Red Dots on the Frenulum: Treatment and Recovery - Urology

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There are red spots on the frenulum of the foreskin?


The foreskin had a tear previously, and the doctor prescribed Gentian Violet and Dalacin cream for me.
Currently, there is no inflammation, but there is a half-circle of whiteness on the foreskin and a small red dot on the frenulum (the white area is confirmed not to be smegma).
I would like to ask the doctor which of the two medications contains an antibiotic.
Will the whiteness of the foreskin return to normal? The red dot on the frenulum does not itch, but there is slight pain when pulling back the foreskin.
Which cream should I apply first?

Niming, 30~39 year old female. Ask Date: 2023/04/27

Dr. Xu Wencang reply Urology


You can apply the medication and observe, then continue to go to the hospital for further examination.

Reply Date: 2023/04/27

More Info


When it comes to understanding the red dots on the frenulum and the treatment and recovery process for your condition, it's important to consider a few key factors. Based on your description, it seems that you have experienced a skin injury to the foreskin, which has led to the application of medications such as gentian violet (紫茵素) and a topical ointment (達來乳膏).
Firstly, let's clarify the medications you mentioned. Gentian violet is an antiseptic dye that is often used to treat fungal infections and minor skin irritations. It does not contain antibiotics but has some antimicrobial properties. On the other hand, the ointment you referred to (達來乳膏) may contain antibiotics or other active ingredients depending on its formulation. It is essential to check the specific ingredients of this ointment to determine if it has antibiotic properties.

Regarding the white area on the foreskin and the small red dot on the frenulum, these changes can occur as part of the healing process. The white area may indicate a healing response, possibly due to the skin regenerating or a mild irritation. The red dot, while it does not itch, could be a sign of localized inflammation or irritation, especially if you experience slight pain when pulling back the foreskin.

In terms of treatment, if you are not experiencing any signs of infection (such as increased redness, swelling, warmth, or discharge), it may be appropriate to continue using the medications as prescribed. However, if you are unsure which ointment to apply first, it is generally advisable to follow your healthcare provider's instructions. If you have not received specific guidance, you might consider applying the gentian violet first, as it can help with any residual microbial concerns, followed by the other ointment if it is indeed antibiotic-based.

As for the recovery of the white area, it is likely that the skin will return to its normal color over time. Skin healing can vary significantly from person to person, and factors such as the extent of the injury, individual healing capacity, and adherence to treatment can all influence recovery. Typically, areas that have turned white during the healing process may regain their normal pigmentation as the skin continues to heal and regenerate.

It's also important to maintain good hygiene in the area to prevent any potential infections. Gently clean the area with mild soap and water, and avoid any harsh chemicals or irritants that could exacerbate the condition. If you notice any worsening of symptoms or if the red dot persists or becomes painful, it would be wise to consult your healthcare provider for further evaluation.

In summary, while the changes you are observing may be part of the normal healing process, it is crucial to monitor the area for any signs of infection and to follow your healthcare provider's recommendations regarding treatment. If you have any concerns or if the condition does not improve, seeking further medical advice would be prudent.

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