White Flaky Skin on the Glans: Causes and Concerns - Urology

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Strange?


Recently, I have noticed white patches on my glans that seem to be peeling, and they are itchy.
It has been 5 days.
I have not engaged in any high-risk sexual behavior (such as with sex workers), only with my spouse.
Could this be a sexually transmitted infection? I am very worried.

Alex, 30~39 year old female. Ask Date: 2004/03/09

Dr. Liu Jianting reply Urology


"Is it a sexually transmitted infection? Could it be a fungal infection...
You should consult a urologist!"

Reply Date: 2004/03/09

More Info


White flaky skin on the glans, accompanied by itching, can be concerning, especially when it appears suddenly. While I cannot diagnose your condition without a physical examination, I can provide you with some potential causes and considerations regarding your symptoms.

One common cause of white flaky skin on the glans is a condition known as balanitis, which is inflammation of the glans penis. Balanitis can be caused by various factors, including poor hygiene, irritation from soaps or detergents, or infections (bacterial or fungal). In some cases, it can also be related to skin conditions such as eczema or psoriasis. If the skin is flaky and itchy, it may indicate a reaction to an irritant or an infection.

Another possibility is a yeast infection, particularly if you have been experiencing other symptoms such as redness or a discharge. Yeast infections can occur in men, especially if there is an imbalance in the natural flora of the skin, often exacerbated by factors like moisture and warmth.

Regarding your concern about sexually transmitted infections (STIs), while some STIs can cause similar symptoms, the absence of risky sexual behavior (as you mentioned) lowers the likelihood of this being the cause. However, it's important to remember that some infections can be asymptomatic or have mild symptoms, so if you have any doubts, it is advisable to consult a healthcare professional for testing and diagnosis.

As for treatment, it is crucial to avoid self-diagnosing or self-treating without professional guidance. If the condition persists or worsens, seeing a dermatologist or urologist would be the best course of action. They can perform a physical examination and possibly recommend tests to determine the exact cause of your symptoms. Treatment may include topical antifungal or antibacterial medications, depending on the diagnosis.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Maintain Hygiene: Gently clean the area with mild soap and water. Avoid harsh soaps or products that may irritate the skin further.

2. Avoid Irritants: Stay away from scented products, lotions, or any substances that may cause irritation.

3. Keep the Area Dry: Moisture can exacerbate fungal infections, so ensure the area is dry. You might consider wearing loose-fitting underwear to allow for better airflow.

4. Avoid Sexual Activity: Until you have a clear diagnosis, it may be wise to refrain from sexual activity to prevent potential transmission of any infection.

5. Monitor Symptoms: Keep an eye on your symptoms. If you notice any changes, such as increased redness, swelling, or discharge, seek medical attention promptly.

In conclusion, while white flaky skin on the glans can be concerning, many potential causes exist, and most are treatable. Consulting a healthcare professional is the best way to receive an accurate diagnosis and appropriate treatment. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help if your symptoms persist.

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