Pain and Discoloration Under the Glans: When to See a Doctor - Urology

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If you're experiencing pain and discoloration under the glans of your penis, especially with the presence of white patches that resemble discharge or crusting, it's important to take this seriously and consider seeing a doctor. Here are some reasons why you should seek medical attention:
1. Possible Infection: The symptoms you're describing could indicate an infection, such as balanitis, which is inflammation of the glans. This can be caused by bacteria, yeast, or sexually transmitted infections (STIs). If the area is painful and shows signs of discharge, it could be a sign of an infection that requires treatment.

2. Skin Conditions: Conditions such as psoriasis, eczema, or lichen sclerosus can also cause discoloration and pain in the genital area. These conditions may require specific treatments, including topical steroids or other medications.

3. Trauma: You mentioned that you may have injured yourself during masturbation. Trauma to the area can lead to skin irritation, inflammation, or even the formation of scar tissue, which might require medical evaluation to rule out more serious injuries.

4. Sexually Transmitted Infections (STIs): If you are sexually active, it is crucial to consider the possibility of STIs. Symptoms such as pain, discharge, or unusual discoloration can be indicative of infections like herpes, gonorrhea, or chlamydia. Early diagnosis and treatment are essential to prevent complications and transmission to partners.

5. Cancer: Although less common, changes in the skin of the genital area can sometimes indicate more serious conditions, including penile cancer. If you notice persistent changes, especially if they do not resolve or worsen over time, it is essential to have them evaluated by a healthcare professional.


When to See a Doctor
- Persistent Symptoms: If the pain and discoloration do not improve within a few days or worsen, you should see a doctor.

- Severe Pain: If the pain becomes severe or is accompanied by fever, swelling, or other systemic symptoms, seek medical attention immediately.

- Discharge: If you notice any unusual discharge, especially if it has a foul odor, this is a sign that you should see a doctor.

- Changes in Skin: Any new or changing lesions, especially if they are painful or bleeding, should be evaluated.


What to Expect at the Doctor's Office
When you visit a healthcare provider, they will likely perform a physical examination and may ask about your medical history, sexual history, and any other symptoms you may be experiencing. Depending on the findings, they may recommend:
- Topical or Oral Medications: If an infection or inflammation is diagnosed, appropriate medications will be prescribed.

- Tests: You may undergo tests for STIs or other conditions, including swabs or blood tests.

- Referral: If necessary, you may be referred to a specialist, such as a urologist or dermatologist, for further evaluation.


Conclusion
In summary, it is advisable to see a doctor for your symptoms. Early intervention can lead to better outcomes and prevent potential complications. Don't hesitate to seek help; your health is important, and addressing these symptoms promptly is the best course of action.