Male Genital Hygiene: Common Concerns and Care Tips - Urology

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Hello doctor, today I helped my boyfriend clean his genital area because the last time I noticed a strange smell, and since he is my first boyfriend, I decided to look it up and try to help him.
I have three questions for you.
First, during our first oral sex experience, I noticed that the mucosa near his urethra seemed to have some indentations or visible lines.
Is this normal? My boyfriend said he hadn’t noticed it before, so it should be fine, but I’m a bit worried it might be genital warts.
However, it doesn’t look like there are too many or that they are raised or clustered; it seems somewhat natural, but I don’t understand the male anatomy well, so I’m asking you.
My boyfriend insists everything is normal, but I’m starting to doubt he knows his body well.
Second, when I pulled back his foreskin, I was shocked to see a lot of white and yellowish substances.
I slowly rinsed some off with water, but I was afraid to use my fingers to scrape it off in case I hurt him.
Can those substances, which seem like smegma, be removed? Is that the source of the odor? My boyfriend told me it was also his first time pulling it back, and I almost felt sick hearing that...
I ingested that stuff...
I’m worried it might harm my health.
Lastly, when I was rinsing with the showerhead, my boyfriend kept saying it hurt.
Did I accidentally injure his glans, or is it just that the area is very sensitive? As mentioned in question two, if the smegma can’t be rinsed off, what should I do? My boyfriend thinks I might hurt his skin this way.
He says that the skin naturally has bacteria that coexist, but I want to know if you would recommend that the smegma should also be cleaned off.

Mandy, 20~29 year old female. Ask Date: 2020/05/06

Dr. Du Shixi reply Urology


Hello: 1) This platform cannot provide a diagnosis.
If there are any concerns, a visit to a urologist at a hospital is necessary for diagnosis.
However, warts may become noticeably larger, so observation is recommended.
2) Smegma is usually white, and infrequent cleaning of the foreskin can lead to inflammation.
If you consume unclean food, there is certainly a risk.
If you experience gastrointestinal discomfort, you should seek medical attention.
3) If you have not been cleaning regularly, the first cleaning may cause pain and discomfort.
It is best to have a physician examine and manage the situation.
If there is redness or even broken skin, medical treatment is necessary.
Wishing you good health.

Reply Date: 2020/05/06

More Info


When it comes to male genital hygiene, it’s essential to understand the anatomy and the common concerns that can arise. Your inquiry touches on several important aspects of male genital care, including the appearance of the skin, the presence of smegma, and sensitivity during cleaning. Let’s break down your questions and provide some guidance.


1. Appearance of the Urethral Mucosa
The appearance of the urethral mucosa, including any grooves or lines, can vary significantly among individuals. It is not uncommon for the skin in this area to have natural variations, including fine lines or textures. However, if there are any changes that seem unusual, such as significant discoloration, lesions, or growths, it is advisable for your boyfriend to consult a healthcare professional. Conditions like genital warts (caused by the human papillomavirus) can sometimes present as small bumps or changes in texture, but they typically have a distinct appearance. If your boyfriend is unsure about his own anatomy, a visit to a urologist or dermatologist can provide clarity and peace of mind.


2. Smegma and Its Removal
Smegma is a natural substance that can accumulate under the foreskin in uncircumcised males. It consists of dead skin cells, oils, and moisture, and can appear as a whitish or yellowish substance. While smegma is normal, excessive buildup can lead to odor and potential irritation. It’s important to clean the area regularly to prevent this buildup.
To clean smegma effectively:
- Gentle Washing: Use warm water and mild soap to gently clean the area. It’s crucial to avoid harsh soaps or scrubbing too hard, as this can irritate the sensitive skin.

- Avoiding Injury: If your boyfriend experiences pain when cleaning, it could be due to sensitivity or improper technique. Encourage him to relax and to use gentle motions. If he feels discomfort, it might be best to consult a healthcare provider to rule out any underlying issues.


3. Sensitivity and Pain During Cleaning
Sensitivity in the genital area is common, especially if it is not accustomed to being cleaned regularly. If your boyfriend is experiencing pain, it could be due to several factors:
- Sensitivity: The glans (head of the penis) is sensitive, and some individuals may find that even gentle washing can cause discomfort.

- Infection or Irritation: If there is an underlying infection or irritation, this could also lead to pain. Signs of infection may include redness, swelling, or discharge.

If the pain persists, it is essential for him to see a healthcare professional. They can assess for any infections, skin conditions, or other issues that may be causing discomfort.


General Hygiene Tips
- Regular Cleaning: Encourage your boyfriend to clean his genital area regularly, especially if he is uncircumcised. This helps prevent the buildup of smegma and reduces odor.

- Use of Mild Products: Recommend using mild, unscented soaps to avoid irritation.

- Drying: After washing, it’s important to dry the area gently to prevent moisture buildup, which can lead to fungal infections.

- Consultation: If there are any concerns about unusual growths, persistent odor, or pain, it’s best to consult a healthcare provider for a thorough examination.


Conclusion
Maintaining genital hygiene is crucial for overall health and comfort. Open communication between partners about hygiene practices can also enhance intimacy and trust. If there are any lingering concerns or if your boyfriend feels uncomfortable with the cleaning process, seeking professional medical advice is the best course of action. This will not only ensure his health but also alleviate any worries you may have regarding potential health risks.

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