Redness and Pain in the Foreskin: Causes and Remedies - Urology

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The foreskin is cracked and red?


The image shows that the foreskin appears to be red and feels like it has been scraped, accompanied by a slight stinging sensation.
This was noticed after masturbation, and I am wondering if the pain is due to excessive friction or if there are other reasons.
I would like to know what the best course of action is.
I have read about using Meikang cream, but I am not entirely sure.
Additionally, the clinics nearby are closed on Sundays.
Thank you.

Xiao Sheng, 20~29 year old female. Ask Date: 2023/09/03

Dr. Du Shixi reply Urology


Hello: If there is no unsafe sexual behavior, you can maintain cleanliness and dryness, and avoid using ointments indiscriminately.
Wishing you good health.

Reply Date: 2023/09/03

More Info


Understanding redness and pain in the foreskin can be concerning, especially when it manifests as a burning or stinging sensation after activities like masturbation. The symptoms you describe—redness, a feeling akin to broken skin, and pain—can arise from several potential causes, and it’s essential to consider each one carefully.


Possible Causes
1. Friction or Irritation: Overzealous masturbation or sexual activity can lead to friction, resulting in irritation of the sensitive skin of the foreskin. This is particularly common if lubrication is insufficient or if the activity is vigorous.

2. Infection: Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can cause redness and pain. These infections can be due to bacteria, yeast (like Candida), or sexually transmitted infections (STIs).

3. Allergic Reaction: Sometimes, the use of soaps, lotions, or condoms can lead to allergic reactions, causing redness and discomfort.

4. Dermatological Conditions: Skin conditions such as eczema or psoriasis can also affect the genital area, leading to similar symptoms.

5. Phimosis: If the foreskin is too tight and cannot be easily retracted, it may lead to pain and inflammation, especially during sexual activity.


Remedies and Recommendations
1. Gentle Care: First and foremost, practice gentle hygiene. Clean the area with mild soap and water, avoiding harsh chemicals or fragrances that could exacerbate irritation.

2. Lubrication: If friction is the cause, consider using a water-based lubricant during masturbation or sexual activity to reduce irritation.

3. Avoid Irritants: If you suspect an allergic reaction, try to identify and avoid any products that may be causing the issue, such as certain soaps or lubricants.

4. Topical Treatments: While you mentioned "美康乳膏" (Meikang cream), which is a topical ointment that may help with skin irritation, it’s crucial to ensure that any cream you use is appropriate for sensitive areas. Over-the-counter hydrocortisone cream can help reduce inflammation, but it should be used sparingly and not for extended periods.

5. Rest and Observation: Allow the area to rest and avoid any activities that may aggravate the condition, such as masturbation or sexual intercourse, until the symptoms improve.

6. Consult a Healthcare Professional: If the symptoms persist for more than a few days, worsen, or are accompanied by other symptoms such as discharge, fever, or significant swelling, it’s essential to see a healthcare provider. They can perform a physical examination and may recommend tests to rule out infections or other underlying conditions.


When to Seek Immediate Help
If you experience severe pain, swelling, or any signs of infection (such as pus or fever), seek medical attention promptly. Infections can escalate quickly and may require prescription medications, such as antibiotics or antifungal treatments.


Conclusion
In summary, while mild irritation from friction is a common cause of redness and pain in the foreskin, it’s essential to monitor your symptoms closely. Implementing gentle care, avoiding irritants, and using appropriate topical treatments can help alleviate discomfort. However, if symptoms persist or worsen, consulting a healthcare professional is the best course of action to ensure proper diagnosis and treatment.

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