the Clear Membrane on the Glans: Causes and Care - Urology

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Transparent membrane on the glans?


Dear Director Hsu,
Since I discovered this website, I have gained many valuable insights from reading your numerous consultation responses, which have helped me better understand how to take care of my health.
I sincerely appreciate your attentive guidance.
Thank you.
I have two questions I would like your help in understanding:
1.
For the past 17 years of marriage, after each sexual encounter, I experience itching or the appearance of red spots.
I have been applying Wyeth's gold ointment until the symptoms disappear, and then I continue to apply it for a few more days before stopping the treatment.
I am unsure if this method is appropriate.
Will long-term use lead to any side effects? My wife is not keen on visiting a gynecologist and only buys suppositories from the pharmacy, which leaves me feeling helpless in this back-and-forth situation.
2.
Regarding the first question, I sometimes apply another cream called Kankoli or Fulian (purchased by my wife).
I am unsure if this will thin the foreskin.
Will long-term use lead to any side effects?
3.
I have been cleaning the glans only with cold water, using Dove soap only during sexual activity for the past two months, and I feel great! I rarely experience itching now.
However, recently after showering, I noticed a thin transparent membrane on the glans (similar to plastic wrap).
It is not painful, itchy, or smelly, and I feel no discomfort.
Previously, I always cleaned with warm water and "green medicinal soap." I wonder if my past cleaning method was incorrect, which resulted in the absence of mucosa on the glans.
Now that I am using the correct method, has a thin transparent membrane (like plastic wrap) formed, indicating that my glans mucosal tissue has finally developed? Is this a normal phenomenon?
4.
Four days ago, I used a condom (DUREX) during intercourse, and the day before yesterday, I noticed a single small red spot on the right side of the glans, resembling a common skin pimple, without any blisters.
It is not painful, itchy, or uncomfortable regardless of whether I press on it.
I am unsure if this is an allergic reaction to the latex in the condom or if it is an infection.
I would greatly appreciate your response.
Thank you for taking the time to reply amidst your busy schedule.

Wishing you health, peace, and joy.
Best regards.

Jiànkāng wújià, 40~49 year old female. Ask Date: 2006/08/01

Dr. Xu Weikai reply Urology


Health is Priceless: Hello, I am very pleased to have some fans who are willing to read my content, and I hope this knowledge can bring great health benefits.
First, the use of bacitracin ointment, which is a commonly used antibiotic ointment, generally does not have significant side effects with long-term use.
However, sometimes itching of the glans may not necessarily be due to a bacterial infection, and thus antibiotics may be ineffective.
Clinically, depending on the condition, corticosteroids or antifungal ointments may be prescribed.
Long-term use of corticosteroid ointments can indeed lead to thinning of the epidermis.
As for the membrane on the foreskin, I am unsure whether the membrane you refer to is normal tissue or some form of hyperplasia; typically, individuals do have a layer of membrane.
Many people experience a rash for one or two days after using condoms, which is an allergic reaction.
Sometimes, this is due to allergies to the lubricant, ingredients, or latex in the condom.
Usually, switching brands can lead to improvement.
Additionally, after intercourse, thoroughly washing off any residual fluids on the penis with some body wash should help.
Regarding your wife, the reluctance to seek treatment presents a more awkward issue, which may require communication between both parties.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/08/01

More Info


Dear Sir,
Thank you for your thoughtful questions regarding your concerns about the clear membrane on the glans and the associated symptoms you've been experiencing. It's commendable that you are taking an active role in understanding your health and seeking appropriate care. Let’s address each of your concerns in detail.

1. Use of Antibiotic Ointments: You mentioned using a topical antibiotic ointment (such as Neomycin) for itching and red spots after intercourse. While topical antibiotics can be effective in treating localized infections, their long-term use can lead to skin irritation or allergic reactions. Additionally, overuse of antibiotics can contribute to antibiotic resistance, which may complicate future infections. It’s essential to consult a healthcare provider for a proper diagnosis rather than self-treating, as persistent symptoms may indicate an underlying condition that requires specific treatment.

2. Use of Other Creams: You also inquired about using creams like "康可立" or "福聯." While these products may provide temporary relief, prolonged use of topical corticosteroids or other medicated creams can lead to skin thinning (atrophy), especially in sensitive areas like the genital region. This could potentially lead to increased sensitivity or other complications. It’s advisable to limit the use of such creams and consult a healthcare professional for a proper evaluation and treatment plan.

3. Clear Membrane on the Glans: The clear membrane you’ve observed on the glans could be a normal physiological response to improved hygiene practices. The glans is covered by a mucous membrane that can become more prominent with proper care. If you have switched to using only water for cleaning and have noticed a reduction in irritation, it suggests that your previous cleaning methods may have been too harsh or irritating. Maintaining good hygiene is crucial, but it’s also important to avoid harsh soaps or irritants that can disrupt the natural balance of the skin.

4. Red Spot After Using Condoms: The appearance of a small red spot after using a condom could be due to several factors, including friction, an allergic reaction to latex, or a mild irritation. If the spot is not painful, itchy, or accompanied by other symptoms, it may not be a cause for concern. However, if you suspect a latex allergy, consider using non-latex condoms made from materials like polyisoprene or polyurethane. If the spot persists or if you develop additional symptoms, it would be prudent to consult a healthcare provider for further evaluation.

In summary, while it’s good to be proactive about your health, self-treatment can sometimes lead to complications. It’s important to consult with a healthcare professional who can provide a thorough examination and tailored advice based on your specific situation. Regular check-ups, especially for your partner, can also help in addressing any underlying issues and ensuring both of you maintain good sexual health.

Thank you for your questions, and I wish you continued health and well-being.

Best regards.

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