Fungal Infections in the Urogenital Area: Symptoms and Treatments - Urology

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Fungal infection in the glans area?


Hello doctor, for the past couple of days, I have noticed a small red patch on the upper part of my glans, and there are tiny red spots underneath the glans.
So far, it is not painful or itchy.
I am wondering if it could be a fungal infection since I currently have tinea cruris and apply antifungal cream daily.
If it is a fungal infection, I am unsure if I can use the same cream for tinea cruris on it.
I also wonder if the redness could be due to friction, as I have a habit of masturbation and I clean myself daily.
If it is not a fungal infection, I wonder if it will resolve on its own.
Last week, I had itching and redness on my foreskin, but after applying cream for three days, it improved.
The reason I haven't applied any cream this time is that I am unsure if the improvement last time was due to the cream or if it healed on its own.
The cream I used was Clotrimazole.
Thank you.

: ), 10~19 year old female. Ask Date: 2021/08/24

Dr. Li Xinyi reply Urology


It doesn't sound like a fungal infection; just monitor the situation.
Frequent DIY activities may also have an impact, so it's important to take adequate breaks.
If the condition does not improve, you should see a urologist for an in-person examination to receive appropriate medication recommendations.

Reply Date: 2021/08/24

More Info


Fungal infections in the urogenital area, particularly in males, can manifest in various ways and may be caused by different types of fungi, including Candida species. Symptoms of a fungal infection can include redness, itching, irritation, and sometimes a discharge. In your case, the red patches on the glans and the small red spots underneath could indeed be indicative of a fungal infection, especially if you are currently dealing with tinea (ringworm) in another area of your body.

Fungal infections thrive in warm, moist environments, which is why the urogenital area can be particularly susceptible. Factors such as poor hygiene, excessive moisture, and friction can exacerbate these infections. In your situation, the use of antifungal cream for tinea may help if the infection is indeed fungal, but it is crucial to ensure that the medication is appropriate for the specific type of fungal infection you may have.

It is essential to differentiate between a fungal infection and other possible conditions, such as contact dermatitis or irritation due to friction, especially considering your mention of masturbation and potential friction. If the redness and irritation are mild and not accompanied by pain or discharge, it may resolve on its own, particularly if it is due to friction. However, if symptoms persist or worsen, it is advisable to seek medical attention.

When treating suspected fungal infections, over-the-counter antifungal creams can be effective. Common antifungal agents include clotrimazole, miconazole, and terbinafine. However, if you are using a cream for tinea, ensure that it is suitable for use on sensitive areas, as some formulations may be too harsh for the delicate skin of the genital region.

In addition to topical treatments, maintaining good hygiene is crucial. This includes keeping the area clean and dry, wearing breathable cotton underwear, and avoiding tight-fitting clothing that can trap moisture. If you suspect that your symptoms are due to a fungal infection, it is best to avoid self-diagnosing and self-treating without consulting a healthcare professional.

If the condition does not improve within a few days of treatment, or if you experience increased redness, swelling, pain, or discharge, you should see a healthcare provider. They may perform a physical examination and possibly take a sample for laboratory testing to confirm the diagnosis and determine the most effective treatment.

In summary, while your symptoms may suggest a fungal infection, it is essential to consider other possible causes and to consult with a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure a quicker resolution of symptoms.

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