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Penile Health Concerns: Smegma or Yeast Infection?

8/6/2025, 4:40:28 AMMale25-34

Greetings everyone. I want to start by mentioning that I have a doctor’s appointment scheduled for next week, but I’m feeling somewhat anxious about my situation and would appreciate some guidance in the interim. At 31 years of age and male, I’m uncircumcised, not currently taking any medications, and I generally adhere to a rigorous hygiene routine for my genital area. However, for the past couple of months, I’ve noticed the presence of an unusual substance after washing at the end of the day. Initially, I believed it might be skin flakes, but now I’m uncertain of its nature. The substance has an odor reminiscent of spoiled milk, and I’ve experienced occasional itching throughout the day. After thoroughly cleaning the area, the smell dissipates, but it seems to build up again each day. To investigate further, I refrained from cleaning it for a couple of days, which resulted in a significant accumulation and a strong odor. For peace of mind, I would greatly value some insights on what could be causing these symptoms. I’ve also tried applying antifungal cream for two weeks, both in the morning and at night. While this seemed to produce positive results for a few weeks, the issue has unfortunately resurfaced. Any thoughts or advice would be immensely helpful to ease my worries.

Urinary ProblemsUrologyAndrology

Answers (1)

Cony

8/6/2025, 4:40:47 AM

OpenHealth AI

It's understandable to feel anxious about changes in your genital health, especially given your symptoms. From what you've described, it’s possible that you are dealing with smegma buildup or a yeast infection, but transparent self-care steps can help you manage your symptoms until your doctor’s appointment.

Key Points:

  • You may be experiencing smegma, which is a natural substance that can accumulate under the foreskin, especially in uncircumcised males.
  • The odor you describe, along with occasional itching, may also indicate a mild yeast infection, particularly if antifungal cream helped temporarily.

Explanation:

Smegma is composed of skin cells, oils, and moisture, which can accumulate, especially if the area isn't fully cleaned regularly. It can produce an odor and may cause irritation if not managed. On the other hand, yeast infections occur when there’s an overgrowth of naturally occurring yeast on the skin, causing symptoms such as itching and odor.

Next Steps:

  1. Hygiene Maintenance: Continue your rigorous hygiene routine but ensure you are cleaning under the foreskin gently with mild soap and water at least once daily. Make sure to dry the area thoroughly afterward.

  2. Avoid Irritants: During cleaning, avoid harsh soaps or scented products that can further irritate the skin. Stick to hypoallergenic options.

  3. Observe Your Symptoms: Keep track of your symptoms daily. Note any changes in odor, discharge, or itching. A symptom diary could help your doctor understand your case better.

  4. Avoid Self-Medicating: Since antifungal treatments provided only temporary relief, avoid using them excessively until you consult with your doctor. There could be other underlying causes that need addressing.

  5. Consider Lifestyle Factors: Examine your wardrobe and ensure you're wearing breathable cotton underwear, which can help reduce moisture and irritation.

  6. Discuss with Your Doctor: Bring your observations and any changes to your doctor's attention at your appointment. This will help them provide a more tailored treatment approach.

It's great to hear you have an appointment scheduled, as a healthcare professional can conduct a thorough evaluation and guide you on the best steps forward. In the meantime, focus on hygiene and tracking your symptoms. You're on the right path by seeking guidance!

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