What's the matter with acne on the foreskin?

Foreskin acne may be related to causes such as folliculitis, pearly penile papules, genital warts, allergic reactions, or genital herpes. It is recommended to seek medical treatment promptly for a clear diagnosis and avoid self-treatment.

1. Folliculitis

Foreskin folliculitis is often caused by insufficient local cleaning or bacterial infection, and manifests as red papules with pain. You can use topical antibiotics such as mupirocin ointment and fusidic acid cream as directed by your doctor, while keeping the perineum dry and breathable. Avoid scratching and wear loose cotton underwear on a daily basis.

2. Pearly penile papules

It is a benign physiological variation, manifesting as small white papules arranged neatly on the coronal edge of the foreskin and does not require treatment. If it affects the appearance or is complicated by infection, laser or cryotherapy can be used. It needs to be differentiated from genital warts, and excessive anxiety should be avoided after diagnosis.

3. Genital warts

A sexually transmitted disease caused by HPV infection, which appears as cauliflower-shaped growths. It needs to be confirmed by acetic acid white test, and drugs such as podophyllotoxin tincture and imiquimod cream are commonly used in clinical practice, or carbon dioxide laser can be used to remove it. Sexual intercourse should be prohibited during treatment, and partners should undergo simultaneous examinations.

4. Allergic reaction

An itchy rash may occur after contact with allergenic substances such as detergents and condoms. Topical hydrocortisone cream can be used to relieve symptoms, and oral loratadine tablets can be used to treat allergies. It is recommended to check for allergens, avoid using perfume-containing toiletries, and wash the genitals of both parties before sex.

5. Genital herpes

HSV-2 virus infection causes clusters of blisters with burning sensation. After diagnosis, you need to take antiviral drugs such as acyclovir tablets and famciclovir tablets orally, and apply penciclovir cream topically. During relapse, it is necessary to strengthen immunity, maintain a regular schedule, and reduce stress factors.

Daily care should be taken to clean the foreskin and glans with warm water every day, turn over the foreskin, clean it thoroughly and then dry it. Avoid using harsh soaps or body washes and choose specialty lotions without additives. The diet should be light and the intake of spicy food should be limited. If the acne continues to enlarge, ulcerate, or is accompanied by symptoms such as fever, you must immediately go to a dermatology or urology department for a pathological examination to rule out malignant lesions if necessary.