Diabetes: Individuals with diabetes are more prone to infections, including balanitis.
Treatment Options
1. Topical Treatments: You mentioned using a topical ointment (杏輝必健軟膏), which may contain ingredients to soothe irritation or fight infection. Over-the-counter antifungal creams can be effective if a yeast infection is suspected.
2. Good Hygiene: Maintaining proper hygiene is essential. Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward.
3. Avoid Irritants: Identify and avoid any potential irritants, such as harsh soaps or lotions. Wearing loose-fitting underwear can also help reduce friction.
4. Consult a Healthcare Provider: If symptoms persist or worsen, it is crucial to consult a healthcare provider. They may perform a physical examination and possibly recommend a culture test to identify any underlying infections. Depending on the diagnosis, they may prescribe antifungal or antibiotic medications.
5. Manage Underlying Conditions: If diabetes or another underlying condition is contributing to your symptoms, managing that condition is vital for preventing recurrent balanitis.
When to Seek Medical Attention
You should seek medical attention if:
- Symptoms persist despite treatment.
- You experience severe pain or swelling.
- There is significant discharge or a foul odor.
- You have fever or systemic symptoms.
In conclusion, while your current treatment may provide temporary relief, it is essential to address the underlying cause of your balanitis. Proper hygiene, avoiding irritants, and consulting a healthcare professional for persistent or severe symptoms are key steps in managing this condition effectively.
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