and Treating Itchy Glans: Causes and Solutions - Dermatology

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Itching of the glans penis?


Hello doctor: A few days ago, after having intercourse with my girlfriend, I experienced itching at the lower edge of the glans.
There are no obvious external abnormalities, but it is very itchy.
My girlfriend also seems to be experiencing some discomfort, but she is unwilling to tell me what it is.
However, I think I felt a white, cheese-like substance in her genital area.
What could this be, and how should it be treated?

Yangyang, 20~29 year old female. Ask Date: 2001/06/20

Dr. Zheng Lizhen reply Dermatology


Friction or infection can both cause itching in the genital area, so it is important to keep the area dry to reduce friction.
If your girlfriend has a cottage cheese-like discharge, it may be a sign of a yeast infection, and she should see a healthcare provider for a proper diagnosis.

Reply Date: 2001/06/20

More Info


Itchy glans, or irritation of the glans penis, can be a common issue that may arise after sexual activity. The symptoms you describe, particularly the itching at the lower edge of the glans and the presence of a white, cheese-like substance, suggest a possible yeast infection, commonly known as candidiasis. This condition can affect both men and women, and it is often associated with an overgrowth of the fungus Candida, which is normally present in small amounts in the body.


Possible Causes
1. Yeast Infection: The white, cheese-like discharge you mentioned is characteristic of a yeast infection. In men, this can occur due to various factors, including poor hygiene, a weakened immune system, or antibiotic use that disrupts the natural balance of bacteria and fungi in the body.

2. Bacterial Infection: Another possibility is a bacterial infection, which can also cause itching and irritation. This might be due to sexually transmitted infections (STIs) or other bacterial imbalances.

3. Allergic Reaction: Sometimes, irritation can be caused by an allergic reaction to soaps, detergents, or even latex condoms. If you or your partner recently changed any products, this could be a contributing factor.

4. Skin Conditions: Conditions such as eczema or psoriasis can also lead to itching and discomfort in the genital area.

5. Sexually Transmitted Infections (STIs): Some STIs, such as herpes or trichomoniasis, can present with itching and discharge. It’s important to consider this, especially if there are other symptoms like sores or unusual discharge.


Recommended Solutions
1. Consult a Healthcare Provider: The first step in addressing this issue is to consult a healthcare provider. They can perform a physical examination and may take samples to determine the exact cause of the symptoms. This is particularly important if there is a possibility of an STI.

2. Maintain Hygiene: Keeping the genital area clean and dry is crucial. Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward. Avoid using scented products that may irritate the skin.

3. Antifungal Treatment: If a yeast infection is diagnosed, over-the-counter antifungal creams or prescription medications may be recommended. Common antifungal treatments include clotrimazole or miconazole.

4. Avoid Irritants: If an allergic reaction is suspected, try to identify and avoid potential irritants. This may include changing soaps, detergents, or avoiding certain types of condoms.

5. Sexual Health: If your partner is experiencing discomfort as well, it’s important for both of you to seek treatment. This helps prevent reinfection and ensures that both partners are healthy.

6. Follow-Up: After treatment, monitor the symptoms. If they persist or worsen, return to your healthcare provider for further evaluation.


Conclusion
Itchy glans can be uncomfortable and concerning, especially when accompanied by unusual discharge. The symptoms you described suggest a possible yeast infection, but it’s essential to get a proper diagnosis from a healthcare professional. They can provide the appropriate treatment and guidance to alleviate your symptoms and ensure both you and your partner maintain good sexual health. Remember, open communication with your partner about symptoms and seeking medical advice together can be beneficial in addressing any underlying issues.

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