Itchy glans with white stuff

Itching of the glans penis accompanied by white discharge may be related to balanitis, fungal infection, or poor hygiene. Common causes include fungal balanitis, bacterial infection, allergic reaction, trichomonas infection or contact dermatitis, and targeted treatment is required according to the specific cause.

1. Fungal balanitis

Fungal balanitis is mostly caused by Candida albicans infection and manifests as glans erythema, white tofu-like discharge and severe itching. May be related to long-term use of antibiotics, diabetes or low immunity. You can use clotrimazole cream, miconazole nitrate powder or fluconazole capsules as directed by your doctor. Keep the area dry every day and avoid wearing tight underwear.

2. Bacterial infection

Bacterial infection is common in people with excessive foreskin. The discharge is white or yellow purulent, accompanied by redness, swelling and pain. May be related to Staphylococcus aureus or E. coli infection. You can use erythromycin ointment, mupirocin ointment or cefixime dispersible tablets as directed by your doctor. It is recommended to clean smegma daily. In severe cases, circumcision may be considered.

3. Allergic reaction

Contact with detergents, condoms or underwear materials may trigger allergic balanitis, which manifests as itching and white, filmy scaling. It is necessary to stop using allergenic products and use desonide cream or oral loratadine tablets as directed by your doctor. It is recommended to choose cotton underwear for daily use and avoid using harsh cleaning products.

4. Trichomonas infection

Trichomonal balanitis is spread through sexual contact. The discharge may be foamy white and the urethral opening may be red. A partner is required to take the same treatment, and follow the doctor's advice to use metronidazole tablets or tinidazole suppositories. Sexual intercourse is prohibited during treatment, and personal items should be disinfected and isolated.

5. Contact dermatitis

Topical exposure to chemicals or medications may cause non-infectious inflammation, the appearance of white scales and itching. To remove allergens, use hydrocortisone cream or calamine lotion as directed by your doctor. Avoid scratching and dry the perineum promptly after bathing.

Daily care should be taken to clean the glans and the inside of the foreskin with warm water every day, and dry them completely after cleaning. Avoid using alkaline detergents such as soap, and choose a special lotion with a neutral pH. The diet should be light and reduce the intake of spicy and irritating foods. If symptoms persist for more than 3 days or ulcers or painful urination occur, you must seek medical attention immediately to check for sexually transmitted diseases or specific infections. It is forbidden to use antibiotics or hormonal drugs by yourself until the cause of the disease is determined.