Glans issues
A few months ago, I noticed red spots on my glans.
After researching online, I came to the conclusion that it might be balanitis, possibly due to an infection or inflammation caused by the foreskin covering the glans.
I was advised to keep the foreskin retracted, which seemed to improve the condition, and the red spots gradually disappeared.
However, a month later, the glans started to develop red spots again, even though I continued to keep the foreskin retracted.
I thought it would resolve itself like before, but the red spots turned into a large area of redness, and the glans became wrinkled and rough.
Sometimes, there are small flakes of skin that come off, but there is no pain or itching.
The glans just doesn't feel as smooth as it used to.
I'm wondering what could be the cause of this? Could masturbation be worsening the symptoms? I have attached a current image for reference.
Based on my previous inquiry, I would like to ask the doctor if this is indeed balanitis.
Since I initially self-diagnosed based on online information, if it is balanitis, does it mean that proper care will resolve it, or do I need to apply medication?
Xiao Shun, 20~29 year old female. Ask Date: 2015/12/02
Dr. Xu Weikai reply Urology
Hello, you may have balanitis.
The cause might be different from what you think: you may believe it is due to poor hygiene, but based on the photos, I believe it is caused by "over-cleaning and improper cleaning." Recommendations: 1.
Clean the glans several times a day.
2.
It is best to clean any urine residue thoroughly after each urination; if that is not convenient, simply pat the area dry.
3.
Cleaning method: use only cold water.
Absolutely avoid using soap, body wash, or any cleaning agents.
If you feel dryness, you can apply a small amount of petroleum jelly, baby oil, or a gentle, non-irritating moisturizer.
4.
If this occurs frequently, there may be other underlying issues, and it is advisable to seek professional medical advice.
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, you should visit a medical facility for treatment.
Ministry of Health and Welfare, Taitung Hospital, cares about you.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at our hospital.
Reply Date: 2015/12/02
More Info
Understanding glans inflammation, commonly referred to as balanitis, involves recognizing its causes, symptoms, and treatment options. Balanitis is an inflammation of the glans (the head of the penis) and can occur due to various factors, including infections, irritants, and underlying health conditions.
Causes of Balanitis
1. Infections: Bacterial, fungal, or viral infections can lead to balanitis. Common culprits include Candida (yeast infections) and sexually transmitted infections (STIs) such as herpes or gonorrhea.
2. Irritants: Products such as soaps, lotions, or condoms containing irritants can cause inflammation. Poor hygiene can also contribute, especially in uncircumcised males, where smegma can accumulate under the foreskin.
3. Skin Conditions: Conditions like psoriasis or eczema can also affect the glans, leading to inflammation and discomfort.
4. Diabetes: Men with diabetes are at a higher risk for balanitis due to higher glucose levels in urine, which can promote yeast growth.
Symptoms of Balanitis
Symptoms can vary but often include:
- Redness and swelling of the glans
- Pain or tenderness
- Itching or irritation
- Discharge or unusual odor
- Flaking or peeling skin
In your case, the appearance of red spots that later developed into a larger area of redness, along with roughness and flaking, suggests an inflammatory process. The absence of pain or itching is somewhat reassuring, but it does not rule out an underlying issue.
Management and Treatment
1. Hygiene: Maintaining good hygiene is crucial. Gently clean the area with mild soap and water, and ensure it is thoroughly dried afterward. Keeping the foreskin retracted can help prevent moisture accumulation.
2. Topical Treatments: Depending on the cause, topical treatments may be necessary. If a fungal infection is suspected, antifungal creams can be effective. For bacterial infections, a doctor may prescribe antibiotics. If irritation is the cause, a mild corticosteroid cream may help reduce inflammation.
3. Avoid Irritants: Identify and avoid any products that may be causing irritation. This includes soaps, lotions, and even certain fabrics.
4. Consult a Healthcare Provider: Given that your symptoms have persisted and worsened, it is advisable to consult a healthcare provider. They can perform a physical examination and may recommend tests to determine the underlying cause of your symptoms. This is particularly important if there is a possibility of an infection or a more serious condition.
5. Lifestyle Modifications: If you suspect that activities such as masturbation are exacerbating your symptoms, consider moderating these activities until the inflammation resolves.
Conclusion
While it is possible that your condition is a form of balanitis, self-diagnosis based on internet research can be misleading. It is essential to seek professional medical advice for an accurate diagnosis and appropriate treatment. Proper management, including hygiene and possibly topical treatments, can lead to improvement. However, if symptoms persist or worsen, further evaluation by a healthcare provider is critical to rule out any serious underlying conditions.
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