and Managing Smegma: A Guide for Young Men - Urology

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The issue of smegma?


Hello doctor, I would like to ask a question.
I am 23 years old and I didn't know I needed to retract my foreskin for cleaning until recently.
When I try to retract it, there is a white substance sticking to the glans, which causes pain and prevents me from retracting it fully.
Should I continue to retract it all the way, or is it better to do it gradually over several days? Additionally, is it normal for the glans to be so sensitive that any touch causes pain? What is the best way to clean it, or should I see a urologist for treatment? Thank you.

Xiao Xiao, 20~29 year old female. Ask Date: 2020/06/03

Dr. Du Shixi reply Urology


Hello: It's okay to do it little by little every day.
You can soak the smegma in warm water and then rinse it off.
If the glans is too sensitive and causes pain upon contact, it's common.
Generally, cleaning 2-3 times a week for about 2-3 weeks should normalize it.
If there is significant redness, broken skin, or discharge, you should seek medical attention.
Wishing you good health.

Reply Date: 2020/06/03

More Info


Understanding and managing smegma is an important topic for young men, especially for those who may not have been educated about proper hygiene practices. Smegma is a natural substance that can accumulate under the foreskin of the penis, consisting of dead skin cells, oils, and moisture. While it is normal for smegma to form, proper hygiene is essential to prevent discomfort and potential infections.

First and foremost, it is crucial to understand that the sensitivity you are experiencing when attempting to retract your foreskin is not uncommon. Many young men find that their glans (the head of the penis) can be sensitive, especially if they have not been exposed to direct contact or cleaning before. This sensitivity can lead to discomfort or pain when attempting to clean the area.
To address your concerns:
1. Cleaning Technique: It is advisable to gradually acclimate your body to the sensation of cleaning under the foreskin. Start by gently retracting the foreskin as far as you can without causing pain. If you experience discomfort, do not force it. Instead, try to retract it a little further each day until you can comfortably clean the area. When you do clean, use warm water and mild soap. Avoid harsh soaps or products that may irritate the sensitive skin.

2. Frequency of Cleaning: Regular cleaning is important to prevent the buildup of smegma. Aim to clean the area daily or every few days, depending on your personal hygiene needs. If you notice any unusual odor, discharge, or persistent pain, it may be a sign of an infection or other medical issue.

3. Sensitivity of the Glans: It is normal for the glans to be sensitive, especially if it has not been exposed to friction or cleaning regularly. Over time, as you clean the area more frequently, the sensitivity may decrease. However, if the pain persists or worsens, it is advisable to consult a healthcare professional.

4. When to Seek Medical Attention: If you experience severe pain, swelling, or any signs of infection (such as redness, discharge, or fever), it is important to seek medical attention. A urologist can provide a thorough examination and recommend appropriate treatment if necessary. Additionally, if you have difficulty retracting the foreskin or if it feels stuck, you may be experiencing a condition known as phimosis, which may require medical intervention.

In summary, it is essential to approach the cleaning of smegma with care and patience. Gradually acclimating your body to the sensation of cleaning, maintaining regular hygiene practices, and seeking medical advice when necessary will help you manage this aspect of your health effectively. Remember, taking care of your body is an important part of overall well-being, and there is no shame in seeking help or guidance when needed.

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