I have a problem with my genitalia?
Doctor: My glans was dry recently and had a lot of white flakes.
The doctor I saw prescribed an ointment for me to apply, and now the white flakes are gone, but it is still very dry.
The dryness has caused small cracks at the junction of the foreskin and the glans, and it hurts a lot when I pull the foreskin back while showering.
What should I do? I'm very worried.
Nìmíng, 10~19 year old female. Ask Date: 2005/09/15
Dr. Xu Weikai reply Urology
Anonymous: Hello, I believe this may be due to a localized infection.
You might feel dirty and frequently use soap for cleaning.
This is generally not wrong, but in your case, since you have just healed and your skin has just started to regenerate, using strong cleaning agents can lead to dryness and cracking of the skin.
My suggestions are: 1.
For local cleaning, just use water; even after bathing, applying some baby oil (like Johnson's) can be helpful.
2.
Temporarily avoid excessive irritation to allow the wound to heal gradually.
3.
If the cracks do not heal, you may need to consider the possibility of a fungal infection.
Ministry of Health and Welfare, Taitung Hospital, Urology Department Head, Dr.
Hsu Wei-Kai.
Reply Date: 2005/09/15
More Info
Dealing with dryness and pain in the penis can be a distressing experience, and it’s important to address these symptoms promptly to prevent further complications. Based on your description, it sounds like you have experienced dryness and irritation of the glans (the head of the penis), which can lead to discomfort and even small fissures at the junction of the glans and the foreskin. Here are some insights and recommendations to help you manage this condition effectively.
Understanding the Condition
Dryness in the genital area can be caused by several factors, including:
1. Skin Conditions: Conditions such as eczema, psoriasis, or contact dermatitis can lead to dryness and irritation.
2. Infections: Fungal infections (like candidiasis) or bacterial infections can cause irritation and dryness.
3. Hygiene Products: Soaps, lotions, or other personal care products that are too harsh can strip the skin of its natural oils, leading to dryness.
4. Medical Conditions: Diabetes or other systemic conditions can affect skin health and moisture levels.
5. Lack of Lubrication: Insufficient natural lubrication during sexual activity can also contribute to dryness.
Recommendations for Management
1. Gentle Cleansing: Use mild, unscented soap and warm water to clean the area. Avoid any harsh soaps or products that may irritate the skin further.
2. Moisturizing: Apply a gentle, fragrance-free moisturizer or emollient to the affected area. Look for products specifically designed for sensitive skin or for use in the genital area. Avoid petroleum jelly, as it can trap moisture but may also lead to irritation if used excessively.
3. Avoid Irritants: Steer clear of any products that may irritate the skin, including scented soaps, lotions, or laundry detergents.
4. Hydration: Ensure you are well-hydrated, as overall skin health can be affected by your hydration levels.
5. Topical Treatments: If your doctor prescribed a topical medication, continue to use it as directed. If the dryness persists despite treatment, you may need to follow up with your healthcare provider for further evaluation. They may consider prescribing a different topical treatment, such as a corticosteroid cream, to reduce inflammation and promote healing.
6. Avoid Sexual Activity: Until the area has healed, it may be wise to avoid sexual activity to prevent further irritation or injury.
7. Consult a Specialist: If the condition does not improve or worsens, consider consulting a urologist or a dermatologist who specializes in genital skin conditions. They can provide a more thorough examination and may perform tests to rule out infections or other underlying conditions.
8. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of any new lesions, increased pain, or discharge. This information will be valuable for your healthcare provider.
When to Seek Immediate Care
If you experience severe pain, significant swelling, bleeding, or if you notice any unusual discharge, it is important to seek medical attention promptly. These could be signs of a more serious condition that requires immediate treatment.
Conclusion
It’s understandable to feel concerned about dryness and pain in the genital area, but with proper care and attention, many of these issues can be effectively managed. Remember to communicate openly with your healthcare provider about your symptoms and any changes you notice. They are there to help you find relief and ensure your overall health and well-being.
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