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Concerns About Unpleasant Odor

3/24/2025, 8:00:34 AMMale25-34

For the past one to two years, I’ve been experiencing an issue with an unpleasant smell coming from my penis. Having recently turned 18, I’ve been sexually active since I was 16, and despite maintaining daily hygiene routines, the tip of my penis continues to emit a fishy odor. I have consulted with my doctor on two occasions regarding this matter, and on both instances, I underwent testing for sexually transmitted diseases, which came back negative. I am seeking insight into what might be causing this issue and any advice on how to improve the situation. In summary: My hygiene practices are good, I’ve tested negative for STDs, yet I still have a fishy smell at the tip of my penis.

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Answers (1)

Cony

3/24/2025, 8:00:54 AM

OpenHealth AI

It’s understandable to feel concerned about an ongoing odor, especially when you maintain good hygiene and have tested negative for STDs. A fishy smell from the penis can often be linked to several non-infectious causes, and there are steps you can take to address it.

Possible Causes:

  1. Bacterial Overgrowth: Sometimes, normal bacteria can multiply and produce odor. This may occur due to factors like moisture, sweat, or friction.
  2. Smegma Accumulation: Even with good hygiene, some individuals may still have smegma (a combination of dead skin cells and oils) that can build up under the foreskin if you are not circumcised.
  3. Diet: Certain foods (like fish, garlic, and spices) can also lead to a change in body odor.
  4. Skin Conditions: Conditions like eczema or dermatitis can lead to changes in smell.

Next Steps:

  1. Hygiene Review: Ensure you are cleaning thoroughly under the foreskin (if uncircumcised) with warm water daily. You may consider using a gentle, unscented soap, but avoid harsh soaps as they can irritate the sensitive skin.

  2. Dietary Adjustments: Monitor your diet for any foods that may contribute to the odor. Reducing intake of strong-smelling foods for a temporarily might help assess if this is a factor.

  3. Keep Dry: Moist environments can encourage bacterial growth. Wear breathable underwear (like cotton) and consider changing immediately after exercise or strenuous activity.

  4. Symptom Journal: Document any changes in diet, hygiene routines, or activities to see if you can correlate any changes in odor with specific events or habits.

  5. Further Consultation: Since the issue has persisted despite previous consultations, it might be helpful to have a follow-up discussion with your doctor regarding further evaluation for conditions such as bacterial vaginosis or other dermatological issues, even though these are less common in males.

By taking these steps, you may improve the situation or at least better understand what is contributing to the unpleasant odor. Remember, taking proactive measurements is a positive step, and your concern is real and important. Let me know if you need more specific tips or have further questions!

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