Gland Sensitivity: Could It Be an STD or Fungal Infection? - Urology

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Doctor, I've been feeling some sensitivity on my glans for the past couple of days.
Could this be a sign of a sexually transmitted infection or a fungal infection?

Lurén Jiǎ, 20~29 year old female. Ask Date: 2005/03/15

Dr. Chen Xiuyi reply Urology


Hello: Itching of the foreskin and glans may be caused by balanitis, which can result from factors such as fungi, bacteria, or irritants.
A thorough physical examination is necessary, and it is best to consult a urologist.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2005/03/15

More Info


When experiencing sensitivity or discomfort in the glans (the head of the penis), it is understandable to be concerned about potential sexually transmitted diseases (STDs) or fungal infections. Both conditions can present with similar symptoms, but they have different causes and implications.

Sexually Transmitted Diseases (STDs): Common STDs that can affect the glans include chlamydia, gonorrhea, herpes, and syphilis. Symptoms of STDs can vary widely, but they often include:
- Pain or discomfort in the genital area
- Unusual discharge from the penis
- Redness or swelling of the glans
- Itching or irritation
- Pain during urination or sexual intercourse
If you have had unprotected sexual contact, even if you believe you have not engaged in sexual activity, it is important to consider the possibility of an STD. Some infections can be transmitted through skin-to-skin contact or through contact with infected bodily fluids.

Fungal Infections: Fungal infections, particularly those caused by Candida (yeast infections), can also lead to symptoms similar to those of STDs. Symptoms of a fungal infection may include:
- Itching or burning sensation on the glans
- Redness and swelling
- A thick, white discharge (similar to cottage cheese)
- Pain during urination or sexual activity
Fungal infections can occur in individuals who are not sexually active, as they can be triggered by factors such as moisture, poor hygiene, or an imbalance in the body's natural flora.

Diagnosis and Treatment: To determine the exact cause of your symptoms, it is crucial to consult a healthcare professional. They may perform a physical examination, take a medical history, and conduct laboratory tests, such as swabs or blood tests, to identify any infections.
If an STD is diagnosed, treatment typically involves antibiotics or antiviral medications, depending on the specific infection. For fungal infections, antifungal creams or oral medications may be prescribed.

Prevention: To reduce the risk of STDs, practicing safe sex by using condoms and having regular check-ups is essential. For fungal infections, maintaining good hygiene, keeping the genital area dry, and avoiding irritants can help prevent recurrence.

In summary, sensitivity in the glans can be due to various causes, including STDs or fungal infections. It is important to seek medical advice to receive an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and ensure better health outcomes. If you have any additional symptoms or concerns, do not hesitate to reach out to a healthcare provider for further evaluation.

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