and Managing Persistent Glans Inflammation: A Patient's Guide

Q: and Managing Persistent Glans Inflammation: A Patient's Guide

Hello： The website cannot provide a diagnosis without an examination. <br>Please keep the area clean and dry, and avoid seeking medical attention when it is wet. <br>If there has been any unsafe sexual behavior, please inform your physician. <br>It is important to wash away smegm

Glans inflammation

Hello doctor, my balanitis hasn't completely healed.
Initially, there was redness and swelling.
The doctor said it was slightly inflamed and prescribed antibiotics and TOPIDIN CREAM for me to apply for two weeks.
It did improve a lot, and during my follow-up, the doctor mentioned there was still some redness and discomfort, advising me to continue applying the medication.
However, after each time I engage in sexual activity, my glans is still very red and feels particularly wrinkled.
Today, before I was about to engage in sexual activity, I noticed a lot of white flakes when erect.
I immediately went for a follow-up thinking my balanitis had relapsed, but the doctor said it was smegma and told me not to worry.
Still, I feel something is off.
After showering, I noticed two particularly red spots on the left side of my glans that feel like they are about to break the skin.
I would like to ask the doctor to check if I am overthinking this or if there is indeed inflammation.
Should I continue applying the ointment?

David, 20~29 year old female. Ask Date: 2023/10/30

Dr. Du Shixi reply Urology

Hello: The website cannot provide a diagnosis without an examination.
Please keep the area clean and dry, and avoid seeking medical attention when it is wet.
If there has been any unsafe sexual behavior, please inform your physician.
It is important to wash away smegma and dry the area; it may take some time to see a reduction.
Redness is mostly due to inflammation, but the underlying cause needs to be evaluated by a physician.
Be sure to rest, maintain a light diet, and stay adequately hydrated.
Wishing you good health.

Reply Date: 2023/10/30

More Info

Understanding and managing persistent glans inflammation, also known as balanitis, can be a complex issue that requires careful attention to symptoms and treatment. Balanitis is an inflammation of the glans (the head of the penis) and can be caused by a variety of factors, including infections, irritants, and underlying medical conditions.

From your description, it seems that you initially experienced redness and swelling, which your doctor treated with antibiotics and a topical cream (Topidin). It is encouraging that you noticed improvement after two weeks of treatment. However, the persistence of redness, especially after sexual activity (DIY), and the presence of white flakes (which your doctor identified as smegma) can be concerning.

Smegma is a natural substance that can accumulate under the foreskin or on the glans, consisting of dead skin cells, oils, and moisture. While it is not inherently harmful, poor hygiene can lead to irritation or infection. It is essential to maintain good hygiene by gently cleaning the area with mild soap and water, especially after sexual activity, to prevent the buildup of smegma.

The ongoing redness and discomfort you are experiencing could indicate several possibilities:
1. Irritation: Frequent friction during sexual activity can irritate the sensitive skin of the glans, leading to inflammation. If you are not using sufficient lubrication, this could exacerbate the issue.

2. Allergic Reaction: Sometimes, topical creams or lubricants can cause allergic reactions or sensitivities, leading to redness and discomfort. If you suspect this might be the case, consider discussing alternative treatments with your doctor.

3. Infection: Although your doctor has indicated that the symptoms are not indicative of a recurrent infection, it is essential to monitor for any signs of infection, such as increased redness, swelling, pain, or discharge. If these symptoms worsen, a follow-up appointment may be necessary.

4. Underlying Conditions: Conditions such as diabetes or skin disorders (like psoriasis or eczema) can also contribute to persistent inflammation. If you have any underlying health issues, it is crucial to manage them effectively.

Regarding the use of the topical cream, if your doctor has advised you to continue applying it, it is generally a good idea to follow their guidance. However, if you notice any adverse reactions or if the symptoms do not improve, you should reach out to your healthcare provider for further evaluation.

In summary, managing persistent glans inflammation involves maintaining good hygiene, monitoring symptoms, and following your doctor's treatment plan. If you have concerns about the ongoing redness or any new symptoms, do not hesitate to consult your healthcare provider for further assessment and tailored advice. It is essential to address any discomfort promptly to prevent complications and ensure your overall well-being.

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