and Treating Penile Skin Irritation and Hygiene Issues - Urology

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Hello, Doctor! I have noticed that after washing my penis once every one or two weeks, the foreskin starts to itch.
I began washing it daily with soap about two to three weeks ago, and it has improved significantly.
However, if I skip a day without washing, the itching returns, and each time I wash, there is a white substance inside the foreskin (which used to occur only after a long period without washing, and it didn't cause itching).
I also noticed that the foreskin has become very prone to tearing if I scrub it hard (previously, scrubbing hard wouldn't cause tearing).
My last sexual encounter was about a month and a half ago, and my partner has no abnormalities in their genital area.
I would like to know what might be wrong with my condition and how to treat it.
I currently have clotrimazole and miconazole ointments on hand.
Thank you, Doctor!

Hai Hai, 20~29 year old female. Ask Date: 2021/06/14

Dr. Xu Wencang reply Urology


Return to the outpatient clinic for diagnosis and treatment by the physician.

Reply Date: 2021/06/14

More Info


When dealing with penile skin irritation and hygiene issues, it is essential to understand the underlying causes and appropriate treatment options. Based on your description, it seems you are experiencing symptoms such as itching, the presence of white discharge, and increased sensitivity leading to skin breakdown. These symptoms can be indicative of several conditions, including balanitis (inflammation of the glans), yeast infections, or irritation due to inadequate hygiene practices.

First, let's address the hygiene aspect. It is crucial to maintain proper hygiene in the genital area to prevent irritation and infections. Washing the penis regularly with warm water is generally sufficient. Using soap can sometimes lead to irritation, especially if it is perfumed or harsh. If you choose to use soap, opt for a mild, unscented soap and ensure that you rinse thoroughly to remove any residue. It is advisable to wash the area daily, especially if you notice any buildup of smegma (the white substance you mentioned), which is a combination of dead skin cells, oils, and other bodily secretions.

The presence of white discharge and itching could suggest a yeast infection, particularly if you have been experiencing these symptoms after periods of infrequent washing. Yeast infections can thrive in warm, moist environments, and inadequate hygiene can exacerbate this issue. The medications you mentioned, such as clotrimazole (found in "Miconazole") and other antifungal creams, can be effective in treating yeast infections. However, it is essential to apply these medications as directed and to continue using them for the full course, even if symptoms improve before finishing the treatment.

If you notice that the skin is becoming easily irritated or breaking down, it may be due to friction or excessive scrubbing during washing. Be gentle when cleaning the area, and avoid using excessive force, as this can lead to micro-tears in the skin, making it more susceptible to infections and irritation.

In addition to antifungal treatments, consider using a barrier cream or ointment to protect the skin from further irritation. Products containing zinc oxide can be beneficial as they provide a protective layer and help soothe irritated skin. However, if the irritation persists or worsens despite these measures, it is crucial to consult a healthcare professional for a thorough evaluation. They may recommend a more specific treatment plan or investigate other potential causes of your symptoms.

Lastly, it is important to consider your sexual health. If you have had sexual partners, ensure that they are also free from infections, as sexually transmitted infections (STIs) can also present with similar symptoms. Open communication with your partner about sexual health is vital for both of your well-being.

In summary, maintaining proper hygiene, using gentle cleansing methods, applying antifungal treatments as needed, and protecting the skin with barrier creams are essential steps in managing penile skin irritation. If symptoms persist or worsen, seeking medical advice is the best course of action to ensure appropriate treatment and care.

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