Foul Odor from the Glans: Causes and Solutions - Urology

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The glans may have an unpleasant odor?


Hello doctor, since I had sexual relations with my girlfriend, I have noticed that my head has started to smell and there is an odor that returns after I shower for a while.
Could I be infected with bacteria or is it something else? I haven't had a circumcision; could this be related?

Mr. Yu, 20~29 year old female. Ask Date: 2015/12/29

Dr. Lin Wenxu reply Urology


1.
It may be caused by a fungal infection.
2.
It is indeed related to phimosis.
3.
It is recommended to clean up promptly after engaging in sexual activity with your girlfriend; if the aforementioned symptoms persist, circumcision may be considered.

Reply Date: 2015/12/29

More Info


Foul odor from the glans, especially after engaging in sexual activity, can be concerning and may indicate an underlying issue. The presence of an unpleasant smell, particularly if it persists even after washing, can be attributed to several factors, including bacterial infections, poor hygiene, or conditions related to the foreskin if you are uncircumcised.

1. Bacterial Infections: One of the most common causes of foul odor in the genital area is a bacterial infection. Bacteria thrive in warm, moist environments, and the area under the foreskin can be a breeding ground for bacteria if not cleaned properly. This can lead to conditions such as balanitis, which is inflammation of the glans, often accompanied by redness, swelling, and discharge. If you notice any unusual discharge, pain, or swelling, it is crucial to seek medical attention.

2. Poor Hygiene: If the area is not cleaned regularly and thoroughly, smegma, a combination of dead skin cells, oils, and moisture, can accumulate under the foreskin. This buildup can produce a foul odor and may lead to irritation or infection. It is essential to practice good hygiene by gently retracting the foreskin (if applicable) and cleaning the area with mild soap and water daily.

3. Sexually Transmitted Infections (STIs): Engaging in sexual activity can expose you to various STIs, some of which can cause foul odors. Infections such as gonorrhea, chlamydia, or trichomoniasis can lead to unusual smells and other symptoms. If you suspect that you may have contracted an STI, it is vital to get tested and treated promptly.

4. Fungal Infections: Yeast infections can also occur in the genital area, particularly in individuals who are uncircumcised. These infections can cause itching, irritation, and a distinct odor. Treatment typically involves antifungal medications, which can be prescribed by a healthcare provider.

5. Phimosis: If you have not been circumcised, you may experience phimosis, a condition where the foreskin cannot be easily retracted. This can trap moisture and bacteria, leading to odor and potential infections. If you experience difficulty retracting the foreskin or notice pain, it may be worth discussing with a healthcare professional.


Solutions:
- Maintain Good Hygiene: Regularly wash the genital area with warm water and mild soap. Ensure that you clean under the foreskin if you are uncircumcised.

- Seek Medical Advice: If the odor persists despite good hygiene practices, or if you notice any other symptoms such as pain, swelling, or discharge, consult a healthcare provider for a thorough examination and appropriate treatment.

- Consider Circumcision: If you frequently experience issues related to hygiene or infections, circumcision may be a consideration. This procedure can help reduce the risk of infections and improve hygiene.

- Avoid Irritants: Be cautious with soaps, lotions, or other products that may irritate the genital area. Opt for unscented and gentle products.

In summary, while foul odor from the glans can be a common issue, it is essential to address it promptly to prevent complications. Good hygiene practices, awareness of potential infections, and seeking medical advice when necessary are key steps in managing this condition effectively.

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