Redness and Pain Around the Foreskin: Causes and Concerns

The foreskin is red and painful?

Hello Doctor: This morning, I noticed a slightly red and painful ring around the outer edge of my foreskin during urination, but the area is not large.
The glans and other parts appear normal.
I would like to ask what this might be and if it is related to a sexually transmitted infection?

A Ming, 30~39 year old female. Ask Date: 2014/05/09

Dr. Xu Weikai reply Urology

Hello, it can only be described as localized inflammation.
As for the cause, further examination is needed to determine it.
Whether it is a sexually transmitted infection will depend on the physician's assessment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/05/09

More Info

When experiencing redness and pain around the foreskin, it is essential to consider several potential causes, as this symptom can arise from various conditions. The most common causes include balanitis, which is inflammation of the glans (the head of the penis), and posthitis, which is inflammation of the foreskin. These conditions can occur due to a variety of factors, including infections, irritants, or underlying health issues.

1. Balanitis and Posthitis: Balanitis is often characterized by redness, swelling, and pain in the glans, while posthitis refers specifically to inflammation of the foreskin. Both conditions can result from poor hygiene, leading to the accumulation of smegma (a combination of dead skin cells and oils), which can irritate the area. Infections, whether fungal (like Candida) or bacterial, can also lead to these symptoms.
2. Sexually Transmitted Infections (STIs): While not all cases of redness and pain are related to STIs, it is crucial to consider this possibility, especially if there has been a recent change in sexual partners or practices. Conditions such as herpes, gonorrhea, or chlamydia can cause similar symptoms. If you suspect an STI, it is vital to seek medical attention for appropriate testing and treatment.

3. Allergic Reactions or Irritation: Sometimes, irritation can arise from the use of certain soaps, lotions, or condoms that may cause an allergic reaction. If you have recently changed any personal care products, this could be a contributing factor.

4. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to redness and discomfort. These conditions may require specific dermatological treatment.

5. Phimosis: If the foreskin is too tight and cannot be easily retracted, it can lead to inflammation and pain. This condition, known as phimosis, can be congenital or develop over time.

Recommendations for Management:
- Hygiene: Ensure proper hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that may irritate the skin.

- Topical Treatments: Over-the-counter antifungal creams may be beneficial if a fungal infection is suspected. If irritation is due to an allergic reaction, hydrocortisone cream may help reduce inflammation.

- Avoid Irritants: If you suspect that a product is causing irritation, discontinue its use and observe if symptoms improve.

- Consult a Healthcare Provider: Given the symptoms you are experiencing, it is advisable to consult a healthcare provider for a thorough examination. They may perform tests to rule out infections or other underlying conditions.

- Sexual Health: If there is any concern about STIs, it is crucial to get tested and inform any sexual partners, as appropriate treatment can prevent further complications and transmission.

In conclusion, while redness and pain around the foreskin can be caused by various factors, it is essential to approach the situation with care. Proper hygiene, avoidance of irritants, and consultation with a healthcare professional will help in diagnosing the issue accurately and determining the best course of treatment.

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