Peeling Skin on the Glans: Causes and Concerns - Urology

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Peeling of the glans? White skin?


Hello Doctor: I would like to ask about a peeling phenomenon on my glans that has been occurring for the past few days.
The peeled areas are white, and they feel tender but not painful or itchy.
It seems that the peeled areas are more sensitive.
Last week, after working at a construction site for three days, I noticed that when I was about to have intercourse with my girlfriend, I would unintentionally become flaccid.
However, after oral sex, I became erect again, but when I tried to penetrate, I suddenly became flaccid again.
I also feel like there is not much stimulation.
This has been happening for several weeks, but I can still achieve an erection when watching adult films and stimulating myself.
I am very worried that I might have erectile dysfunction.
I have been troubled by this issue for the past few weeks, so I would appreciate your help in answering these two questions.
Thank you very much.
P.S.
I am not circumcised, I am 23 years old, and I have been with my girlfriend for three years with a fixed sexual partner.

yoko, 20~29 year old female. Ask Date: 2007/02/23

Dr. Lin Hexing reply Urology


Hello Yoko: Based on your description, it seems that the glans may be experiencing an allergic reaction or contact dermatitis.
Naturally, the area where the skin has peeled off will be more sensitive.
Since you mentioned that you can achieve an erection without issues of erectile dysfunction, it appears that the allergic skin reaction is causing a temporary inhibition that leads to premature softening during erection.
If this is only a short-term issue, it is not a concern; you should rest more and focus on treating the skin problems on the genital area.
If the foreskin does not completely cover the glans during an erection and there are no recurring issues, surgery is not necessary.
However, remember to retract the foreskin daily for proper cleaning, and when urinating, make sure to pull it back to avoid contact with urine.

Reply Date: 2007/02/23

More Info


Peeling skin on the glans, or the head of the penis, can be concerning and may arise from various causes. It's important to understand the potential reasons behind this symptom and how to address it.
Firstly, peeling skin in this area can be a result of several factors, including irritation, infection, or skin conditions. Given that you mentioned the skin appears white and feels tender but is not painful or itchy, it may suggest a few possibilities:
1. Irritation: This can occur due to friction during sexual activity, especially if there is insufficient lubrication. The skin on the glans is sensitive, and repeated friction can lead to peeling. Additionally, exposure to irritants such as soaps, lotions, or even laundry detergents can cause irritation and subsequent peeling.

2. Infections: Fungal infections, such as candidiasis (yeast infection), can lead to peeling skin. This is more common in warm, moist environments, and symptoms can include redness, irritation, and sometimes a white discharge. Bacterial infections can also cause similar symptoms.

3. Dermatological Conditions: Conditions such as psoriasis or eczema can affect the genital area, leading to peeling skin. These conditions may also cause sensitivity and discomfort.

4. Phimosis: Since you mentioned that you are not circumcised, if there is any tightness of the foreskin, it could lead to irritation and peeling of the glans.

Regarding your concerns about erectile function, it is not uncommon for anxiety about sexual performance to lead to difficulties in maintaining an erection. The fact that you can achieve an erection during masturbation but experience difficulties during intercourse may indicate performance anxiety rather than a physical issue. Stress and anxiety can significantly impact sexual performance, and it’s essential to address these feelings.


Recommendations:
1. Avoid Irritants: Ensure that you are using mild, unscented soaps and avoid any products that may irritate the area. After sexual activity, consider cleaning the area gently with water.

2. Moisturize: If the skin is dry, applying a gentle, fragrance-free moisturizer may help. However, avoid applying anything that could further irritate the skin.

3. Monitor Symptoms: Keep an eye on the peeling. If it persists, worsens, or if you develop additional symptoms such as pain, itching, or unusual discharge, it’s crucial to consult a healthcare provider.

4. Consult a Doctor: Given the duration of your symptoms and your concerns about erectile function, it would be wise to see a healthcare professional. They can perform a physical examination, possibly run tests, and provide a diagnosis. This is especially important if you suspect an infection or if the peeling does not resolve.

5. Address Anxiety: If you feel that anxiety is affecting your sexual performance, consider speaking with a mental health professional or a sex therapist. They can provide strategies to help manage anxiety and improve your sexual health.

In summary, while peeling skin on the glans can be concerning, it is often manageable with proper care and attention. However, seeking professional advice is the best course of action to ensure that any underlying issues are addressed appropriately.

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