and Addressing Issues with the Frenulum of the Penis

Frenulum problems of the glans?

I would like to ask about some symptoms I'm experiencing.
The area around the glans and the frenulum feels a bit rough and is not healing properly, and it is itchy.
A little lower, where the frenulum connects to the foreskin, there is a small red and slightly white bump.
After masturbation, there is a tight sensation, and the foreskin has a red ring with a small wound.
What could this be, and how should I address it? 😳

Bao, 20~29 year old female. Ask Date: 2020/11/30

Dr. Sun Hongshun reply Urology

Hello, based on what you described, it seems like symptoms of balanitis (inflammation of the glans and foreskin).
After cleaning with plain water, applying an antibiotic ointment should lead to improvement.
As for the lesions you mentioned, it is important to be particularly cautious.
If they do not heal after a prolonged period, you should seek a biopsy at a hospital for further evaluation.

Reply Date: 2020/11/30

More Info

It sounds like you're experiencing some discomfort and potential irritation in the area of the frenulum of the penis, which is the band of tissue that connects the glans (the head of the penis) to the shaft. The symptoms you're describing, including a feeling of irritation, itchiness, and the presence of a small red and white bump, could be indicative of several conditions, including but not limited to:
1. Frenulum Breve: This condition occurs when the frenulum is too short, which can lead to discomfort during sexual activity or masturbation. It may also cause tearing or irritation, leading to the symptoms you're experiencing.

2. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, infections, or irritants. Symptoms can include redness, swelling, and discomfort, which may explain the redness and soreness you're feeling.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for warts or other conditions. They are typically not a cause for concern unless they become painful or irritated.

4. Infection: A sexually transmitted infection (STI) or a yeast infection could also cause similar symptoms. If there is any discharge, unusual odor, or if the symptoms persist, it would be wise to consider this possibility.

5. Allergic Reaction or Irritation: Sometimes, soaps, lotions, or even condoms can cause allergic reactions or irritation, leading to redness and discomfort.

Given the symptoms you've described, it is essential to take the following steps:
- Maintain Hygiene: Ensure that the area is kept clean and dry. Gently wash with mild soap and water, and avoid any harsh chemicals or fragrances that could exacerbate irritation.

- Avoid Irritants: If you suspect that a product (like a soap or lubricant) might be causing irritation, discontinue its use.

- Over-the-Counter Treatments: Depending on the diagnosis, topical treatments such as hydrocortisone cream may help reduce inflammation and itching. However, it's crucial to consult a healthcare provider before applying any medication to ensure it is appropriate for your condition.

- Consult a Specialist: Since your symptoms are persistent and causing discomfort, it is advisable to see a urologist or a dermatologist specializing in genital health. They can provide a thorough examination and may perform tests to determine the exact cause of your symptoms.

- Avoid Sexual Activity: Until you have a clearer understanding of the issue, it may be wise to refrain from sexual activity, including masturbation, to prevent further irritation or injury.

In conclusion, while some conditions affecting the frenulum can be benign and self-limiting, others may require medical intervention. It's essential to seek professional advice to ensure proper diagnosis and treatment. Your health and comfort are paramount, so don't hesitate to reach out to a healthcare provider for assistance.

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