Penile fungal infection
Hello Doctor: Recently, I have been experiencing itching on my penis (specifically, on the ring-shaped area about one centimeter below the glans).
I visited a public hospital and was diagnosed with a fungal infection.
The doctor prescribed Ecosone cream, which I have been applying for a week, and the itching has mostly subsided (I continue to apply it).
I would like to ask Dr.
Hsu: 1.
Is the ring-shaped mark in the coronal sulcus below the glans a typical sign of a fungal infection? 2.
Is the redness on the lower part of the glans also due to the fungal infection? 3.
How long will it take to heal? When is it appropriate to stop applying the cream? 4.
Additionally, I have noticed that after an erection (not due to masturbation or sexual activity, just a natural erection), the entire glans and foreskin appear dehydrated (very dry, unlike the usual smoothness).
Is this due to the infection or the medication? (Is it because of the loss of natural oils from the foreskin?) Thank you, Doctor.
I am quite worried about this.
Edward, 20~29 year old female. Ask Date: 2012/08/25
Dr. Xu Weikai reply Urology
Edward: Hello! 1.
It is possible.
2.
It could be.
3.
Generally, it takes 2-4 weeks.
4.
It may be caused by the effects of medication.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2012/08/25
More Info
Penile yeast infections, also known as candidiasis, are caused by an overgrowth of the fungus Candida, which is normally present in small amounts on the skin and mucous membranes. Understanding the symptoms, treatment, and recovery process is crucial for effective management and prevention of recurrence.
Symptoms of Penile Yeast Infections
1. Itching and Irritation: The most common symptom is itching, particularly around the glans (the head of the penis) and the corona (the ridge of the glans). This can lead to discomfort and a desire to scratch the area, which may exacerbate the irritation.
2. Redness and Inflammation: The affected area may appear red and inflamed. This is often seen in the glans and the surrounding skin, which may also be sensitive to touch.
3. Rash or Lesions: A characteristic sign of a yeast infection is the presence of a red, ring-like rash, often described as a "circular" pattern. This can occur in the area just below the glans, known as the corona.
4. Discharge: In some cases, there may be a whitish discharge, which can be thick and curd-like, resembling cottage cheese.
5. Dryness: As you mentioned, after an erection, the glans and foreskin may appear dry and less lubricated than usual. This can be a result of the infection or the treatment.
Treatment
The treatment for a penile yeast infection typically involves antifungal medications. In your case, the doctor prescribed Ecosone cream, which is a topical corticosteroid that can help reduce inflammation and itching. However, it is important to note that while corticosteroids can alleviate symptoms, they do not treat the underlying fungal infection. Antifungal creams or oral medications are usually required to eliminate the yeast.
Recovery Time
Recovery from a penile yeast infection can vary depending on the severity of the infection and the individual's immune response. Generally, with appropriate treatment, symptoms should start to improve within a few days. It is advisable to continue applying the antifungal cream as directed, even if symptoms improve, to ensure complete resolution of the infection. You should consult your healthcare provider if symptoms persist beyond two weeks or if they worsen.
When to Stop Treatment
You can consider stopping the treatment once the symptoms have completely resolved, including the disappearance of itching, redness, and any rash. However, it is essential to follow your doctor's advice regarding the duration of treatment. If you notice any recurrence of symptoms after stopping the medication, you should contact your healthcare provider for further evaluation.
Dryness and Erection Issues
The dryness you are experiencing after an erection could be due to several factors. It may be related to the infection itself, as inflammation can affect the natural lubrication of the skin. Additionally, the use of topical medications can sometimes lead to dryness. If the dryness persists or worsens, it is advisable to discuss this with your doctor, as they may recommend a different treatment approach or additional moisturizers to alleviate the dryness.
Conclusion
In summary, penile yeast infections can cause significant discomfort, but they are typically manageable with appropriate treatment. It is crucial to follow your healthcare provider's recommendations and to maintain good hygiene practices to prevent future infections. If you have any concerns about your symptoms or treatment, do not hesitate to reach out to your healthcare provider for further guidance. Regular check-ups and open communication with your doctor can help ensure your sexual health and overall well-being.
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