Pain and Discomfort in the Glans: Possible Causes and Solutions

Glans penis

I have a swollen, red area on my glans that seems to be broken skin.
However, my glans hurts whenever I have an erection.
The redness and peeling on the outside of my foreskin have disappeared, but my genital area still hurts and discharges a yellowish fluid.
It also hurts when I urinate, feeling hot and painful.
Could this be a sexually transmitted infection?

Axiang, 20~29 year old female. Ask Date: 2007/10/26

Dr. Li Yilun reply Urology

The symptoms are very similar to gonorrhea; it is recommended to see a physician for examination and treatment as soon as possible.
Do not delay!

Reply Date: 2007/10/26

More Info

Understanding pain and discomfort in the glans, particularly when accompanied by symptoms such as redness, swelling, and discharge, can be concerning and may indicate several potential issues. Based on your description, it sounds like you are experiencing significant discomfort, especially during erections and urination, along with the presence of a yellow discharge. Here are some possible causes and considerations:
1. Infection: One of the most common causes of pain and discharge in the genital area is an infection. This could be a sexually transmitted infection (STI) such as gonorrhea or chlamydia, which can cause urethritis (inflammation of the urethra) leading to pain during urination and discharge. Other infections, such as a yeast infection or bacterial infection, can also cause similar symptoms.

2. Balanitis: This is an inflammation of the glans (the head of the penis) that can occur due to poor hygiene, irritants, or infections. Symptoms often include redness, swelling, and pain, especially during erections. If there is a buildup of smegma (a combination of dead skin cells, oils, and moisture), it can lead to irritation and inflammation.

3. Allergic Reaction or Irritation: Sometimes, irritation can be caused by soaps, lotions, or condoms that contain allergens or irritants. This can lead to redness and discomfort in the area.

4. Phimosis: If the foreskin cannot be easily retracted, it can lead to pain and inflammation, particularly during erections. This condition can also contribute to infections and discomfort.

5. Sexually Transmitted Infections (STIs): As mentioned earlier, STIs can present with symptoms like yours. It is crucial to consider recent sexual activity and whether protection was used. If you suspect an STI, it is important to seek medical attention for testing and treatment.

Recommendations:
- Seek Medical Attention: Given the symptoms you are experiencing, it is essential to consult a healthcare professional, preferably a urologist. They can perform a physical examination, take a medical history, and possibly conduct tests (such as urine tests or swabs) to determine the exact cause of your symptoms.

- Avoid Irritants: Until you can see a doctor, try to avoid any potential irritants. This includes harsh soaps, lotions, or any products that may come into contact with the genital area.

- Maintain Hygiene: Keeping the area clean and dry can help prevent further irritation. Gently wash the area with mild soap and water, and ensure it is thoroughly dried.

- Avoid Sexual Activity: Until you have a clear diagnosis, it may be wise to avoid sexual activity to prevent further irritation or potential transmission of any infection.

- Document Symptoms: Keep track of any additional symptoms, such as fever, increased pain, or changes in the discharge, as this information can be helpful for your healthcare provider.

In conclusion, while it is possible that your symptoms could be related to an infection or another medical condition, only a healthcare professional can provide an accurate diagnosis and appropriate treatment. Do not hesitate to seek help, as early intervention can lead to better outcomes and relief from your symptoms.

Similar Q&A

Managing Persistent Discomfort in the Glans: Effective Solutions

Hello, Doctor: I previously inquired about the itching and stabbing pain in my glans, which sometimes even becomes red, swollen, and ulcerated. You mentioned it might be due to excessive cleaning and provided me with cleaning and care advice. However, before I could implement you...

Dr. Xu Weikai reply Urology
A-Zhi: Hello, at this stage, localized treatment is still necessary. Once the wound has healed, you can follow my previous recommendations for glans care. If there are frequent recurrences, you may need to pay attention to any poor hygiene habits. For example, it is advisable to ...

Understanding and Managing Glans Pain: Causes and Treatments

Hello Doctor, I have had phimosis since high school, which led to balanitis, and I underwent a circumcision. It did improve for about a year, but starting in mid-July this summer, I began experiencing pain in my glans (it feels like being pricked). There are no foreign bodies or ...

Dr. Xu Weikai reply Urology
Hello, I cannot make a judgment. Generally, for cleaning the glans, it is not recommended to use hot water or any cleaning products such as soap or body wash. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online sh...

Understanding Pain in the Glans: Causes and Solutions

Hello doctor, I've been masturbating quite frequently lately, and I've recently noticed that when I touch the glans, it causes a sharp pain. Normally, there isn't much sensation when it's just resting, but as soon as I apply pressure, I experience this sharp p...

Dr. Li Xinyi reply Urology
Excessive sexual activity indicates a loss of balance in life, which is overall detrimental. It sounds like there may be inflammation of the glans. Make sure to rest well and maintain a healthy lifestyle.

Understanding Pain in the Glans: Possible Causes and Solutions

Hello doctor, recently I've experienced sudden sharp pain in the glans during certain positions, which gradually subsides after changing positions. There are no obvious erythema, papules, or swelling on the surface, just a slight tingling sensation, but I can't pinpoint...

Dr. Du Shixi reply Urology
Hello: If there is only a tingling sensation without other symptoms, you can monitor it. If there are no changes, it may be neuropathic pain, which could later develop into blisters, erythema, or papules, in which case you should seek medical attention. Wishing you good health.