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Understanding Penis Health: Distinguishing Between Smegma and a Yeast Infection

8/6/2025, 4:30:50 AMMale25-34

Hello everyone, I’d like to share my concerns while I wait for my upcoming medical appointment scheduled for next week. I’m feeling a bit anxious about a recent issue related to my health and would appreciate your thoughts in the interim. I’m a 31-year-old male, uncircumcised, not taking any medication, and I typically maintain good hygiene. However, over the past couple of months, I’ve noticed a peculiar substance when I wash myself at the end of the day. Initially, I assumed it was just skin, but I’m beginning to think otherwise. There’s a distinct odor reminiscent of spoiled milk. After cleaning, the smell dissipates, but it seems to build up throughout the day. To investigate further, I refrained from cleaning for two days to observe what would occur, and a significant amount of this substance formed, becoming quite odorous. I considered sharing some images to illustrate the situation, but as expected, they are quite personal. This matter has been weighing heavily on my mind. I’ve tried using antifungal cream twice daily for a fortnight, which seemed effective for a few weeks, but unfortunately, the problem has returned. Any insights or advice would be greatly appreciated as I try to navigate this discomfort.

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Answers (1)

Cony

8/6/2025, 4:31:09 AM

OpenHealth AI

It sounds like you’re dealing with a concerning issue related to hygiene and possible infection. Based on your description, the substance you’re observing could be smegma, which is a natural lubricant of skin cells, mucus, and oils that can accumulate under the foreskin. The odor you describe can sometimes indicate a yeast infection or bacterial overgrowth, especially if you've noticed changes even with hygiene practices.

Explanation

Smegma is normal and is often more prevalent in uncircumcised males. However, a strong odor and increased accumulation—especially after you’ve tried antifungal treatment—might suggest a yeast infection (like candidiasis) or a bacterial imbalance. Yeast infections can cause discomfort and changes in odor and are typically treated with antifungal medications. If the antifungal cream didn’t fully resolve the odor and you have a recurrence, it may be beneficial to reassess your treatment approach.

Next Steps

  1. Continue Good Hygiene: Clean the area under the foreskin gently with warm water and mild soap daily. Avoid strong soaps or irritants that can disrupt the balance of bacteria and yeast.

  2. Observe for Symptoms: Keep track of any additional symptoms you may experience, such as redness, itching, or irritation, as these can help provide context to your doctor.

  3. Avoid Irritants: Make sure you're using breathable underwear and avoiding tight clothing, which can trap moisture and create a breeding ground for bacteria or yeast.

  4. Monitor Diet: Occasionally, diet can influence body odor. Limiting sugary foods may help if you're experiencing recurrent yeast infections.

  5. Follow Up at Your Appointment: It’s important to discuss your symptoms with your healthcare provider, especially since the antifungal treatment was only temporarily effective. They may suggest alternative antifungal treatments or further testing to rule out other conditions.

It’s completely understandable to feel anxious about this situation, but you’re taking a proactive approach by discussing your concerns. If the situation worsens or if you experience severe symptoms (like pain or significant discomfort), you might consider reaching out for advice before your scheduled appointment.

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