Why is there white stuff on the male glans?

White stuff on the male glans may be caused by smegma, balanitis, candida infection, allergic reactions or urethral discharge, etc. It can be treated with cleaning care, topical drugs, oral drugs, etc.

1. Smegma

When the foreskin is too long or insufficiently cleaned, sebaceous gland secretions mix with the exfoliated epidermis to form smegma, which appears in the form of white or yellowish-white debris and mostly accumulates in the coronal sulcus. This kind of situation does not require medication. It is recommended to turn over the foreskin and wash it with warm water every day to keep the area dry. If redness, swelling and pain occur repeatedly, it is necessary to check for infection.

2. Balanitis

Bacterial or fungal infection may cause balanitis, a white substance often accompanied by redness, itching, or burning. Cheese-like discharge can be seen in Streptococcus infection, and purulent discharge is often associated with Escherichia coli infection. It is necessary to use erythromycin ointment, clotrimazole cream and other topical drugs as directed by the doctor, and in severe cases, oral cefaclor dispersible tablets.

3. Candida infection

Candida albicans infection will cause a curd-like white film, which will reveal an eroded surface after wiping. This is often caused by cross-infection by partners or long-term use of antibiotics. After diagnosis, you need to use miconazole nitrate suppositories or fluconazole capsules, avoid sexual intercourse, and your partner needs simultaneous treatment.

4. Allergic reaction

Contact with allergenic substances such as condoms and detergents can cause local allergic inflammation, which manifests as white papules with severe itching. The suspected allergen needs to be stopped immediately, topical hydrocortisone butyrate cream is used, and loratadine tablets are taken orally to relieve symptoms.

5. Urethral secretions

When gonococcal or chlamydial infection occurs, white pus may overflow from the urethral opening, accompanied by stinging pain during urination. Secretion testing is required to confirm the diagnosis. Ceftriaxone sodium for injection is recommended for gonorrhea, and azithromycin enteric-coated capsules are commonly used for non-gonococcal urethritis.

Pay attention to keeping the perineum clean and dry every day, choose cotton breathable underwear, and avoid using irritating lotions. If white discharge lasts for more than 3 days and is accompanied by ulcers or fever, you must seek medical attention promptly. Sexual intercourse is prohibited during treatment, and spouses and partners should be examined at the same time. Eat a light diet and limit spicy food and alcohol intake to reduce local irritation.