Managing Itching and Pain in the Penis: What You Need to Know - Urology

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The penis may itch, the testicles may itch, and then the penis may hurt?


Thank you, doctor, for answering my question earlier.
If the penis is itchy and the scrotum is itchy to the point of breaking the skin, causing pain in the penis, what should I do?

A Yu, 10~19 year old female. Ask Date: 2015/09/05

Dr. Fu Shizhang reply Urology


It is recommended to visit the outpatient clinic.

Reply Date: 2015/09/05

More Info


Managing itching and pain in the penis can be a sensitive and uncomfortable issue, but it is essential to address it properly to avoid further complications. Here’s a comprehensive guide on what you need to know and do if you are experiencing these symptoms.


Understanding the Symptoms
Itching and pain in the penis can arise from various causes, including:
1. Infections: This could be due to sexually transmitted infections (STIs) like herpes or fungal infections such as candidiasis (yeast infection). Bacterial infections can also lead to inflammation and discomfort.

2. Dermatitis: Contact dermatitis can occur due to irritation from soaps, lotions, or latex condoms. Allergic reactions can also lead to itching and inflammation.

3. Skin Conditions: Conditions like psoriasis or eczema can affect the genital area, leading to itching and discomfort.

4. Poor Hygiene: Inadequate cleaning can lead to the buildup of sweat and bacteria, causing irritation and itching.

5. Other Medical Conditions: Conditions such as diabetes can lead to skin issues, including itching and infections.


Immediate Steps to Take
If you are experiencing itching and pain, here are some immediate steps you can take:
1. Avoid Scratching: While it may be tempting to scratch the itchy area, doing so can lead to broken skin, which increases the risk of infection and further irritation.

2. Keep the Area Clean and Dry: Gently wash the area with mild soap and water, and ensure it is thoroughly dried afterward. Avoid using harsh soaps or products that may irritate the skin.

3. Wear Loose-Fitting Clothing: Tight clothing can exacerbate irritation. Opt for breathable, loose-fitting underwear made from cotton to allow airflow and reduce moisture.

4. Over-the-Counter Treatments: You may consider using over-the-counter antifungal creams if you suspect a yeast infection or hydrocortisone cream for inflammation. However, it’s crucial to consult a healthcare provider before starting any treatment.

5. Avoid Irritants: Identify and avoid any potential irritants, such as scented soaps, lotions, or laundry detergents that may be causing the reaction.


When to Seek Medical Attention
If the symptoms persist or worsen, it’s essential to consult a healthcare professional. You should seek medical attention if you experience:
- Severe pain or swelling
- Discharge from the penis
- Fever or chills
- Symptoms that do not improve with home care

Diagnosis and Treatment
A healthcare provider will likely perform a physical examination and may ask about your medical history, sexual history, and any recent activities that could have contributed to your symptoms. They may also conduct tests, such as:
- Swabs for infections
- Blood tests for STIs
- Skin tests for allergies
Based on the diagnosis, treatment options may include:
- Antifungal or Antibiotic Medications: If an infection is diagnosed, appropriate medications will be prescribed.

- Topical Steroids: For inflammatory conditions, topical steroids may help reduce itching and inflammation.

- Lifestyle Modifications: Recommendations may include changes in hygiene practices, dietary adjustments, or managing underlying health conditions.


Conclusion
Managing itching and pain in the penis requires a careful approach to identify the underlying cause and implement appropriate treatment. While home care measures can provide relief, it’s crucial to seek medical advice if symptoms persist or worsen. Remember, maintaining good hygiene and being aware of any changes in your body can help prevent future issues. Always consult a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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