Redness and Peeling of the Glans: Causes and Treatments - Dermatology

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The glans is peeling, the foreskin is red, and there are areas of broken skin?


The glans has peeling skin, and the foreskin is red with broken skin.
I consulted a doctor who said that the glans needs to be kept dry and recommended applying two types of medication, one for daytime and one for nighttime.
The peeling of the glans has improved, but the foreskin remains red with broken skin and has not improved, causing pain.

Xiongxin, 40~49 year old female. Ask Date: 2015/07/23

Dr. Li Yufen reply Dermatology


Hello: The genital area is prone to heat and moisture, which can slow down the healing process of any skin lesions.
However, if there is persistent redness, skin breakdown, and pain associated with the foreskin that does not improve, it is advisable to return for a follow-up appointment to determine if medication adjustments are necessary.
Thank you!

Reply Date: 2015/07/23

More Info


Understanding the redness and peeling of the glans (the head of the penis) can be quite concerning, and it’s important to address both the symptoms and underlying causes. The symptoms you describe—peeling of the glans, redness, and pain—can be indicative of several conditions, and proper treatment is essential for relief and healing.


Possible Causes
1. Balanitis: This is an inflammation of the glans, often caused by infections (bacterial or fungal), irritants, or poor hygiene. Symptoms typically include redness, swelling, and sometimes peeling or flaking skin. If the area is not kept clean and dry, it can lead to further irritation and discomfort.

2. Contact Dermatitis: This can occur due to irritation from soaps, lotions, or even certain fabrics. If you’ve recently changed any personal care products or detergents, this could be a contributing factor.

3. Yeast Infection: A common cause of glans irritation, especially in uncircumcised men, is a yeast infection (Candida). This can lead to redness, itching, and peeling skin.

4. Sexually Transmitted Infections (STIs): Some STIs can cause symptoms similar to what you are experiencing. If there is any chance of exposure, it’s important to get tested.

5. Psoriasis or Eczema: These skin conditions can also affect the genital area, leading to redness, peeling, and discomfort.


Treatment Options
1. Hygiene: Maintaining good hygiene is crucial. Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward. Avoid using harsh soaps or products that can irritate the skin.

2. Topical Treatments: The medications prescribed by your doctor are likely aimed at reducing inflammation and treating any underlying infection. It’s important to follow the instructions for both daytime and nighttime applications. If you notice no improvement or worsening symptoms, consult your doctor for further evaluation.

3. Avoid Irritants: Identify and avoid any potential irritants, such as scented soaps, lotions, or tight clothing that may exacerbate the condition.

4. Moisturizers: If dryness is a significant issue, using a gentle, fragrance-free moisturizer may help alleviate peeling and discomfort.

5. Follow-Up: Since you mentioned that the glans has shown improvement but the foreskin remains red and painful, it’s essential to follow up with your healthcare provider. Persistent symptoms may require further investigation, such as a culture to identify any underlying infections or conditions.


When to Seek Further Medical Attention
If you experience increased pain, swelling, or discharge, or if the redness and peeling do not improve with treatment, it’s important to seek further medical attention. Additionally, if you develop fever or systemic symptoms, this could indicate a more serious infection that requires immediate care.


Conclusion
In summary, the redness and peeling of the glans can stem from various causes, including infections, irritants, or skin conditions. Proper hygiene, adherence to prescribed treatments, and avoidance of irritants are key to managing symptoms. If the condition persists or worsens, further evaluation by a healthcare professional is necessary to ensure appropriate treatment and care. Always consult with your doctor for personalized medical advice tailored to your specific situation.

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