Post-Intense Intercourse: Dealing with Redness and Swelling of the Foreskin - Urology

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Post-coital glans and foreskin erythema and edema?


Hello doctor, this morning I had vigorous sexual intercourse with my girlfriend without lubrication.
Afterward, I masturbated to finish.
However, while showering, I noticed redness and swelling around the foreskin area.
It doesn't hurt if I don't touch it, but I can feel something in my genital area.
Should I take anti-inflammatory medication for this, or if it doesn't improve after a while, should I see a urologist? Thank you!

Yu, 20~29 year old female. Ask Date: 2010/09/06

Dr. Lai Ronghao reply Urology


If the redness and swelling do not subside after a week, please consult a urologist.
If the swelling continues to increase, seek medical attention promptly.

Reply Date: 2010/09/06

More Info


After engaging in vigorous sexual activity, it's not uncommon to experience some degree of irritation or inflammation in the genital area, particularly if lubrication was not used. The symptoms you describe—redness and swelling of the foreskin—can be attributed to a few potential causes, including friction, minor trauma, or even an allergic reaction to bodily fluids or products used during intercourse.

In your case, since you mentioned that the area does not hurt when not touched, this suggests that the irritation may be mild. However, it is essential to monitor the symptoms closely. Here are some considerations and recommendations based on your situation:
1. Rest and Avoid Further Irritation: It's crucial to allow the area to rest. Avoid any further sexual activity or masturbation until the symptoms subside. This will help prevent exacerbating the irritation.

2. Hygiene: Maintain good hygiene by gently washing the area with mild soap and water. Avoid using harsh soaps or products that could further irritate the skin.

3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and redness. However, avoid applying any creams or ointments that are not specifically designed for genital use unless advised by a healthcare professional.

4. Anti-inflammatory Medications: Taking an over-the-counter anti-inflammatory medication, such as ibuprofen or naproxen, can help alleviate any discomfort and reduce swelling. However, this should be done according to the recommended dosages and guidelines.

5. Observation: Monitor the symptoms over the next few days. If the redness and swelling do not improve within 3-5 days, or if you develop additional symptoms such as pain, discharge, or fever, it would be prudent to seek medical attention.

6. When to See a Doctor: If the symptoms persist beyond a week, worsen, or if you experience significant pain or other concerning symptoms, it is advisable to consult a urologist. They can perform a thorough examination and determine if there is an underlying issue that needs to be addressed, such as an infection or other conditions.

7. Potential Causes: While friction is a likely cause, other factors could contribute to your symptoms. For instance, infections (like balanitis), allergic reactions, or even sexually transmitted infections (STIs) could present similarly. A healthcare provider can help rule out these possibilities.

In summary, while taking anti-inflammatory medication may provide some relief, it is essential to observe your symptoms closely. If they do not improve or worsen, seeking medical advice is the best course of action. Remember, it's always better to err on the side of caution when it comes to your health.

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