Managing Painful Glans Injury After Intense Sexual Activity - Urology

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Glans penis wound


Hello, doctor.
I haven't had sexual intercourse with my girlfriend for a while due to a long-distance relationship.
Today, during intercourse, I was a bit vigorous, and I used a condom! After ejaculation, when I was removing the condom, I felt a sharp pain in the glans.
After cleaning up, I noticed that the glans was scraped and bleeding, and it hurts even when it comes into contact with water.
How should I handle this? Besides keeping the area dry, is there any medication I should apply, or should I seek medical attention? (P.S.
I am not circumcised.) Thank you for your time, doctor.

Niming, 20~29 year old female. Ask Date: 2019/10/14

Dr. Du Shixi reply Urology


Hello: It is mostly a minor abrasion.
Currently, it can be disinfected, and please avoid contact with water for now.
If it comes into contact with water, be sure to disinfect it.
If it heals normally, there should be no redness.
If there is redness or it does not improve after three days, please seek medical attention.
Wishing you good health.

Reply Date: 2019/10/14

More Info


Managing a painful glans injury after intense sexual activity can be concerning, especially when it involves symptoms like pain, bleeding, and sensitivity. It’s important to approach this situation with care to ensure proper healing and to prevent any potential complications.

First and foremost, it’s crucial to understand that the glans (the head of the penis) is a sensitive area, and any trauma can lead to discomfort and injury. In your case, it seems that the friction or pressure during sexual activity may have caused a superficial injury, resulting in the pain and bleeding you are experiencing.

Here are some steps you can take to manage the injury:
1. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using harsh soaps or scrubbing the area, as this can exacerbate the injury. After cleaning, pat the area dry with a clean towel.

2. Avoid Irritants: Refrain from using any scented lotions, creams, or other products that could irritate the sensitive skin of the glans. This includes avoiding any sexual activity until the area has healed.

3. Apply a Protective Ointment: You may consider applying a thin layer of a mild antibiotic ointment (like Neosporin) to help prevent infection and promote healing. However, avoid using any ointments that contain alcohol or other irritants.

4. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil) can help alleviate discomfort. Be sure to follow the recommended dosages on the packaging.

5. Monitor for Infection: Keep an eye on the injury for any signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, it’s important to seek medical attention promptly.

6. Avoid Sexual Activity: It’s advisable to abstain from any sexual activity, including masturbation, until the injury has fully healed. Engaging in sexual activity too soon can worsen the injury and delay healing.

7. Consult a Healthcare Provider: If the pain persists, the bleeding does not stop, or if you have any concerns about the injury, it’s important to consult a healthcare provider. They can assess the injury and determine if any further treatment is necessary. In some cases, a referral to a urologist may be warranted.

8. Consider Future Precautions: Once healed, consider discussing with your partner about using lubrication during sexual activity to reduce friction and prevent similar injuries in the future. Additionally, ensure that any condoms used are the correct size and type to minimize the risk of breakage or slippage.

In summary, while minor injuries to the glans can often be managed at home with proper care, it’s essential to monitor the situation closely. If there are any signs of complications or if the injury does not improve, seeking medical advice is the best course of action. Remember, your health and well-being are paramount, and addressing any concerns with a healthcare professional is always a wise decision.

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