Unexplained White Odorous Discharge from the Glans: What to Do? - Urology

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When dealing with unexplained white odorous discharge from the glans, it is essential to approach the situation with caution and seek appropriate medical advice. The symptoms you describe could be indicative of several conditions, including infections, inflammation, or other dermatological issues.
Firstly, the presence of a white discharge, especially if it has an unpleasant odor, may suggest a possible infection. Common causes of such symptoms include balanitis, which is an inflammation of the glans, often due to poor hygiene, irritants, or infections such as yeast infections or sexually transmitted infections (STIs). Given your previous diagnosis of a condition that required treatment, it is possible that the symptoms have recurred due to inadequate treatment or a new infection.

Using over-the-counter medications like "舒膚樂" (a topical treatment) may provide temporary relief, but it is crucial to understand that self-medication can sometimes mask underlying issues without addressing the root cause. Therefore, while it might be tempting to apply the same treatment as before, it is advisable to consult a healthcare professional for a thorough examination. A doctor can provide a proper diagnosis and recommend the most effective treatment based on the specific cause of your symptoms.

Regarding your concerns about sexually transmitted infections such as HIV or syphilis, it is understandable to feel anxious. However, the symptoms you describe do not specifically indicate these infections. That said, if you have had unprotected sexual encounters or are at risk, it is prudent to get tested for STIs, including HIV and syphilis, as part of your overall health management.

In the meantime, here are some general recommendations:
1. Maintain Hygiene: Ensure that the area is kept clean and dry. Gently wash the glans with mild soap and water, and avoid using harsh soaps or irritants that could exacerbate the condition.

2. Avoid Irritants: Refrain from using scented products, lotions, or any other topical agents that could irritate the skin.

3. Monitor Symptoms: Keep track of any changes in the discharge, such as color, consistency, or odor, and note any additional symptoms like pain, swelling, or fever.

4. Seek Medical Attention: If the discharge persists, worsens, or is accompanied by other concerning symptoms, it is crucial to see a healthcare provider. They may perform tests, including swabs or cultures, to determine the exact cause of the discharge and prescribe appropriate treatment.

5. Discuss Sexual Health: If you are sexually active, consider discussing your sexual health openly with your healthcare provider. They can provide guidance on safe practices and the importance of regular STI screenings.

In conclusion, while it is understandable to feel concerned about your symptoms, seeking professional medical advice is the best course of action. A healthcare provider can offer a proper diagnosis and treatment plan tailored to your specific situation, ensuring that any underlying issues are addressed effectively.