and Managing Eczema on the Glans: A Patient's Guide - Urology

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Glans eczema inflammation


About a few weeks ago, I noticed distinct red spots on my glans.
After visiting a urology clinic, the doctor diagnosed it as eczema and prescribed oral antibiotics (Cephalexin), a steroid (Dexamethasone), and a topical ointment (I forgot the name).
After taking the medication and applying the ointment for a week, the red spots disappeared, but when I shone a flashlight on the glans, I noticed some areas were still red, resembling red patches.
They are not painful, itchy, and there is no peeling or discharge, but it seems like it hasn't completely healed.

I have a few questions for the doctor:
1.
Should I continue to go to the clinic for more medication, or can I just maintain cleanliness and dryness and wait for it to heal on its own? If it doesn't heal completely, could the consequences be serious?
2.
I still have some of the ointment prescribed last time, but I'm unsure of its ingredients and suspect it might be a steroid.
Should I continue to apply it?
3.
I have no experience with risky behaviors, but can I masturbate before fully recovering? Or could masturbation exacerbate the inflammation?
I appreciate your time in responding, thank you.

Henry, 20~29 year old female. Ask Date: 2021/09/01

Dr. Du Shixi reply Urology


Hello: The information provided here is for reference only and cannot replace a physician's examination.
1.
Should I continue to go to the clinic to get medication, or can I just maintain cleanliness and dryness and wait for it to heal on its own? If it doesn't heal completely, will the consequences be severe? --> If there is no redness, you can manage it on your own; however, moisture and heat can lead to recurrence, so it is strongly advised to be cautious for a month.
2.
I still have some of the ointment prescribed by the clinic, but I'm unsure about the ingredients and fear it might contain steroids.
Should I continue to apply it? --> You can stop using it.
3.
I have no experience with risky behaviors, but can I masturbate before fully recovering? Or could masturbation worsen the inflammation? --> It is advisable to refrain from it for at least two weeks.
Wishing you good health.

Reply Date: 2021/09/01

More Info


Eczema on the glans, also known as glans dermatitis, can be a concerning condition for many patients. It is important to understand the nature of the condition, its management, and when to seek further medical advice. Based on your description, it seems you have been diagnosed with eczema on the glans, and while your symptoms have improved with treatment, some redness persists. Let’s address your questions one by one.

1. Should you continue medication or wait for it to heal on its own?
Given that you have seen improvement with the medications prescribed (antibiotics and corticosteroids), it is advisable to follow up with your healthcare provider. While the redness may not be accompanied by pain, itching, or discharge, it is still a sign that the area may not be fully healed. Continuing treatment under the guidance of your doctor can help ensure that the condition does not worsen. If left untreated, there is a risk of secondary infections or chronic dermatitis, which could lead to more severe symptoms. Therefore, it is best to consult with your doctor before making any decisions about stopping your medication.

2. Should you continue using the leftover topical medication?
If the topical medication you have is indeed a corticosteroid, it is generally safe to use it as directed by your physician. However, prolonged use of topical steroids can lead to skin thinning and other side effects, especially in sensitive areas like the glans. If you are unsure about the ingredients in the ointment, it is best to consult your doctor or pharmacist for clarification. They can provide guidance on whether it is appropriate to continue using it and for how long.

3. Can you engage in sexual activity or masturbation while healing?
Engaging in sexual activity or masturbation while experiencing any form of dermatitis can potentially irritate the area further, especially if there is any friction involved. It is advisable to avoid such activities until the area has completely healed to prevent exacerbating the condition. If you feel the urge to masturbate, consider doing so gently and with caution, ensuring that the area remains clean and dry. However, it is always best to prioritize healing and consult your healthcare provider for personalized advice.


Additional Considerations:
- Hygiene and Care: Maintaining proper hygiene is crucial. Clean the area gently with mild soap and water, and ensure it is thoroughly dried afterward. Avoid using harsh soaps or irritants that could aggravate the condition.

- Moisturization: If your doctor approves, using a gentle, fragrance-free moisturizer may help soothe the skin and prevent dryness, which can exacerbate eczema.

- Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor the condition and adjust treatment as necessary. If you notice any worsening of symptoms, such as increased redness, pain, or discharge, seek medical attention promptly.

In summary, while it is encouraging that your symptoms have improved, it is important to continue monitoring the condition and follow your doctor's recommendations. Proper care and attention can help ensure a full recovery and prevent future flare-ups. Always feel free to reach out to your healthcare provider with any concerns or questions you may have regarding your treatment and recovery.

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