Red Spots on the Glans: Treatment and Recovery Insights - Urology

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Small red spots on the glans?


Hello Dr.
Hsu, this should be my last time bothering you, I apologize.
I wanted to ask if topical application of tetracycline is effective against fungi or bacteria? I have been applying it for almost two weeks and I'm unsure if I should continue, as I'm concerned about the potential for antibiotic resistance.
Also, how much longer do you think it will take for me to recover? Thank you, Sam.

Sam, 20~29 year old female. Ask Date: 2010/04/21

Dr. Xu Weikai reply Urology


Sam: Hello, tetracycline is effective against bacterial infections, but it has little effect on fungal infections.
It is recommended to combine it with antifungal ointments, which should be helpful.
Additionally, applying some emollient lotions or petroleum jelly locally may enhance the effect.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/04/21

More Info


Hello Sam,
Thank you for reaching out with your questions regarding the red spots on the glans and the use of topical tetracycline. It's important to address your concerns thoroughly, especially when it comes to potential infections and treatment options.

Topical tetracycline is an antibiotic that is primarily effective against certain types of bacteria. It works by inhibiting bacterial protein synthesis, which helps to eliminate bacterial infections. However, it is not effective against fungal infections, such as those caused by Candida species, which are common culprits in cases of red spots or irritation in the genital area. If your condition is due to a fungal infection, a topical antifungal treatment would be more appropriate.

Regarding your concern about antibiotic resistance, it is valid. Prolonged use of antibiotics, including topical forms, can lead to the development of resistance. This means that bacteria may become less susceptible to the medication, making future infections harder to treat. If you have been using tetracycline for two weeks without noticeable improvement, it may be time to consult your healthcare provider for a reassessment. They may recommend a different treatment approach, which could include switching to an antifungal medication if a fungal infection is suspected.

As for recovery time, it can vary significantly depending on the underlying cause of the red spots. If the issue is bacterial and responds well to treatment, you might see improvement within a few days to a week after starting the appropriate antibiotic. However, if it is fungal, treatment may take longer, often requiring at least two weeks of antifungal therapy. It's essential to follow your healthcare provider's recommendations and complete the full course of any prescribed medication, even if symptoms improve before finishing the treatment.

In addition to medication, maintaining good hygiene is crucial. Keep the area clean and dry, and avoid irritants such as harsh soaps or lotions that could exacerbate the condition. If you notice any worsening of symptoms, such as increased redness, swelling, or discharge, seek medical attention promptly.

In summary, while topical tetracycline can be effective for bacterial infections, it may not be suitable for fungal infections. If you have not seen improvement after two weeks, it is advisable to consult with your healthcare provider for further evaluation and potential alternative treatments. Recovery time will depend on the specific diagnosis and the effectiveness of the treatment prescribed.

Take care, and I hope you find relief soon!
Best regards.

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