Phimosis, with red spots on the glans?
Hello, Doctor Yan.
Last night, after having sexual intercourse with my girlfriend (without using protection), I immediately went to the bathroom to wash my genital area with clean water.
Today, I noticed that the foreskin is swollen around the edge and is stuck at the lower edge of the glans, and it feels a bit painful to touch! I don't have any issues urinating, and there are no unusual discharges from the glans! Additionally, there are some red spots at the lower edge of the glans.
Could this be a symptom of balanitis or posthitis?
James, 20~29 year old female. Ask Date: 2010/04/18
Dr. Yan Dawei reply Urology
Please visit the urology outpatient clinic for an examination by a physician to determine the cause.
Reply Date: 2010/04/18
More Info
Hello, thank you for your question. Based on the symptoms you've described, it does seem that you may be experiencing balanitis, which is an inflammation of the glans (the head of the penis) and/or the foreskin. The symptoms you mentioned, such as swelling of the foreskin, tenderness, and the presence of red spots, are indeed characteristic of this condition.
Balanitis can be caused by a variety of factors, including poor hygiene, infections (bacterial, fungal, or viral), irritants (such as soaps or lotions), and even allergic reactions. In your case, since you mentioned engaging in sexual activity without protection, it is possible that an infection could be a contributing factor. However, the absence of unusual discharge and the fact that urination is not painful are somewhat reassuring signs.
The red spots you observed could be due to irritation or inflammation, which is common in cases of balanitis. It's important to note that while some cases of balanitis can resolve on their own with improved hygiene and care, others may require medical treatment, especially if an infection is present.
Here are a few recommendations for managing your symptoms:
1. Maintain Good Hygiene: Gently clean the area with warm water and mild soap. Avoid using harsh soaps or products that could further irritate the skin.
2. Avoid Irritants: If you suspect that any products (such as soaps, lotions, or lubricants) may be causing irritation, discontinue their use.
3. Topical Treatments: Over-the-counter antifungal creams or hydrocortisone creams may help reduce inflammation and irritation. However, it's best to consult a healthcare provider before starting any treatment.
4. Avoid Sexual Activity: Until your symptoms resolve, it may be wise to abstain from sexual activity to prevent further irritation or potential transmission of an infection.
5. Consult a Healthcare Provider: If your symptoms persist, worsen, or if you develop additional symptoms (such as fever, increased pain, or discharge), it is important to seek medical attention. A healthcare provider can perform a physical examination and may recommend tests to determine the underlying cause of your symptoms.
In some cases, balanitis can be a sign of an underlying condition, such as a sexually transmitted infection (STI) or diabetes, so it’s crucial to address any persistent or concerning symptoms with a healthcare professional.
In summary, while your symptoms are suggestive of balanitis, proper evaluation and treatment by a healthcare provider are essential for a definitive diagnosis and appropriate management. Take care, and I hope you find relief soon!
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