Frenulum Indentation and Skin Irritation: Urology Insights

Q: Frenulum Indentation and Skin Irritation: Urology Insights

Hello： 1. <br>Is there an issue with the ointment application that requires changing or discontinuing its use? --> The ointment prescribed by the doctor can be stopped once improvement is noted. <br>2. <br>If similar symptoms occur after resting for one or two weeks, should the f

Frenulum indentation and skin abrasion (after researching)?

Hello, Doctor.
I apologize for the interruption.
I have noticed a depression in my frenulum over the past four months.
After researching, I have been maintaining care as follows: 1.
Gently wiping with toilet paper after showering and using the restroom to keep the area dry.
2.
Applying natural essential oil soothing ointment (approximately twice daily).
3.
Using tetracycline eye ointment recommended by other users after consulting with a physician (not used frequently).
After two months of observation, the depression in the frenulum remains.
I engage in sexual activity only on weekends, and after the first two instances of oral sex, I felt no sensation.
However, after the third instance, I began to experience slight pain, and there is mild discomfort when cleaning the area.
I have read that the healing period is about a week, and I have tried resting for two weeks before resuming sexual activity, but the depression persists, and I still experience slight pain after the third oral sex encounter (no bleeding, just a bit of redness).
I would like to ask the following questions: 1.
Is there an issue with the ointment application? Should I change or stop using the ointment? 2.
Given that resting for a week or two results in similar symptoms, should I reduce the frequency of oral sex or rest for a longer period? 3.
Is there a chance for the depression in the frenulum to heal back to its original state (i.e., for the tissue to grow back)? Could this ultimately lead to a rupture of the frenulum? 4.
Would you recommend seeing a urologist? (I am currently not experiencing anything more severe, and I am a bit apprehensive about seeking medical attention, so I wanted to ask first.) Thank you for your assistance, Doctor.

Mr. Wu, 30~39 year old female. Ask Date: 2021/12/28

Dr. Du Shixi reply Urology

Hello: 1.
Is there an issue with the ointment application that requires changing or discontinuing its use? --> The ointment prescribed by the doctor can be stopped once improvement is noted.
2.
If similar symptoms occur after resting for one or two weeks, should the frequency of oral sex be reduced? Or should a longer rest period be taken? --> If the symptoms recur, it is not recommended to engage in oral sex.
3.
Is there a chance for the indentation of the frenulum to heal back to its original state (will the tissue grow back)? --> It can grow back, but will it ultimately lead to the frenulum tearing? --> If it tears, it is not a major concern.
4.
Is it advisable to consult a urologist? (Because there are currently no more severe issues, and I am a bit afraid of seeing a doctor, so I wanted to ask first.) --> It is best to consult a urologist at the hospital.
Wishing you good health.

Reply Date: 2021/12/28

More Info

Understanding frenulum indentation and skin irritation can be quite complex, especially when it involves sensitive areas of the body. Based on your description, it seems you are experiencing a condition related to the frenulum, which is the band of tissue that connects the underside of the penis to the glans. The indentation you are observing could be a result of several factors, including friction, irritation, or even an underlying condition.

1. Topical Treatments: You mentioned using a natural essential oil soothing ointment and a tetracycline eye ointment. While these may provide some relief, it’s essential to ensure that the products you are using are appropriate for sensitive skin areas. Essential oils can sometimes cause irritation or allergic reactions, especially if not diluted properly. If you notice any increased redness, itching, or discomfort after applying these products, it may be wise to discontinue their use. Instead, consider using a gentle, fragrance-free moisturizer or a barrier cream specifically designed for sensitive skin.

2. Frequency of Sexual Activity: It’s understandable to be concerned about the impact of sexual activity on your condition. If you are experiencing pain or discomfort after oral sex, it may be beneficial to reduce the frequency of these activities to allow your body to heal. The frenulum is a delicate area, and excessive friction can lead to further irritation or injury. Consider taking a break from sexual activities for a longer period, perhaps a month, to see if there is any improvement in the indentation and discomfort.

3. Healing Potential: The frenulum has a good blood supply, which means it has the potential to heal. However, the extent of recovery can vary from person to person. If the indentation is due to irritation or minor trauma, it may gradually improve with proper care and reduced friction. However, if the indentation persists or worsens, it could indicate a more significant issue that may require medical intervention. It is unlikely that the frenulum would completely detach unless there is significant trauma or an underlying condition.

4. Consulting a Urologist: Given your concerns and the persistence of symptoms, it would be advisable to consult a urologist. They can provide a thorough examination and determine if there are any underlying issues contributing to your symptoms. While it’s natural to feel apprehensive about seeking medical advice, a urologist can offer insights and treatment options that may alleviate your concerns. They can also help rule out any serious conditions that may require attention.

In summary, it’s crucial to listen to your body and take steps to minimize irritation. Reducing the frequency of sexual activities, being cautious with topical treatments, and seeking professional medical advice are all prudent steps. Remember, your health and comfort should always come first, and addressing these issues early can prevent more significant problems down the line.

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