Redness and Pain: Common Urological Concerns

The foreskin is torn and red?

Hello, the symptoms include redness and skin irritation when using a condom, and the same occurs without one.
There is also a stinging sensation when rinsing.
Is this a case of skin abrasion or is it another issue? Thank you.

Kaiqi, 20~29 year old female. Ask Date: 2023/06/03

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2023/06/03

More Info

When experiencing symptoms such as redness and pain during urination or after sexual activity, it is essential to consider various potential causes. The symptoms you describe, including skin irritation or redness when using condoms and pain during urination, could indicate a few different issues.

1. Skin Irritation or Allergic Reaction: One common cause of redness and pain in the genital area is skin irritation. This can occur due to friction during sexual activity, especially if there is insufficient lubrication. Additionally, some individuals may have an allergic reaction to latex condoms or the lubricants used with them. If you suspect an allergy, consider switching to non-latex condoms or using hypoallergenic lubricants.

2. Infections: Another possibility is a urinary tract infection (UTI) or a sexually transmitted infection (STI). UTIs can cause symptoms such as burning during urination, increased urgency, and discomfort in the lower abdomen. STIs, such as chlamydia or gonorrhea, can also lead to similar symptoms, along with additional signs like unusual discharge or pain during intercourse. If you suspect an infection, it is crucial to consult a healthcare provider for appropriate testing and treatment.

3. Dermatological Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to redness, irritation, and discomfort. These conditions may require specific treatments, such as topical corticosteroids or other dermatological therapies.

4. Friction or Trauma: If you are experiencing pain and redness during or after sexual activity, it could be due to friction or trauma to the skin. This is especially common if there is vigorous activity or if the skin is not adequately lubricated. Ensuring adequate lubrication can help prevent this type of irritation.

5. Other Medical Conditions: Conditions such as lichen sclerosus or vulvodynia can also cause similar symptoms. These conditions may require evaluation by a specialist, such as a dermatologist or a urologist, for proper diagnosis and management.

Given your symptoms, it is advisable to take the following steps:
- Avoid Irritants: If you suspect that condoms or lubricants are causing irritation, consider switching to hypoallergenic options or using water-based lubricants to reduce friction.

- Maintain Hygiene: Ensure proper hygiene before and after sexual activity to minimize the risk of infections.

- Consult a Healthcare Provider: If the symptoms persist or worsen, it is essential to seek medical advice. A healthcare provider can perform a physical examination, conduct necessary tests, and provide a diagnosis. They may also prescribe medications or recommend treatments based on the underlying cause.

- Monitor Symptoms: Keep track of any additional symptoms you may experience, such as changes in discharge, fever, or persistent pain, as these can provide valuable information to your healthcare provider.

In summary, while redness and pain during urination or after sexual activity can arise from various causes, including irritation, infections, or dermatological conditions, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Taking proactive steps to address these symptoms can help improve your comfort and overall health.

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