Seeking Community Insights: Persistent Frenulum Issues
I’m a 36-year-old male weighing 155 lbs, and I haven’t had any STIs. Currently, I’m in the process of finding a dermatologist and would value any advice from this community: - For the past eight years, I’ve been managing inverse psoriasis on my penis with Protopic applied once or twice a week. Typically, any lesions clear up within a couple of days. - Since I began taking Crestor in March, I’ve experienced a chafing sensation at the frenulum area, which has also appeared thicker than normal—something I had never encountered before. I discontinued Crestor, yet the issue has persisted for three months. - It’s important to emphasize that I do not have STIs, experience pain, or face any functional difficulties. The thickness is predominantly noticeable from the top view and not from behind. - Observing from above, the affected area appears somewhat swollen when I use Protopic; however, once I stop applying it, the swelling reduces but leads to chafing within a day, a new development for me. The rest of the glans and the foreskin are maintained with Protopic on a weekly basis. **I consulted a dermatologist who used a dermatoscope. They advised using Protopic and Zoryve once daily, separately, for a duration of six weeks, but I have not seen improvement. The affected region does look calmer upon waking, yet it remains abnormally thick.** I'm seeking guidance on possible explanations for this condition, as it doesn't resemble my usual psoriasis. I have a suspicion that the small dot, which seems to indicate a clogged duct, could be significant. Any opinions or advice would be greatly appreciated!
Answers (1)
6/19/2025, 5:01:38 PM
OpenHealth AI
Main Points: You are experiencing persistent thickening and chafing at the frenulum area, potentially exacerbated by recent changes in medication. It's crucial to find effective management strategies for your condition and explore possible underlying causes.
Explanation: Based on your description, it seems that you may be dealing with a combination of factors. Inverse psoriasis typically leads to inflammation and lesions, but the new symptoms (thickening and chafing) could relate to various causes, including possible irritation due to friction, changes in skin sensitivity, or medication side effects. The absence of pain and functional issues is reassuring, but the persistent nature of the symptoms warrants attention.
It's important to keep in mind that the sensation of swelling and chafing may be influenced by the use of topical treatments like Protopic, as well as changes in skin behavior post-Crestor. This could lead to an exacerbation of chafing if the skin barrier is affected.
Next Steps:
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Monitor Skin Condition: Keep a simple diary noting any changes in your symptoms, particularly in relation to applying Protopic and Zoryve. Track when you experience chafing or thickening and any factors that could be contributing (like friction or prolonged moisture).
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Gentle Care: Practice gentle care of the area. Use mild, unscented soap and ensure it's well-rinsed away. Avoid any irritants like tight clothing or rough fabrics.
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Moisturize: Consider applying a fragrance-free, hypoallergenic moisturizer after washing to help reduce chafing. Look for products designed for sensitive skin.
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Reassess Medications: Discuss with your dermatologist the possibility that other factors (e.g., dryness from the topical medication) may be at play. If the issue persists, it may be worthwhile to explore other treatment options or alternative medications.
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Evaluate for Other Conditions: The appearance of a clogged duct or any unusual changes warrants attention. If symptoms do not improve or worsen, consider asking your dermatologist about potential further evaluations, such as a biopsy or referrals to specialists if needed.
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Seek Support: Continue leveraging community insights, but ensure they complement professional advice. If possible, reach out to others with similar chronic conditions who may offer practical, relatable tips.
Please stay proactive in your care, and address any concerns with your healthcare provider for tailored advice based on your specific situation.
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