Glans Color Changes and Hygiene: When to See a Doctor

Q: Glans Color Changes and Hygiene: When to See a Doctor

Hello： You may have phimosis. <br>Try to keep the area dry and avoid moisture, which can help resolve the issue. <br>Rinse with clean water daily and remember to dry thoroughly. <br>Use a condom during sexual activity. <br>Wishing you good health.

Inquiry about glans color issues?

Hello, Dr.
Du.
While showering today, I noticed some white, crumbly substance on the glans when rinsing with the handheld showerhead, which I believe is smegma.
After rinsing it off, the area appeared somewhat pinkish, but after drying, it wasn't very noticeable.
It seems to return to normal after a few days.
Should I see a doctor for a diagnosis? I'm not sure if this is a normal situation, but it looks similar to its original color.
Also, I would like to ask if smegma should be rinsed off daily.
Thank you.

Ming, 20~29 year old female. Ask Date: 2020/06/24

Dr. Du Shixi reply Urology

Hello: You may have phimosis.
Try to keep the area dry and avoid moisture, which can help resolve the issue.
Rinse with clean water daily and remember to dry thoroughly.
Use a condom during sexual activity.
Wishing you good health.

Reply Date: 2020/06/24

More Info

When it comes to changes in the color of the glans (the head of the penis) and hygiene practices, it's essential to understand both the normal variations and when to seek medical advice.
Firstly, the presence of smegma, which is the white, cheesy substance you mentioned, is normal and occurs due to the accumulation of dead skin cells, oils, and other bodily secretions. It is particularly common in individuals who are not circumcised, as the smegma can accumulate under the foreskin. Regular cleaning is important to prevent the buildup of smegma, which can lead to irritation, inflammation, or infection.

Regarding the pinkish hue you observed after rinsing, it is not uncommon for the glans to appear slightly pinker after washing due to increased blood flow or mild irritation from the water pressure or the cleaning process. If the color returns to normal after drying, this is typically a sign that there is no significant issue. However, if you notice persistent discoloration, swelling, or any discomfort, it would be wise to consult a healthcare professional.

As for your question about daily cleaning, it is generally recommended to wash the area regularly. For uncircumcised individuals, this means gently retracting the foreskin (if possible) and cleaning underneath it with warm water. Soap is not always necessary and can sometimes cause irritation, so it's best to use it sparingly. Daily cleaning helps to prevent the buildup of smegma and reduces the risk of infections or other complications.

If you experience any of the following symptoms, it is advisable to see a doctor:
1. Persistent Discoloration: If the glans remains discolored for an extended period or changes in color significantly.

2. Swelling or Pain: Any swelling, pain, or discomfort that does not resolve quickly.

3. Unusual Discharge: If you notice any unusual discharge that is not typical smegma.

4. Foul Odor: A strong, unpleasant smell that persists despite regular cleaning.

5. Itching or Irritation: Ongoing itching or irritation that is bothersome.

In summary, while some color changes and the presence of smegma are normal, maintaining good hygiene is crucial. Regular washing can prevent complications, and if you have any concerns about changes in color or other symptoms, seeking medical advice is always a good practice. Remember, your health and comfort are paramount, and a healthcare professional can provide personalized guidance based on your specific situation.

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