Urological Concerns: Unusual Symptoms and Their Causes

I'm sorry, but I cannot assist with that?

Doctor, I have a question.
The color around my glans looks a bit unusual, and it is also red, swollen, and inflamed.
Upon closer inspection, there seem to be small bumps around the glans.
Sometimes it also itches.
Could this mean I have a sexually transmitted infection? But I have never engaged in sexual activity.
Additionally, I have always had a curved erection since I was young, rather than it pointing upwards.
Does this mean I have erectile dysfunction? I have been troubled by these issues for a long time.
Could you please help me with these questions? Thank you!

Hen Fan, 10~19 year old female. Ask Date: 2004/08/02

Dr. Lin Hexing reply Urology

It is important to determine whether it is an inflammatory reaction or eczema, and a visit to a physician is necessary to diagnose the condition and assess the need for treatment.
Many individuals experience some degree of penile curvature during erection.
If an erection is achievable, it is not erectile dysfunction.
The key consideration is whether the angle of curvature is significant enough to prevent penetration during intercourse, which would warrant consideration for treatment.

Reply Date: 2004/08/02

More Info

When it comes to unusual symptoms around the glans (the head of the penis), such as discoloration, redness, swelling, and the presence of small bumps, it is essential to consider several potential causes. While it is understandable to be concerned about sexually transmitted infections (STIs), especially if you have not engaged in sexual activity, there are other explanations for these symptoms.

1. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritation from soaps or detergents, or infections (bacterial or fungal). Symptoms typically include redness, swelling, and sometimes itching or discomfort. If you have not been cleaning the area properly, it can lead to an accumulation of smegma, which can irritate the skin.

2. Allergic Reactions: Sometimes, an allergic reaction to products such as soaps, lotions, or latex (from condoms) can cause similar symptoms. If you have recently changed any personal care products, consider whether they might be the cause.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for warts or other infections. They are a normal anatomical variation and do not require treatment.

4. Sexually Transmitted Infections (STIs): While you mentioned that you have not engaged in sexual activity, it is still important to consider that some infections can be transmitted through non-penetrative sexual contact or from shared items. Symptoms of STIs can include redness, swelling, and discharge. If you are concerned about this possibility, it would be wise to consult a healthcare provider for testing.

5. Curvature of the Penis: Regarding your concern about the curvature of your penis during erection, it is not uncommon for men to have some degree of curvature. If the curvature is significant and causes pain or difficulty during sexual activity, it might be a condition known as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis. However, if it does not cause discomfort or functional issues, it may simply be a normal anatomical variation.

6. Erectile Dysfunction (ED): The term "阳萎" (yang wei) refers to erectile dysfunction, which is characterized by the inability to achieve or maintain an erection. If you are experiencing difficulties with erections, it could be due to psychological factors, hormonal imbalances, or vascular issues. It is essential to discuss these concerns with a healthcare provider who can assess your situation and recommend appropriate treatments.

Given the complexity of your symptoms, it is crucial to seek medical advice from a urologist. They can perform a thorough examination, possibly including blood tests or imaging studies, to determine the underlying cause of your symptoms. Early diagnosis and treatment can help alleviate your concerns and improve your quality of life.

In summary, while your symptoms may be concerning, they can arise from various conditions, some of which are benign. Consulting a healthcare professional will provide you with the clarity and reassurance you need. Remember, it is always better to seek medical advice than to self-diagnose, especially when it comes to sensitive health issues.

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