Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Itching And Irritation Under The Penis Post Masturbation
Question: hello Doc,
Last week I had itching and irritation under penis shaft skin after masturbation kinda cheesy yellowish thing. I went to see doctor he said its fungal infection and he prescribed me zole-F miconazole oitment to apply on the skin. I applied once n started more irritation so I stopped it. I went to see another urologist next time to confirm and he prescribed me urofree 200mg tablets. Now After a week I masturbated I noticed little red bumps no pain or itching just very little what be problem I also had unprotected sex with girl whom I met for for 3rd time 25 days back .please suggest
Last week I had itching and irritation under penis shaft skin after masturbation kinda cheesy yellowish thing. I went to see doctor he said its fungal infection and he prescribed me zole-F miconazole oitment to apply on the skin. I applied once n started more irritation so I stopped it. I went to see another urologist next time to confirm and he prescribed me urofree 200mg tablets. Now After a week I masturbated I noticed little red bumps no pain or itching just very little what be problem I also had unprotected sex with girl whom I met for for 3rd time 25 days back .please suggest
Brief Answer:
Better to get a STD screen.
Detailed Answer:
Hi
Thank you for asking HCM
I have gone through your query and pictures. It looks like fungal (yeast) infection. It is better to get a STD screen as you had unprotected sex. Syphilis can give such symptoms which should be ruled out. Doing VDRL test will be helpful to rule out syphilis. Also go for urine test or swab test for gonorrhea and chlamydia.
I also would suggest a 1 week therapy with antibiotic Doxycycline to be on safe side even if all tests are negative, which will cover all these infections.
Avoid soaps and irritants to wash the genital area and instead you can use saline or just warm water. Using triple action creams with combination of anti fungal , anti bacterial and corticosteroid like Panderm is good also.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Better to get a STD screen.
Detailed Answer:
Hi
Thank you for asking HCM
I have gone through your query and pictures. It looks like fungal (yeast) infection. It is better to get a STD screen as you had unprotected sex. Syphilis can give such symptoms which should be ruled out. Doing VDRL test will be helpful to rule out syphilis. Also go for urine test or swab test for gonorrhea and chlamydia.
I also would suggest a 1 week therapy with antibiotic Doxycycline to be on safe side even if all tests are negative, which will cover all these infections.
Avoid soaps and irritants to wash the genital area and instead you can use saline or just warm water. Using triple action creams with combination of anti fungal , anti bacterial and corticosteroid like Panderm is good also.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dcotor sorry for the late reply. As per your advise I got VDRL test which came in negative ( Thank God ) and I also went for HIV test which also came in non reactive. urologist did prescribed me URIFREE O Tablet 200 mg which i took for a week But I still have urge of urination after the masterbation and my penis pains during ejaculation. But I would like thank you for your great advise which really helped me.
Brief Answer:
Can be due to urethritis.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Urge of urination and pain after masturbation can be due to urethritis. But better to rule out any persisting infection by doing culture and sensitivity of urine again. If that is clear then taking more plain water , taking cranberry juice and sodium hydrogen citrate syrup in water will be helpful to clear your problem. Avoid masturbation or sexual intercourse for 1 week also. This will go off gradually.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Can be due to urethritis.
Detailed Answer:
Welcome again.
Thank you for your follow up.
Urge of urination and pain after masturbation can be due to urethritis. But better to rule out any persisting infection by doing culture and sensitivity of urine again. If that is clear then taking more plain water , taking cranberry juice and sodium hydrogen citrate syrup in water will be helpful to clear your problem. Avoid masturbation or sexual intercourse for 1 week also. This will go off gradually.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor thabks for the quick response. Sorry but I could not understand about what you said doing culture and sensitivity of urine once again.Did you meant I should go for urine test once again ? Please let me know and also would like to inform you that I again went to urologist he thinks it might be UTI which is causing the issue he again prescribed me antibiotics gudcef MG and prisdium 200mg should I take this antibiotics because I already completed the course of Urifree O tablets 200mg couple of week back once again thanks for your all help
Brief Answer:
Culture and sensitivity can show if any infection is present.
Detailed Answer:
Welcome again.
