Can steroidal cream cause discoloration of the penis?

Hello doctor,

I used a steroid cream that contains Clotrimazole and Betamethasone on the bottom of the penis head and foreskin. One year later penis is still discolored (sometimes a bit blue at the base - but it is usually a bit red, and the foreskin is red and irritated). What could be the reason?

Kindly help.

Thank you for your reply, doctor.

I shared the picture after retracing the foreskin. I was lathering on the steroid cream in these areas (skin around the head and bottom of the penis head), so it does seem to be from the steroid cream. I had undergone STI tests and the results were fine.

Kindly help.

Thank you for your reply doctor.

When I recently went to the doctor, they said I do not have any fungal issues. So, should I still buy the Clotrimazole lotion, as you said?

Kindly help.

Thank you for your reply doctor.

I have just got this cream, is this fine or do I need to use the lotion only?

Kindly help.

Thank you for your reply doctor.

Could you clarify what you mean, please:

So have a warm bath or shower and dry using a fan or apply cream and then dry cream with a fan? So, no need to use warm salt water, as mentioned before? Kindly help.

Hi doctor,

Thank you for your reply.

I now got Candix lotion (which looks like a liquid), with every 100 ml containing 1 g of Clotrimazole. Is this fine? I also just got some iodized refined salt.

Could you reconfirm the steps for usage, please?

Also, why do you believe this will cure the problem? Even the last doctor took a sample a couple of weeks ago to see if I had a fungal infection, but the reports were normal.

I will try anyway, as no steroid means I will not have an adverse effect.

Please reply.

Thank you for your reply, doctor.

What is regular salt? I have had warm showers and then used the lotion. There seems to be a mild improvement. Sometimes, it appears natural or reddish in color and sometimes retains bluish color. The foreskin seems less inflamed than before.

Kindly help.

Thank you for your reply, doctor.

So how long should I continue cleaning with the warm salt water?

Kindly help.

Hi doctor,

Thank you for your reply.

Sometimes there seems to be some improvement, a more natural look, then other times (like now), it looks like the original picture all over again. So I am not sure if it is working. However, I will continue the course, but I feel like I will be back to square one at the end anyway. In addition, I take vitamin B complex and multivitamin supplements. Is there anything else I can do?

Please help.

Hi doctor,

Thank you for your reply.

I am sure I underwent a blood sugar test last year, and the reports were normal. But I will do one again. If the levels are high, does that mean I have to reduce my sugar intake? However, it seems unlikely as I am in good shape and 27. It is strange how the blueness returns and sometimes goes away to a more natural, red, or pinkish shade. But some days, they seem the same as the original picture. Is it not possible it is related to the skin being thinned or some other issue? Has it got something to do with the blue arteries in that region? However, it is just a fungal and will go away in 20 days or so.

Please help.

Hi doctor,

Thank you for your explanation.

What about the blueness of the glans and redness and the color difference in the foreskin? Do you think it is mostly a fungal issue?

Please answer.

Hi doctor,

Thank you for your reply.

Could it be the visible change in blood flow due to the thinning of the glans tissue from steroid usage? Do you think it can be a fungal infection by the picture? As I mentioned, there seems to be an improvement sometimes. And sometimes, the skin is red, and the glans is discolored.

Please help.

Hi doctor,

Thank you for your reply.

And you think there is a fungal infection from the picture?

I first had the anti-fungal medication without knowing I had an infection. And when I recently went back to the dermatologist, they ran a test but did not discover a fungal infection. So what confuses me is whether you believe it to be a fungal infection because I showed you the cream or is it because of the image?

Please answer.

Thank you.

Hi doctor,

Thank you for your reply.

So you are not recommending this treatment just because I had it before, right? You have diagnosed it from the image, thinking I have an infection. And this solution is to help heal my infection, right doctor?

Please answer.

Hi doctor,

Thank you for your reply.

The other issue is that the bottom of the glans is now swollen (I have attached the image). Is it likely from the usage of the steroid cream? Will the current treatment aid with the glans, or is the glans base swelling a separate problem?

What is strange is that the first drop of the lotion seemed to make the glans retract to the original size. Since I have been using it regularly, it seems to have retracted to the original size. However, it is still swollen and looks damaged at the bottom. That is one of the main issues I have. But yes, I will continue the medication course. Today is the last day of two drops of the lotion. I have been taking tablets of vitamin B complex and vitamin C, also.

Please help.

Hi doctor,

Thank you for your reply.

I used a small tube, which must have been a couple of weeks of applying. As you can see from the image, the base of the glans appears there is some irritation, dryness, redness, and sometimes bluish discoloration (but I never saw this before steroid usage)

And the foreskin around the base of the glans looks strange instead of its natural appearance. Could it be because the skin was destroyed by steroid usage? Before, my penis looked normal. But now it appears light pink or reddish and it looks different.

Please help.

Hi doctor,

Thank you for your reply.

I do not have itching, but there is redness on the glans and skin surrounding it. I apply the lotion at night. Also, I do warm salt water washes in the morning. In addition, I do not eat sugary items (other than rice). And I think I had a glucose test within the last year or two, and it was fine.

I guess there are around eight days left to use the lotion. I have to retract and use one drop of the lotion, right, doctor?

Please answer.

Hi doctor,

Thank you for your reply.

I have been using the lotion two times a day, and the condition is still the same. There is skin irritation and redness in the inner foreskin and base of the glans. Could the skin be damaged from the usage of steroid cream? And the skin appears red where I used the cream.

Please help.

Hi doctor,

Thank you for your reply.

There is no change. As I mentioned earlier, the irritation seems to be more where I lather the cream.

Also, the in-person tests suggested no fungal infection, making me wonder whether it is skin damage from steroid usage. I may be wrong, but that is what it seems to be. If that is the case, how would the skin heal?

Please help.

Hi doctor,

Thank you doctor for the reply.

I am pretty sure that Clotrimazole is making it worse.