[Question #5427] Balanitis unsure?

24 months ago
Good morning -

Started to have some discomfort in my genital region late March. I am uncircumcised and was having trouble with my urine drip after using the restroom. Was also taking hot baths.    Tip of penis was irritated and foreskin was red. Got a full panel of std tests and all came back negative. Discomfort started to go away once I started using Terrasil (balanitis relief) and made an effort to not mess with my penis. No soaps, baths, switched to boxers, etc. took a bath late April with a bath bomb and the issue has returned again. Foreskin is red and seems tender. No foul discharge, smell, or frequent urination. However, it seems like the part of the foreskin that attaches a to my pee hole is irritated as well and creates slight discomfort based on how I sit or when I get an erection.  Pain really is just mild discomfort and not debilitating. My question is, the symptoms showed up and then I had an STD test, do I need to get another? Should I see a dermatologist and see if I got a yeast infection from my wife? Really I am at a loss at how to clear this up entirely.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
Welcome to the forum. Thanks for your question and your confidence in our services.

The main thing not clear from your question is whether you have been in medical care for diagnosis and management, or have done all this testing and treatment on your own. If in care, I would suggest speaking to that provider about next steps. If not, it's time to stop self evaluation and treatment and see a doctor or clinic. Seeing a dermatologist is a great idea -- or a urologist.

With rare exceptions, balanitis is not an STD problem -- and that's the limit of our expertise and advice. We don't get into management or detailed advice about all genital infections or problems, just STDs. However, I'll say it sounds like you might have a chronic problem, that might include phimosis -- i.e. restricted mobility of your foreskin. A yeast infection is certainly one possibility, but I would recommend against trying to treat with an ant-yeast product until and unless advised by a health care provider.

Sorry I can't be more helpful, but I hope these comments get you started in the right direction. Let me know if anything isn't clear.

HHH, MD
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24 months ago
Dr. Handsfield,

Thank you for your prompt response and attention. It is much appreciated. Yes, I have been self-diagnosing. I was very concerned that this was an STD that just kind of showed up after some dormancy. I will seek out a medical provider to see what else I can do. 

If you could clarify one thing. I went and had a full STD panel completed in March, once the symptoms showed up. Again this was the discomfort around the foreskin. Is it common for someone to have symptoms of an STD and yet have a negative test result? What I mean by that is a false negative. I don’t think my symptoms are really of any STD.  No pain in the testicles, no burning during urination, nothing that looks like a herpe and no foul smell. But, and you probably get this all the time, anything that has to do with that region always seems to make men assume the worst.

Thanks again for your time and enjoy your holiday.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
24 months ago
The tests are highly accurate -- negative results prove you did not have any STDs for which you were tested. However, this depends in part on exactly what tests were done. It sould have included urine for gonorrhea and chlamydia. The only other STD that conceivably could do this would have been herpes, but herpes symptoms never last more than 1-2 weeks, followed by weeks to months of no symptoms at all unless/until there is a recurrent outbreak. Since it seems you have had more or less continuous symptoms for several weeks, it cannot be herpes. Anyway, Ia gree exactly that your symptoms do not suggest any STD. The majority of genital health problems are non-STD issues.---
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