Glans Sensitivity: Causes and Solutions for Discomfort - Urology

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Glans issues


Hello, doctor: This past week, I have had more frequent sexual activity (always using a condom).
During several vaginal penetrations, I felt some pulling on the glans and the connected foreskin, and afterward, it was slightly red.
For the past two days, I have experienced occasional itching in certain areas of the glans, urethral opening, and connected foreskin.
There are no visible marks on the surface, no discharge, and I am hesitant to engage in sexual activity again.
Could the itching be due to an injury inside the penis?

ward, 20~29 year old female. Ask Date: 2010/02/03

Dr. Xu Weikai reply Urology


Ward: Hello, I really can't determine your issue.
There are too many possible causes, such as injury, infection, allergies, and so on.

Reply Date: 2010/02/03

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding glans sensitivity and the discomfort you are experiencing. It’s important to address these symptoms, as they can significantly affect your quality of life and sexual health.

Based on your description, it seems you are experiencing discomfort in the glans (the head of the penis) and the surrounding areas after increased sexual activity. The sensations of pulling or stretching, along with the redness and itching you mentioned, can be attributed to several potential causes.

1. Friction and Irritation: Increased sexual activity, even with the use of condoms, can lead to friction that irritates the sensitive skin of the glans and the foreskin. This irritation can manifest as redness and discomfort. If the friction is excessive, it may also lead to micro-tears in the skin, which can cause itching and discomfort.

2. Allergic Reaction: Sometimes, the materials used in condoms (such as latex) or lubricants can cause allergic reactions or sensitivities. If you recently changed the type of condom or lubricant you are using, this could be a contributing factor to your symptoms.

3. Infection: While you mentioned there are no visible signs of discharge or lesions, it’s still possible to have a mild infection or inflammation, such as balanitis (inflammation of the glans) or a yeast infection. These conditions can cause itching and discomfort without obvious external symptoms.

4. Skin Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to itching and discomfort. These conditions may not always present with visible signs but can cause significant discomfort.

5. Psychological Factors: Sometimes, anxiety about sexual performance or health can heighten sensitivity to discomfort. If you are feeling anxious about the symptoms, it may exacerbate your perception of discomfort.

Given your symptoms, here are some recommendations:
- Avoid Irritation: Try to minimize friction in the area by using a water-based lubricant during sexual activity. This can help reduce irritation and discomfort.

- Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that may further irritate the skin.

- Monitor Symptoms: Keep an eye on your symptoms. If the itching persists or worsens, or if you develop any new symptoms (such as discharge, severe redness, or swelling), it’s important to seek medical attention.

- Consult a Specialist: Since your symptoms have persisted for a week and are causing you concern, I recommend seeing a healthcare provider, preferably a urologist or dermatologist specializing in genital health. They can perform a thorough examination and may conduct tests to rule out infections or other underlying conditions.

In conclusion, while your symptoms may be due to friction or irritation from increased sexual activity, it’s essential to rule out other potential causes. Seeking professional medical advice will provide you with the best course of action and peace of mind. Remember, sexual health is an important aspect of overall well-being, and addressing these concerns is crucial.

Take care, and I wish you a speedy resolution to your discomfort.

Best regards.

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