Urology: Addressing Redness and Pain in the Glans

Hello, doctor. May I ask you a question?

Hello doctor, I had some brief contact with my girlfriend before, but I didn't wash immediately afterward.
A few days later, I noticed redness and itching in the glans and coronal area.
Recently, I've also experienced pain when pressure is applied during an erection.
The symptoms have been present for over three weeks now.
What should I do? Thank you.

A Da, 20~29 year old female. Ask Date: 2010/03/29

Dr. Yan Dawei reply Urology

Please visit the urology outpatient clinic for an examination by a physician to gain a better understanding.

Reply Date: 2010/03/29

More Info

It sounds like you're experiencing some concerning symptoms related to redness and pain in the glans (the head of the penis). Based on your description, it seems that you may be dealing with a condition that could be related to a few potential causes, including an infection, irritation, or even a sexually transmitted infection (STI).
Firstly, the redness and itching you describe could indicate a fungal infection, such as candidiasis (commonly known as a yeast infection), or a bacterial infection. These infections can occur when there is an imbalance in the normal flora of the skin, often exacerbated by moisture or lack of hygiene. Additionally, if there was any contact with bodily fluids, there is a possibility of an STI, such as herpes or chlamydia, which can also cause similar symptoms.

The pain during erection and when pressure is applied could suggest inflammation or irritation of the glans or the surrounding tissues. This could be due to a condition known as balanitis, which is an inflammation of the glans that can be caused by infections, irritants, or skin conditions.
Given that your symptoms have persisted for over three weeks, it is crucial to seek medical attention from a urologist or a healthcare provider who specializes in sexual health. They will be able to perform a thorough examination, possibly including a swab of the affected area to identify any infectious agents, and recommend appropriate treatment.
In the meantime, here are some general recommendations:
1. Maintain Hygiene: Keep the area clean and dry. Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward.

2. Avoid Irritants: Refrain from using any scented soaps, lotions, or other products that may irritate the area.
3. Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it is advisable to avoid sexual activity to prevent further irritation and potential transmission of any infection.

4. Over-the-Counter Treatments: If you suspect a yeast infection, antifungal creams available over-the-counter may provide some relief, but it is best to consult with a healthcare provider before starting any treatment.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the development of any new symptoms, which can provide valuable information to your healthcare provider.

In conclusion, while there are several potential causes for your symptoms, a proper diagnosis is essential for effective treatment. Do not hesitate to seek medical attention, as early intervention can lead to better outcomes and relief from your symptoms.

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