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What Causes Swelling And Pain In Penis Head After Sexual Intercourse?

Posted on Tue, 17 Jun 2014

Question: After about three days of having sexual intercourse i got a swelling on the foreskin & pain on the penis head. There is no redness or itching on skin. No urine burning. No discharge. I took flagyle suspecting it to be trichomoniasis. Also applied anti-bectarial ointment. It subsided for about a week but then again i am getting pain & a slight swelling on the foreskin. Please advice.

Answered by Dr. Johny Chacko (1 hour later)

Brief Answer:
?candidiasis/? herpes genitalis

Detailed Answer:
Hello,
Welcome to healthcare magic.
I understand that you have developed pain and swelling on the glans penis and the prepuce ( skin) 3 days after intercourse.
The possibilities I would consider in such a case include genital herpes, candidiasis and contact dermatitis.

1. Was it protected or unprotected intercourse?
2. Did you notice any blisters/ small ulcerations on the penis / foreskin?
3. Had you come in contact with any irritants / allergens like a lubricating jelly?
4. Have you had such an episode before?
5. Did your partner have white vaginal discharge?

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Please clarify the above questions so that we could assess better.

Regards,
Dr. Johny Chacko

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Johny Chacko (1 hour later)

I breifly answer your questions.

1. It was an unprotected oral intercourse.
2. There was no ulceration on the penis or foreskin neither any blisters.
3. No contact with irritants/allergens etc.
4. & 5. My partner had no vaginal discharge or any of the STD symtoms.
I had oral sex with a professuonal & soon developed irritation in the urethra and penis swelling. I went to see my doctor (STD specialisit) who gave me mascular injections for three days. (Twice a day) but before that i had contact with my wife. My symtoms subsided but when i had contact with my wife again i got this penis swelling & irritation on the tip of the penis. My wife however has no symtoms at all.

Answered by Dr. Johny Chacko (14 hours later)

Brief Answer:
Candidial balanoposthitis

Detailed Answer:
Hello,
Thank you for your clarifications.
I have gone through your clinical photographs.
It looks like a case of Balanoposthitis ( inflammation of the glans and foreskin), a common cause of which is Candida ( a fungal yeast).

You could apply a cream containing Clotrimazole ( e.g.- Candid cream) twice a day for 2 weeks.
You could take a tablet containing Fluconazole 150 mg as a single dose. Your partner should also be treated with the same single dose of oral Fluconazole.

Keep the area dry and clean.

Hope this has answered your query.

Wishing you good health,
Dr. Johny Chacko

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Johny Chacko (1 hour later)

Should my partner also apply the same cream for a week?

Answered by Dr. Johny Chacko (2 hours later)

Brief Answer:
Balanoposthitis

Detailed Answer:
Hello,
No. Your partner needs to take only the tablet. She need not apply the cream.
Regards,
Dr. Johny Chacko

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Johny Chacko (2 days later)

Thank you Dr XXXXXXX your treatment has worked.

Answered by Dr. Johny Chacko (12 hours later)

Brief Answer:
Balanoposthitis

Detailed Answer:
Hello,
I am glad it helped you.

Wishing you good health,
Dr. Johny Chacko

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar