Glans Shedding: Causes and Implications for Sexual Health - Urology

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Penile glans desquamation


Initially, there were no abnormalities during sexual activity with my girlfriend.
However, after one instance of intercourse in a hot spring, she seemed to develop pelvic inflammatory disease.
After taking medication, she recovered, but it appears that every time we engage in unprotected sex, her symptoms recur.
Over the course of a year, she has experienced repeated infections, while I have not felt any discomfort.
Recently, I noticed some peeling on my glans.
There is no issue with phimosis, but it is neither itchy nor painful.
The peeling area occasionally appears red, but the peeling itself is intermittent.
Could this be glans inflammation? Is it possible that my girlfriend's recurrent infections are due to me?

Hi, 20~29 year old female. Ask Date: 2019/10/27

Dr. Sun Hongshun reply Urology


Hello, have you recently experienced flaking or redness of the glans? This can occur with seasonal changes, but of course, inflammation of the glans and foreskin cannot be completely ruled out.
This may also directly or indirectly lead to your girlfriend's recurrent pelvic issues.
It is recommended that both of you visit a urologist and a gynecologist for a comprehensive evaluation and treatment.

Reply Date: 2019/10/27

More Info


Understanding glans shedding and its implications for sexual health is crucial, especially in the context of recurrent infections and symptoms you’ve described. The shedding of skin on the glans, or the head of the penis, can occur for various reasons, and it’s essential to differentiate between normal physiological processes and potential pathological conditions.


Causes of Glans Shedding
1. Normal Shedding: The skin on the glans, like any other skin on the body, undergoes a natural process of shedding and renewal. This can sometimes be more noticeable in individuals with less frequent exposure to air and light, such as those who are uncircumcised.

2. Irritation or Allergic Reactions: Irritants such as soaps, lotions, or even certain fabrics can cause irritation leading to flaking or shedding of the skin. If you’ve recently changed any personal care products, this could be a contributing factor.

3. Infections: Conditions such as candidiasis (yeast infection) or bacterial infections can lead to inflammation and shedding of the skin. While you mentioned not experiencing pain or itching, it’s still possible for a mild infection to cause these symptoms.

4. Dermatological Conditions: Conditions like psoriasis or eczema can also affect the genital area, leading to flaking skin. These conditions may not always present with severe symptoms like itching or pain.


Implications for Sexual Health
Given your description of your girlfriend experiencing recurrent pelvic inflammatory disease (PID) and your own symptoms, it’s important to consider the following:
1. Transmission of Infections: If your girlfriend has had recurrent infections, it’s possible that these could be related to sexual activity, especially if there is a history of untreated sexually transmitted infections (STIs). While you may not have symptoms, asymptomatic carriers can still transmit infections.

2. Recurrent Infections: The cycle of infection can be complex. If your girlfriend is experiencing recurrent infections, it may be due to a combination of factors, including her own health, the presence of bacteria, or even anatomical issues that predispose her to infections.

3. Consultation with a Healthcare Provider: It’s essential for both you and your girlfriend to seek medical advice. A healthcare provider can perform necessary tests to rule out STIs or other infections. They may also recommend treatments that can help prevent future infections.

4. Safe Practices: Using condoms consistently can help reduce the risk of transmitting infections. It’s also advisable to maintain good hygiene practices and to avoid sexual activity during active infections.


Conclusion
In summary, while glans shedding can be a normal occurrence, it can also indicate underlying issues, especially in the context of recurrent infections. It’s crucial to have open communication with your partner about sexual health and to seek medical evaluation to address any concerns. Both partners should be evaluated to ensure that any potential infections are identified and treated appropriately, which can help break the cycle of recurrent infections. Regular check-ups and practicing safe sex are vital components of maintaining sexual health.

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