Thank you for your follow up query.
culture and sensitivity is not a normal urine test. It is a microbiology test to detect the causing bacteria if present and sensitive antibiotic needed for it. In this way you can avoid unnecessary antibiotics.
Not all antibiotic work. Your last antibiotic might have not worked. This can only be confirmed by culture and sensitivity test. You can take the present antibiotic prescribed as it has good broad spectrum coverage which the last antibiotic don't have. Still if you taking this antibiotic also better to go for culture and sensitivity test after finishing this course again for confirmation whether your infection is cleared.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Culture and sensitivity can show if any infection is present.
Detailed Answer:
Welcome again.
Thank you for your follow up query.
culture and sensitivity is not a normal urine test. It is a microbiology test to detect the causing bacteria if present and sensitive antibiotic needed for it. In this way you can avoid unnecessary antibiotics.
Not all antibiotic work. Your last antibiotic might have not worked. This can only be confirmed by culture and sensitivity test. You can take the present antibiotic prescribed as it has good broad spectrum coverage which the last antibiotic don't have. Still if you taking this antibiotic also better to go for culture and sensitivity test after finishing this course again for confirmation whether your infection is cleared.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
Hope you doing good. I appreciate all your responses until now. Now as per your advise I went for urine culture test which i received report after 3 days which says no organism isolated after 48 hours of aerobic incubation. Now i think it means its negative now my only concern is like I still get this male thrush like yesterday I again noticed some redness sores on penis glands n little cheesy thing which was causing itchy but not paining at all. I washed with semi hot water under skin and then came to normal next day so my question is it due to the hot weather nowadays which is causing this yeast kinda thrush or you think something else is causing. I haven't masturbated since a week now since m still scared of painful ejaculation. Do you think its just due to hot weather drinking more water canberry juice can make this go off gradually ?
Hope you doing good. I appreciate all your responses until now. Now as per your advise I went for urine culture test which i received report after 3 days which says no organism isolated after 48 hours of aerobic incubation. Now i think it means its negative now my only concern is like I still get this male thrush like yesterday I again noticed some redness sores on penis glands n little cheesy thing which was causing itchy but not paining at all. I washed with semi hot water under skin and then came to normal next day so my question is it due to the hot weather nowadays which is causing this yeast kinda thrush or you think something else is causing. I haven't masturbated since a week now since m still scared of painful ejaculation. Do you think its just due to hot weather drinking more water canberry juice can make this go off gradually ?
Brief Answer:
Yes , you are free from urinary infection according to reports.
Detailed Answer:
Welcome again.
Thank you for your follow up query.
You are free from urinary infection according to the reports. Persisting yeast infection also can give urethral irritation. Low immunity and improper nutrition can be the reason of persisting yeast infection. Hot weather and accumulation of excess sweat,debris and sebum under foreskin also can be the reason. Take nutritious diet , take vitamin C 100mg daily for boosting your immunity.
Taking oral anti fungal agents like Fluconazole tablet weekly once for 1 month is also good to clear recurrent yeast infection.
Yes, continue with taking more water , cranberry juice etc which helps. Repeat your HIV test also. Better to go for HIV Duo test (4th generation antigen/antibody test) to get get a 100 % accurate result also. Check your blood sugar levels also as diabetes is also a reason for low immunity.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Yes , you are free from urinary infection according to reports.
Detailed Answer:
Welcome again.
Thank you for your follow up query.
You are free from urinary infection according to the reports. Persisting yeast infection also can give urethral irritation. Low immunity and improper nutrition can be the reason of persisting yeast infection. Hot weather and accumulation of excess sweat,debris and sebum under foreskin also can be the reason. Take nutritious diet , take vitamin C 100mg daily for boosting your immunity.
Taking oral anti fungal agents like Fluconazole tablet weekly once for 1 month is also good to clear recurrent yeast infection.
Yes, continue with taking more water , cranberry juice etc which helps. Repeat your HIV test also. Better to go for HIV Duo test (4th generation antigen/antibody test) to get get a 100 % accurate result also. Check your blood sugar levels also as diabetes is also a reason for low immunity.
Let me know if anything not clear.
I am happy to help you.
Thanks.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
