Painful Glans After Intercourse: Causes and Treatment Options

Pain in the glans during sexual intercourse?

I haven't had sexual intercourse for a long time.
A few days ago, after having sex, I felt fine that day.
The next day, I experienced some pain in the glans.
I had sex with my girlfriend again that same day, and it hurt even more.
When I retracted the foreskin, I noticed small red spots on the glans, which looked like abrasions but didn't bleed, just appeared red.
When I pulled the foreskin back down, the inner foreskin also hurt.
What could be the problem? Is this a sexually transmitted infection? How should I treat it, and are there any dietary changes I should make?

Zhi De, 10~19 year old female. Ask Date: 2015/08/15

Dr. Li Yilun reply Urology

You have noticeable symptoms of glans and foreskin inflammation and should seek medical attention as soon as possible.
It is not possible to determine your condition based solely on your brief description; a thorough consultation and medical history are necessary.
If you have any doubts, it is still advisable to consult a professional physician for evaluation and examination.
Doctors often require a medical history inquiry, visual inspection, palpation, and tests to confirm a diagnosis and determine a treatment plan.
It is recommended to seek examination and treatment from a nearby urologist.

Reply Date: 2015/08/15

More Info

Experiencing pain in the glans (the head of the penis) after intercourse can be concerning and may arise from various causes. Given your description of the symptoms—pain following sexual activity, redness, and a sensation akin to a minor abrasion—there are several potential explanations for your condition.

Possible Causes:
1. Irritation or Friction: If you haven't engaged in sexual activity for a while, the tissues of the glans may be more sensitive. Friction during intercourse can lead to irritation, resulting in redness and discomfort. This is particularly common if lubrication is insufficient.

2. Infection: Conditions such as balanitis (inflammation of the glans) can occur due to infections, which may be fungal, bacterial, or viral. Symptoms often include redness, swelling, and pain. If there are any discharge or unusual odors, this could indicate an infection.

3. Sexually Transmitted Infections (STIs): While not all STIs present with obvious symptoms, some can cause localized pain, redness, or lesions. If you have concerns about potential exposure to STIs, it is essential to get tested.

4. Allergic Reaction: Sometimes, reactions to latex condoms, lubricants, or even soaps and detergents can cause irritation and pain. If you recently changed any products, consider whether this could be a factor.

5. Dermatological Conditions: Conditions such as psoriasis or eczema can also affect the genital area, leading to redness and discomfort.

Treatment Options:
1. Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid harsh soaps or products that may irritate the skin.

2. Avoid Irritants: If you suspect an allergic reaction, try to identify and avoid the irritant. This may include switching to hypoallergenic products or avoiding certain lubricants.

3. Topical Treatments: Over-the-counter hydrocortisone cream may help reduce inflammation and discomfort. However, consult a healthcare provider before applying any topical treatment, especially if you suspect an infection.

4. Lubrication: If friction is a concern, using a water-based lubricant during intercourse can help reduce irritation.

5. Consult a Healthcare Provider: If symptoms persist or worsen, it is crucial to see a healthcare provider. They can perform a physical examination, conduct tests for STIs if necessary, and provide a proper diagnosis and treatment plan.

Dietary Considerations:
While dietary changes may not directly address the pain in the glans, maintaining a healthy diet can support overall health and immune function. Staying hydrated is essential, as it can help flush out potential irritants and support urinary tract health. Avoiding excessive alcohol and spicy foods may also be beneficial, as these can sometimes exacerbate irritation in sensitive individuals.

Conclusion:
In summary, the pain you're experiencing in the glans after intercourse could be due to a variety of factors, including irritation, infection, or an allergic reaction. It's essential to monitor your symptoms and seek medical advice if they persist or worsen. A healthcare provider can offer a definitive diagnosis and appropriate treatment options tailored to your specific situation. Remember, open communication with your partner about any discomfort is also vital for a healthy sexual relationship.

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