Why is my foreskin itchy?

Foreskin itching may be caused by poor hygiene, allergic reactions, fungal infections, bacterial infections, foreskin extension, etc. It can be relieved by maintaining cleanliness, anti-allergy treatment, antifungal drugs, antibiotic treatment, circumcision, etc.

1. Poor hygiene

Insufficient daily cleansing can lead to smegma buildup that can irritate the skin. It is recommended to gently clean the inside and outside of the foreskin with warm water every day and avoid using irritating lotions. After washing, keep the area dry and choose pure cotton breathable underwear. Not cleaning for a long time may cause balanitis, which manifests as redness, swelling, heat and pain.

2. Allergic reaction

Contact dermatitis may occur from contact with laundry detergent residue, condom materials, or topical medications. Common symptoms include itching with rash, and in severe cases, skin erosion. Suspected allergens need to be stopped immediately, and loratadine tablets combined with mometasone furoate cream should be used for anti-allergic treatment as directed by the doctor.

3. Fungal infection

Candida albicans infection is more common in patients with diabetes or those with low immunity. Typical manifestations are white cheese-like discharge and annular erythema. The diagnosis requires microscopic examination, and clotrimazole cream or fluconazole capsules are used for treatment. Controlling blood sugar at the same time can prevent recurrence.

4. Bacterial infection

Infections with pathogenic bacteria such as Staphylococcus aureus are common in people with excessive foreskin. Accompanied by purulent discharge and painful urination, bacterial culture is required for diagnosis. Choose cefixime dispersible tablets or levofloxacin tablets based on the drug sensitivity results. Patients with severe infections require intravenous administration.

5. Foreskin is too long

Congenital redundant foreskin can easily harbor pathogenic microorganisms, and repeated infections may cause scarring phimosis. For recurrent balanitis, circumcision is recommended after puberty. During the postoperative recovery period, regular disinfection and dressing changes are required, and strenuous exercise must be avoided.

In daily life, you should choose loose cotton underwear to avoid friction and avoid eating spicy and irritating foods. It is forbidden to scratch during the itching period, and dry the wrinkled area promptly after bathing. If the symptoms persist for 3 days without relief or ulcer exudation occurs, a urology visit is required to rule out specific infection. Diabetic patients need to strengthen blood sugar monitoring, and those with low immunity should be reviewed regularly.