Smegma: Causes, Concerns, and Care for Men’s Health

Cleaning the smegma from the glans?

The doctor would like to ask why smegma, which resembles keratin distribution, is only visible during partial erection, while normally only a small amount of white substance is seen.
When I tried to clean it with my pinky finger yesterday, it took a long time, but I finally managed to remove it all.
I have had similar situations before, and I was concerned it might be a fungal infection.
However, the last time I visited the doctor, they only mentioned that I had an excess of smegma and did not prescribe any medication.
They said that if there was no redness, swelling, or itching, there was no need for treatment.
After cleaning, there seemed to be no abnormalities or unusual odors, but occasionally I feel a slight pain.
Here is the link after cleaning: https://drive.google.com/file/d/19B0vtcAj9iGHD0SIhXGipUhoOa0q1E24/view?usp=sharing

Chenchen, 20~29 year old female. Ask Date: 2020/07/22

Dr. Li Xinyi reply Urology

It's best to avoid picking at it, as doing so can lead to an infection if a wound is created.
It seems that your cleaning routine is effective, and your recovery is progressing well.
The flakes you see are just the shedding of damaged epithelial tissue, which is not unusual.
However, it seems like you might be spending too much time worrying about it.

Reply Date: 2020/07/22

More Info

Smegma is a substance that can accumulate under the foreskin of the penis, composed of dead skin cells, oils, and other bodily secretions. It is a natural occurrence, particularly in uncircumcised men, and can vary in appearance and quantity. Understanding the causes, concerns, and care related to smegma is essential for maintaining men's health.

Causes of Smegma
Smegma is primarily caused by the natural shedding of skin cells and the secretion of oils from the skin. In uncircumcised men, the foreskin can trap these substances, leading to a buildup. Factors that may contribute to increased smegma production include:
1. Poor Hygiene: Infrequent washing of the genital area can lead to a higher accumulation of smegma.

2. Skin Conditions: Conditions such as eczema or psoriasis can increase skin cell turnover, leading to more smegma.

3. Hormonal Changes: Hormonal fluctuations can affect oil production in the skin, potentially increasing smegma.

Concerns Related to Smegma
While smegma itself is not harmful, excessive accumulation can lead to several concerns:
1. Infection: If smegma is not cleaned regularly, it can create an environment conducive to bacterial or fungal infections, including balanitis (inflammation of the glans).

2. Odor: Accumulated smegma can produce an unpleasant odor, which may be socially embarrassing.

3. Irritation: In some cases, smegma can cause irritation or discomfort, particularly if it leads to inflammation of the surrounding skin.

Care and Management
To manage smegma effectively and maintain good genital hygiene, consider the following practices:
1. Regular Cleaning: It is essential to wash the genital area daily with mild soap and water. For uncircumcised men, gently retracting the foreskin during washing can help remove smegma buildup.

2. Drying: After washing, ensure the area is dried properly to prevent moisture accumulation, which can lead to infections.

3. Monitoring Changes: Pay attention to any changes in the appearance of smegma, such as increased quantity, color changes, or the presence of unusual odors. If you notice any concerning symptoms, consult a healthcare provider.

Addressing Your Concerns
Regarding your observation of smegma appearing more prominently during partial erection, this is not uncommon. The foreskin may retract slightly during an erection, making any accumulated smegma more visible. The presence of a small amount of smegma is normal, but if you find it excessive or if you experience discomfort, it is advisable to maintain a regular hygiene routine.

You mentioned concerns about potential fungal infections. While smegma itself does not indicate an infection, if you experience symptoms such as redness, swelling, itching, or a persistent odor, it is important to consult a healthcare professional. They can provide a proper diagnosis and treatment if necessary.

In summary, smegma is a natural substance that can accumulate under the foreskin. Maintaining good hygiene practices is key to preventing excessive buildup and associated complications. If you have ongoing concerns or symptoms, seeking medical advice is always the best course of action to ensure your health and well-being.

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