HomeAnswersObstetrics and GynecologybalanitisI am a 30-year old suffering from genital itching and foreskin tightness for years. Please suggest.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 1, 2023
Reviewed AtOctober 19, 2023

Patient's Query

Hello doctor,

I am a 30-year-old male and I have been suffering from genital itchiness and foreskin tightness for years. I consulted a doctor and was tested for HIV which was negative. The doctor suggested it could be STD-related and prescribed medications including an ointment total derm plus. At present, I am using sodium fusidate ointment. Kindly suggest an ointment that I can use as the prescribed ointment is unavailable.

Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

The STD-related condition can be balanitis, phimosis, or paraphimosis.

This condition could be caused due to the following reasons:

  1. Improper hygiene.
  2. Unwashed soap on the penis.
  3. Scratching and rubbing the affected region.
  4. Infection.

I suggest you follow a few instructions mentioned below.

Any of the following ointments can be used in place of

  1. Clobetasol ointment.
  2. Gentamicinointment.
  3. Chlorhexidine Gluconate ointment.

Oral antibiotic medication and anti-fungal with steroid combination.

Drink plenty of water.

Kindly follow up if the symptoms do not resolve.

I hope this has helped you.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply,

I feel pain and discomfort in my penis after sexual intercourse. I also noticed pimples appearing on my foreskin. I am very concerned about that. Can you suggest any other ointment or antibiotics, as my case is STD-related?

Kindly help.

Hello,

Welcome back to icliniq.com.

In balanitis blotchy rashes or spots may present as typical features. Tightening of the foreskin can commonly cause pain during intercourse. If pain is severe you may need circumcision (cutting of foreskin). Circumcision is a minor operative procedure in which the foreskin is removed by the surgeon.

I hope this has helped you.

Thank you.

Patient's Query

Hello doctor,

I have never felt the tightness of the foreskin before, and I strongly think it is due to the STD-related disease. I do not think I need to get a circumcision. I am concerned about the small pimples appearing on my foreskin. Kindly request you to prescribe me some medicines or ointments.

Thank you

Hello,

Glad to have you back.

I understand your concern.

Prescribing medications without seeing the lesions is not ideal.

I suggest you to get tested for HIV, as symptoms of HIV (human immunodeficiency virus) develop over a period of eight to ten years after getting an infection.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nitesh Kumar Meena
Dr. Nitesh Kumar Meena

General Practitioner

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