and Treating Glandular Cracks After Intercourse - Urology

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Hello Dr.
Lin: I have noticed that for the past month, after each sexual intercourse, there are horizontal cracks in the sensitive area beneath the glans.
Even though my wife is adequately lubricated, I still experience these fissures after intercourse, and this has happened multiple times.
I'm unsure how to fully recover from this or if I should seek medical attention.

Xiao Tong, 40~49 year old female. Ask Date: 2008/10/12

Dr. Lin Hexing reply Urology


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions:
1.
Based on your description, you should consult a urologist to check for any signs of phimosis.
If this condition is causing injury during sexual intercourse, circumcision should be considered.
If there are no such issues, then improvements should be made based on the findings from a physical examination.

2.
I recommend that you see a urologist for diagnosis and treatment.

Finally, I wish you peace and happiness!

Reply Date: 2008/10/12

More Info


Glandular cracks or fissures that occur after intercourse can be a concerning issue, and it's important to understand the underlying causes and potential treatments. Based on your description, it seems that you are experiencing horizontal cracks or fissures on the sensitive skin beneath the glans (the head of the penis) after sexual activity, even when adequate lubrication is present. This condition can be uncomfortable and may lead to further complications if not addressed properly.


Possible Causes
1. Friction and Trauma: Even with sufficient lubrication, friction during intercourse can sometimes cause micro-tears in the delicate skin. This is especially true if there is vigorous movement or if the skin is particularly sensitive or thin.

2. Skin Conditions: Conditions such as eczema, psoriasis, or lichen sclerosus can lead to skin fragility and increased susceptibility to cracking. If you have a history of skin issues, this could be a contributing factor.

3. Infections: Fungal infections (like candidiasis) or sexually transmitted infections (STIs) can cause inflammation and irritation, leading to cracks. If there are accompanying symptoms such as itching, burning, or unusual discharge, it is crucial to seek medical attention.

4. Allergic Reactions: Sometimes, reactions to soaps, lotions, or condoms can cause irritation and lead to fissures. If you have recently changed any products used during intercourse, this could be a factor.

5. Underlying Health Issues: Conditions such as diabetes can affect skin health and healing. If you have other health concerns, it might be worth discussing them with your healthcare provider.


Treatment Options
1. Gentle Care: After intercourse, gently clean the area with mild soap and water. Avoid harsh soaps or scrubs that can further irritate the skin.

2. Moisturization: Applying a fragrance-free moisturizer or a barrier cream can help protect the skin and promote healing. Products containing ingredients like aloe vera or vitamin E may be beneficial.

3. Avoid Irritants: If you suspect that certain products are causing irritation, discontinue their use. Opt for hypoallergenic products designed for sensitive skin.

4. Lubrication: While you mentioned that your partner is adequately lubricated, consider using additional water-based or silicone-based lubricants during intercourse to minimize friction.

5. Medical Evaluation: If the cracks persist, worsen, or are accompanied by other symptoms (such as pain, swelling, or discharge), it is essential to consult a healthcare provider. They may perform a physical examination and possibly recommend tests to rule out infections or skin conditions.

6. Topical Treatments: Depending on the diagnosis, a doctor may prescribe topical steroids for inflammation or antifungal creams if an infection is present.


When to Seek Medical Attention
You should seek medical attention if:
- The fissures do not heal within a few days.

- You experience significant pain or discomfort.

- There are signs of infection, such as redness, swelling, or discharge.

- You notice any changes in the appearance of the skin or if new symptoms arise.


Conclusion
In summary, glandular cracks after intercourse can result from various factors, including friction, skin conditions, infections, or allergic reactions. It is crucial to practice gentle care, use appropriate moisturizers, and consider additional lubrication. If the issue persists or worsens, consulting a healthcare provider is essential for proper diagnosis and treatment. Taking these steps can help ensure a more comfortable and healthy sexual experience.

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