Managing Red Spots on the Glans: Expert Advice from Dr. Hsu

Dr. Hsu, I apologize for bothering you again?

Hello Dr.
Hsu, I am the patient who previously inquired about the red spots resembling small rashes on the glans that I have been experiencing over the past few weeks.
Since you had previously advised me to clean the glans with cold water only, without using any detergents or hot water, I recently recalled that a urologist had suggested using a pH 5.5 male-specific body wash called "Sajir" for cleaning the glans.
After researching online, I found that this seems to be a body wash specifically designed for male genitalia.
Therefore, I would like to ask: 1.
Is this body wash really suitable for cleaning the glans? 2.
If it is suitable, can it be used while I have red rashes on the glans? 3.
You previously recommended that I apply baby oil to the glans after showering.
I would like to know if it is still advisable to apply baby oil when there are red rashes on the glans, or should I wait until the rashes have resolved before applying it?

A-Zhi, 20~29 year old female. Ask Date: 2008/05/21

Dr. Xu Weikai reply Urology

Hello, this specialized cleansing lotion can be used, but long-term use is not recommended.
It can also be used when there are rashes, but it should not be used for too long.
Baby oil can be applied after cleansing, and using it during a rash can shorten the duration of the condition and accelerate healing.
If there are any unclear points, feel free to ask again, and we can discuss and research further.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan
Dr.
Hsu Wei-Kai

Reply Date: 2008/05/21

More Info

Managing red spots on the glans can be concerning, and it's important to approach this issue with care and proper hygiene. Here are some insights based on your questions regarding the use of specific products and general care for the glans.

1. Use of the Shower Gel: The shower gel you mentioned, "Sajir pH 5.5 for men," is designed for male genital hygiene and is formulated to maintain the natural pH balance of the skin. It is generally safe to use on the glans, provided that you do not have any known allergies to its ingredients. However, since you are experiencing red spots or rashes, it is advisable to avoid any new products until the condition improves. Introducing new products can sometimes exacerbate irritation, especially if the skin is already sensitive or inflamed.

2. Using the Shower Gel with Red Spots: If you decide to use the shower gel, do so cautiously. It is best to perform a patch test on a small area of skin first to ensure there is no adverse reaction. If the red spots are due to irritation or an allergic reaction, using any product, including the shower gel, may worsen the condition. Therefore, it is recommended to stick to gentle cleansing with cool water until the irritation subsides. If the red spots persist or worsen, consulting a healthcare professional is essential.

3. Applying Baby Oil: Baby oil can be beneficial for moisturizing the skin, but when dealing with red spots or rashes, it is crucial to be cautious. If the red spots are inflamed or oozing, applying any oil or cream may trap moisture and bacteria, potentially leading to further irritation or infection. It is generally advisable to wait until the red spots have healed before applying baby oil. Once the irritation has resolved, you can use baby oil to keep the skin moisturized and prevent dryness.

Additional Considerations
- Hygiene Practices: Maintaining proper hygiene is essential. Clean the area gently with lukewarm water and avoid using harsh soaps or products that can disrupt the natural balance of the skin. After washing, pat the area dry with a clean towel.

- Avoid Irritants: Be mindful of any potential irritants, such as tight clothing, synthetic fabrics, or personal care products that may cause allergic reactions. Opt for breathable, cotton underwear to reduce friction and moisture buildup.

- Monitor Symptoms: Keep an eye on the red spots. If they do not improve within a few days, or if you experience additional symptoms such as pain, itching, or discharge, it is crucial to seek medical advice. These could be signs of an infection or other underlying conditions that may require treatment.

- Consult a Specialist: If the issue persists, consider consulting a dermatologist or urologist who specializes in male genital health. They can provide a thorough examination and recommend appropriate treatments based on the specific diagnosis.

In conclusion, while the shower gel may be suitable for general use, it is best to avoid introducing new products during an active irritation. Focus on gentle cleansing and moisturizing only after the condition improves. If you have any doubts or if the symptoms persist, do not hesitate to seek professional medical advice for a tailored approach to your situation.

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