Prepuce
I have a swollen and red area on my glans that seems to be broken skin.
However, whenever my glans becomes erect, it hurts and I notice some yellowish discharge.
I would like to know if I might have a sexually transmitted infection (STI)?
Axiang, 20~29 year old female. Ask Date: 2007/10/23
Dr. Li Yilun reply Urology
These symptoms are typical of glans and foreskin inflammation, which may be related to sexual activity.
It is recommended to seek a consultation and treatment from a urologist as soon as possible.
Reply Date: 2007/10/23
More Info
When it comes to redness and pain in the penis, particularly in the glans (the head of the penis) and the foreskin, there are several potential causes to consider, including sexually transmitted infections (STIs), irritations, or other dermatological conditions. Given your description of a swollen, possibly broken area on the foreskin, along with pain during erection and discharge of yellow fluid, it is essential to approach this situation with caution and seek medical attention promptly.
Possible Causes
1. Sexually Transmitted Infections (STIs):
- Gonorrhea and Chlamydia: These are common STIs that can cause symptoms such as discharge, redness, and pain. The yellow discharge you mentioned could be indicative of an infection.
- Herpes Simplex Virus (HSV): This can cause painful sores or blisters on the genital area, which may lead to redness and discomfort, especially during an erection.
- Human Papillomavirus (HPV): Certain strains can lead to genital warts, which may appear as raised, red lesions.
2. Balanitis: This is an inflammation of the glans, often caused by poor hygiene, irritants, or infections. Symptoms include redness, swelling, and discharge. It can occur in individuals with or without a foreskin.
3. Candidiasis (Yeast Infection): This can affect the genital area, leading to redness, itching, and discharge. It is more common in individuals with diabetes or those taking antibiotics.
4. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or other products that come into contact with the genital area.
5. Trauma or Injury: Sometimes, physical trauma to the area can lead to swelling and pain, especially if there is friction during sexual activity.
Importance of Medical Evaluation
Given the symptoms you are experiencing, it is crucial to consult a healthcare professional for a thorough evaluation. A doctor will likely perform a physical examination and may recommend tests, such as:
- Urinalysis: To check for signs of infection.
- Swab Tests: To identify specific pathogens if an STI is suspected.
- Blood Tests: To check for systemic infections or other underlying conditions.
Treatment Options
Treatment will depend on the underlying cause identified by your healthcare provider. If an STI is diagnosed, appropriate antibiotics or antiviral medications will be prescribed. For non-infectious causes, topical treatments or changes in hygiene practices may be recommended.
Preventive Measures
To reduce the risk of STIs and other infections:
- Practice Safe Sex: Always use condoms to reduce the risk of STIs.
- Maintain Good Hygiene: Regularly clean the genital area with mild soap and water.
- Avoid Irritants: Be cautious with products that may irritate the skin.
Conclusion
In summary, the symptoms you are experiencing could potentially indicate an STI or another form of infection. It is essential to seek medical attention as soon as possible to receive an accurate diagnosis and appropriate treatment. Early intervention can prevent complications and promote faster recovery. Remember, discussing your symptoms openly with your healthcare provider will help them understand your condition better and provide the best care possible.
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