What should I do if my glans has white discharge and itches?

White discharge and itching on the glans penis may be caused by balanitis, fungal infection, or sexually transmitted diseases, and can be relieved by local cleaning, antifungal drugs, antibiotic treatment, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Partial cleaning

Gently clean the glans and the inside of the foreskin with warm water every day and avoid using irritating lotions. Those with excessive foreskin need to turn over the foreskin to thoroughly clean the secretions and keep the area dry. You can choose to rinse with mild saline and wipe dry after cleaning to reduce the environment for bacterial breeding. Repeat for 2-3 days if there is no improvement, seek medical advice.

2. Antifungal treatment

White tofu-like discharge accompanied by severe itching may be related to candida infection. You can apply clotrimazole cream or miconazole nitrate powder topically as directed by your doctor, 1-2 times a day for 7 days. When combined with foreskin redness and swelling, triamcinolone acetonide and econazole cream can be used to relieve inflammation. Avoid sexual intercourse during treatment.

3. Antibiotic treatment

Bacterial balanitis may cause yellow purulent discharge, and drugs need to be selected according to the pathogen. Ceftriaxone sodium injection combined with azithromycin dispersible tablets can be used for gonococcal infection, and topical mupirocin ointment can be used for non-specific infections. The entire course of medication needs to be completed to prevent recurrence.

4. Allergy treatment

Contact with allergenic substances such as condoms and detergents may cause contact dermatitis. Immediately discontinue use of suspicious items, rinse with water and apply hydrocortisone cream. Wear pure cotton underwear to reduce friction, and if necessary, take oral loratadine tablets to relieve itching symptoms.

5. STD screening

If discharge occurs after high-risk sexual behavior, chlamydia and mycoplasma infections need to be checked. The diagnosis can be confirmed by sampling urethral secretions and detecting nucleic acid. Positive results require oral administration of doxycycline tablets or azithromycin capsules. Sexual partners should be treated simultaneously, and unprotected sex is prohibited during treatment.

Daily attention should be paid to the ventilation of the perineum and avoid sitting in a humid environment for a long time. During treatment, avoid spicy and irritating foods, and suspend sexual life until the symptoms completely disappear. For those with recurrent foreskin infections, circumcision may be considered after recovery. If the secretions are bloody, painful urination or fever occurs, emergency treatment should be conducted immediately to rule out serious infection of the urinary system.