Redness on the Glans: Inflammation or STD? - Urology

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Cauliflower is still inflamed?


Fifteen days ago, a woman used her hands on me, and I also had hand contact with her.
Shortly after that, I noticed two abnormal red patches on the glans, one on each side.
As of today, the redness has slightly expanded, and the lower edge resembles pearly penile papules.
The red areas have horizontal folds and are very dry, and sometimes they itch.
I would like to ask if this is balanitis? Is it possible that this could be any sexually transmitted infection? Are there any conditions that could present symptoms immediately after sexual contact? I live in an area where it is difficult to see a doctor, and this situation is greatly affecting my mood.
I hope to receive a response.
Thank you.

rrr, 20~29 year old female. Ask Date: 2012/04/16

Dr. Lin Hexing reply Urology


Hello: Based solely on your description, it is difficult to determine the exact issue.
If it is balanitis, it can cause pain, itching, and even discharge.
Your problem may be more related to mechanical friction, which is a local physiological response and not classified as a sexually transmitted infection (STI).
STIs typically have an incubation period, so there is no need to worry.
However, if you have the time, it would be better to visit a urology clinic for an examination.
Wishing you peace and happiness.

Reply Date: 2012/04/16

More Info


The symptoms you are experiencing on the glans, including redness, dryness, and itching, could indeed suggest a condition known as balanitis, which is inflammation of the glans penis. This condition can arise from various causes, including irritants, infections, or sexually transmitted infections (STIs). Given your recent sexual contact, it's essential to consider the possibility of an STI, although not all STIs present symptoms immediately.


Possible Causes of Your Symptoms:
1. Balanitis: This is the most likely explanation for your symptoms. Balanitis can be caused by:
- Irritants: Soaps, lotions, or other products that come into contact with the area can cause irritation.

- Infections: Both fungal (like Candida) and bacterial infections can lead to balanitis. Symptoms often include redness, swelling, and sometimes discharge.

- Poor Hygiene: Inadequate cleaning can lead to a buildup of smegma, which can irritate the glans.

2. Sexually Transmitted Infections (STIs): Certain STIs can cause symptoms in the genital area, including:
- Herpes Simplex Virus (HSV): Symptoms can include redness, itching, and painful sores, which may appear a few days after exposure.

- Gonorrhea or Chlamydia: While these often present with discharge, they can also cause irritation and redness.

- Human Papillomavirus (HPV): Certain strains can cause genital warts, which may appear as bumps or lesions.

3. Allergic Reactions: If you have recently changed soaps, lubricants, or condoms, an allergic reaction could also cause redness and irritation.


Immediate Steps to Take:
1. Avoid Irritants: Refrain from using any products that could further irritate the area, including soaps or lotions that are not specifically designed for sensitive skin.

2. Maintain Hygiene: Gently clean the area with mild soap and water. Ensure that the area is dry after washing, as moisture can exacerbate fungal infections.

3. Monitor Symptoms: Keep an eye on the symptoms. If they worsen or do not improve in a few days, it is crucial to seek medical attention.

4. Consider STI Testing: If you are concerned about the possibility of an STI, it is advisable to get tested. Many STIs can be asymptomatic, and early detection is key to effective treatment.


When to Seek Medical Attention:
- If the redness spreads significantly or is accompanied by severe pain, swelling, or discharge.

- If you develop fever or systemic symptoms.

- If the symptoms persist for more than a few days without improvement.


Conclusion:
While your symptoms could indicate balanitis, the possibility of an STI cannot be ruled out, especially given your recent sexual contact. It is essential to prioritize your health and seek medical advice, even if it requires some effort to find a healthcare provider. Many conditions can be treated effectively with early intervention, and understanding the underlying cause of your symptoms is crucial for proper management. If you are unable to see a doctor immediately, consider reaching out to a telemedicine service for guidance.

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