Patient's question:
I haven't paid much attention to genital hygiene recently. My glans has been itchy, and so has my foreskin. When I wash with soap, it hurts, and after washing, there are red spots, some of which bleed. Is this related to masturbation, or is it due to sexual activity?Doctor's answer:
Your condition could be balanitis (red spots on the glans), balanoposthitis, etc. If you have had unprotected sexual intercourse, it is possible that it could be a sexually transmitted disease.Balanitis (Red Spots on the Glans): It is characterized by the appearance of one or multiple red spots on the glans, which can be circular, annular, or irregular in shape. The borders are clear, slightly elevated above the skin surface, and the texture is relatively hard. The surface may be shiny. Sometimes, it may involve erosion, crust formation, or papillary hyperplasia.
Balanoposthitis: Initially, the affected area appears flushed, with redness and swelling of the penis. You may experience a burning sensation and itching on the glans. When the foreskin is retracted, you may see congestion, erosion, and exudation on the inner surface of the foreskin and the glans, even bleeding. Secondary infection may lead to small ulcers and foul-smelling, creamy purulent discharge. Friction with underwear may cause pain, and it may be accompanied by swollen and tender inguinal lymph nodes.
If you have phimosis, we recommend that you come to our hospital for Korean-style circumcision surgery. It is painless, allows you to leave immediately after treatment, and does not affect your work or studies. If you do not have phimosis, we suggest that you come to our hospital for gene chip technology to identify the pathogen promptly to prevent upward infection.