Foreskin Issues: Causes and Solutions for Itching and Discomfort - Urology

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Hello doctor, for the past ten days, I've been experiencing itching on my foreskin and penis, and there are often thin, light white substances appearing on the surface.
After rinsing with clean water, a few hours later, I notice more dryness and the appearance of thin strands.
Could you please tell me what the problem might be, or if it is related to irregular habits?

Niming, 10~19 year old female. Ask Date: 2015/07/22

Dr. Xu Weikai reply Urology


Hello, smegma is produced daily as a result of skin cell renewal.
It is not necessary to use soap or body wash to clean the foreskin; rinsing with cold water is sufficient.
After cleaning, you may apply petroleum jelly locally for maintenance.
If you have any further questions, feel free to ask for more discussion and research.
Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/22

More Info


Foreskin issues, including itching and discomfort, can be caused by a variety of factors, and understanding these can help in finding effective solutions. The symptoms you describe, such as itching and the appearance of thin, whitish substances, may indicate a few potential conditions.

One common cause of itching and discomfort in the foreskin area is balanitis, which is inflammation of the glans (the head of the penis) and can extend to the foreskin. Balanitis can be caused by poor hygiene, infections (bacterial or fungal), or skin conditions such as eczema or psoriasis. The whitish substance you mention could be smegma, a natural lubricant produced by the body, which can accumulate under the foreskin if not cleaned regularly. This buildup can lead to irritation and itching.

Another possibility is a yeast infection, particularly if the itching is accompanied by a thick, white discharge. Yeast infections can occur in men, especially if they have diabetes or if their immune system is compromised. The presence of a thin, white coating or discharge could also suggest a fungal infection.

Sexually transmitted infections (STIs), such as herpes or gonorrhea, can also cause similar symptoms, including itching, discomfort, and unusual discharge. If you have had unprotected sexual contact, it is essential to consider this possibility and seek medical evaluation.

Irritation or allergic reactions to soaps, detergents, or personal care products can also lead to itching and discomfort. If you have recently changed any products you use on your genital area, this could be a contributing factor.

In terms of lifestyle factors, irregular sleep patterns or stress can impact your immune system and overall skin health, potentially exacerbating any underlying conditions. However, the primary issues you are experiencing seem more localized to the genital area rather than being directly related to your sleep or stress levels.


Solutions and Recommendations:
1. Maintain Good Hygiene: Ensure that you clean the area under the foreskin gently with warm water daily. Avoid using harsh soaps or products that may irritate the skin.

2. Avoid Irritants: If you suspect that soaps, lotions, or laundry detergents may be causing irritation, consider switching to hypoallergenic products.

3. Wear Loose-fitting Clothing: Tight clothing can cause friction and irritation. Opt for breathable fabrics like cotton to reduce moisture buildup.

4. Over-the-counter Treatments: If you suspect a yeast infection, antifungal creams available at pharmacies may help. However, it is crucial to confirm the diagnosis with a healthcare provider before starting treatment.

5. Consult a Healthcare Provider: Given the persistence of your symptoms, it is advisable to see a doctor or a urologist. They can perform a physical examination, possibly run tests, and provide a definitive diagnosis and appropriate treatment plan.

6. Avoid Self-diagnosis: While it can be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or inappropriate treatments. A healthcare professional can provide clarity and reassurance.

In conclusion, while itching and discomfort in the foreskin area can be distressing, many potential causes are treatable. Seeking medical advice is essential for proper diagnosis and management. Early intervention can prevent complications and improve your quality of life.

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