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I feel itchy when I pull back foreskin with white substance on it. What could it be?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had this problem for three to four months when I pull back my foreskin it feels strain and kind of ticklish and itchy. I have been to the doctor and they just gave me Pevisone and it did not work. There is also a little white substance on the penis head. I do not know if it is smegma or not but it is smelly and I cannot seem to clean it. May my foreskin be dry or something? I have also done STD and test for urine infection.

Hello,

Welcome to icliniq.com.

Are you a diabetic or hypertensive? Have you ever tried oral medications for this? If yes, then which one? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Do you have any history of unprotected sex with a new partner in the recent past?

Patient's Query

Hi doctor,

Thank you for the reply.

No, I do not think I have diabetes or hypertension. I tested it two months ago. I had unprotected sex, but I tested for chlamydia and, I did not have it.

Hello,

Welcome back to icliniq.com.

It is not only about chlamydia. You need to get proper STD (sexually transmitted disease) screening done which includes HIV 1 and 2, hepatitis B and C, VDRL (venereal disease research laboratory), chlamydia IgG, IgM, Herpes IgG, and IgM , Herpes 2 IgG and IgM. Meanwhile, I am going to start you on a broad-spectrum antibiotic with coverage of these STD. I suggest you take tablet Azithromycin 1 g followed by tablet Cefixime 200 mg twice daily for five days.

You can always come back and reach me at icliniq.com.

Thank you for consulting me.

Medically reviewed byDr. Vinodhini J.

Published At June 16, 2020
Reviewed AtJuly 26, 2023

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