Patient's question:
Gender: MaleAge: 36
Details and purpose of consultation: About two months ago, my husband had small red spots on his glans, followed by cracks in the foreskin, which then developed into a paste-like discharge with a foul odor. The condition would improve for a while, but then worsen after sexual activity, followed by another period of improvement. This cycle of one week of improvement and one week of worsening continued. To this day, he refuses to go to the hospital (he basically has no pain, sometimes with slight itching, and sometimes he says there is some pain at the cracked areas). After each sexual encounter with him, I also experience discomfort, excessive vaginal discharge, and itching in my lower abdomen. Sometimes I also have a stinging, burning sensation. What disease could he possibly have? He just won’t go to the hospital.
Doctor's answer:
Hello: Based on your partner's condition, it is likely balanoposthitis.External treatment methods for balanoposthitis:
(1) Trichomoniasis balanitis: Use a 0.5%–1% lactic acid solution, a 0.5% acetic acid solution, or a 1:5000 potassium permanganate solution to rinse the glans and inner foreskin.
(2) Candida balanitis: Use a baking soda solution to clean the affected area or apply imidazole ointments such as Daktarin ointment or clotrimazole ointment externally.
(3) Dandelion wash: Boil 30g of dandelion, 30g of chrysanthemum, and 10g of together, then use the decoction to externally wash the affected area once daily, with each application lasting about 20 minutes.
(4) Gentian powder: Mainly composed of gentian. Take an appropriate amount of gentian powder, mix it with a small amount of water to form a paste, and apply it externally to the affected area once daily.
(5) Bacterial balanoposthitis: Use 200mL of 3% boric acid solution or a 0.1% rivanol solution to externally wash the affected area twice daily, with each application lasting 20 minutes.
At the same time, you should undergo a comprehensive gynecological examination at the hospital. Based on your symptoms, it is likely that you have a gynecological infection.