Seeking Help for Long-Standing Urological Issues: A Patient's Plea

Please, doctor, help me with my long-standing health issues?

I do not masturbate frequently, but I am unsure if my longer foreskin is the reason why the tip of my glans appears dark black.
The surface skin of the glans even has some wrinkles.
During masturbation or sexual intercourse, I feel no sensation at all, particularly at the tip, while the back part of the glans is a brighter red.
This coloration is consistent whether I am erect or flaccid.
My ejaculation time is normal.
Additionally, before I noticed this condition, I was unaware that I needed to clean the glans.
I carelessly went to a small clinic and used a brown, creamy medication that I applied to the glans, applying less to the back part.
As a result, the glans now looks as described above, with very unusual coloration.
When I squeeze the glans, I only feel slight pain, and during intercourse, it is quite unsatisfying.
I can assure you that I do not have any sexually transmitted diseases, and I always use condoms during sex.
I have visited the urology department of a large hospital, but the doctor, perhaps overwhelmed with patients, only asked me to drop my pants to examine the glans after hearing about the dark coloration.
He then only inquired if I could ejaculate, to which I confirmed.
He prescribed some medication, but after taking it, my symptoms remained unchanged, and my overall condition did not improve at all.
I kindly ask the doctor to help me resolve this long-standing distressing issue or to recommend a more specialized urology hospital in Changhua City.
If my request is fulfilled, I will certainly express my gratitude publicly.

ku ming ren, 20~29 year old female. Ask Date: 2002/03/19

Dr. Liu Jianting reply Urology

It's really concerning, but it's probably not that serious! I suggest you visit a few major hospitals in the Changhua area to see a urologist.
Have them examine you and get their opinions.
It would be best to bring along the medications you are currently taking for their reference.

Reply Date: 2002/03/19

More Info

It sounds like you are experiencing a range of concerning symptoms related to your urological health, particularly with the appearance and sensitivity of your glans (the head of the penis). Based on your description, there are several potential factors that could be contributing to your situation, and I will address them in detail.

1. Long Foreskin and Hygiene: Having a longer foreskin can sometimes lead to difficulties in maintaining proper hygiene, which can result in irritation or infections. It's important to ensure that the area is cleaned regularly and thoroughly, as bacteria can accumulate under the foreskin, leading to conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin).

2. Color Changes and Sensitivity: The darkening of the glans and the presence of wrinkles or reduced sensitivity could be due to a variety of reasons. One possibility is that you may be experiencing a condition known as hyperpigmentation, which can occur due to friction, irritation, or even hormonal changes. The redness at the back of the glans could indicate inflammation or irritation, possibly from insufficient cleaning or an allergic reaction to products used in the area.

3. Pain and Sensation: The pain you describe when touching the glans, as well as the lack of sensation during sexual activity, can be distressing. This could be related to nerve sensitivity or damage, which can sometimes occur with prolonged irritation or inflammation. It's also possible that the products you used in the past may have caused some irritation or allergic reaction, leading to the symptoms you are experiencing.

4. Consultation with Specialists: It is concerning that your previous visit to a urologist did not yield satisfactory results. If you feel that your concerns were not adequately addressed, it may be beneficial to seek a second opinion from another urologist, preferably one who specializes in sexual health or dermatology related to urological issues. They may perform a more thorough examination and possibly recommend tests to rule out any underlying conditions.

5. Potential Treatments: Depending on the diagnosis, treatment options may include topical medications to reduce inflammation or irritation, improved hygiene practices, or even surgical options if there are anatomical issues (such as phimosis, where the foreskin cannot be fully retracted). If there is a fungal or bacterial infection, appropriate antifungal or antibiotic treatments may be necessary.

6. Psychological Impact: It's also important to consider the psychological impact of these symptoms. Chronic urological issues can lead to anxiety or depression, particularly if they affect your sexual health and relationships. Seeking support from a mental health professional may be beneficial as you navigate these challenges.

7. Finding a Specialist: If you are looking for a more specialized urology clinic in Changhua City, consider researching hospitals or clinics that have a good reputation for treating sexual health issues. You can also ask for recommendations from your primary care physician or look for patient reviews online.

In summary, your symptoms warrant further investigation and a comprehensive approach to treatment. Don't hesitate to advocate for your health and seek out the care you need. Remember, you deserve to have your concerns taken seriously and to receive appropriate treatment for your condition.

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