Brief Answer:
Candidal infection: maintain hygiene and abstain from sexual intercourse.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for irritation and discharge in your girl friend and also tiny blisters on your penile head with burning sensation during urination.

After analyzing your query it appears that both of you have developed Candidal infection. It is quite common in both male and females to get itching and burning sensation due to Candidal infection.

It is due to the fact that you did sexual intercourse during menses which can expose the partners to Candidal infection. It is basically first manifested as mild to moderate burning along with itching and later on is accompanied with mild curd like discharge in females.

In males there is no discharge but there can be irritation and burning along with very small tiny blister on penile head.

In all your kind of cases I suggest to interrupt sexual intercourse for 1 week and observe if any discharge is present. In case if there is no discharge then simple maintenance of hygiene along with sexual abstinence helps in early resolution of the problem. But in case if there is increase in symptoms along with discharge then both partners should get treated quickly.

Both the partners I suggest following treatment in this situation.
For females: I suggest vaginal pessary or cream with clotrimazole or sertaconazole and ornidazole to be applied or inserted in vagina for 5 consecutive days along with fluconazole tablet in the dose of 150 mg on alternate day basis for 2 weeks.

In males: I suggest plane sertaconazole or clotrimazole cream to be applied at night time in very thin layer so that it should not be visible to the naked eye. I also give fluconazole tablet in the dose of 150 mg on alternate basis for 2 weeks.

For itching, I prefer to give Des-Loratadine for two times if itching is high and for one time when it is reduced for 7 to 14 days.

The treatment prescribed by the gynaecologist is quite fine and both you and your partner should take the FAS 3 kit. Additionally I suggest you to take treatment as suggested above to take care of infection in yourself.

Drink plenty of liquids to flush your urinary system and to reduce the burning sensation during urination.

Do not worry both of you will be fine soon.

I hope this information will help you. If you have further queries I will be happy to help.

"Wish you good health and early recovery from the problem"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology & Sexually transmitted diseases)

---

Brief Answer:
Candidal infection: suggestions and guidance. Drink plenty of water.

Detailed Answer:
Hello young fellow,

Welcome again to the forum and thanks for your swift follow up.

Regarding your further queries:

The penile skin is in recovery phase and therefore the blister have gone by now. Had the blisters remained or if you had found more of the discharge then we would have considered an increase in infection..which is actually not. Presently there is only tenderness which is quite normal in healing phase.

More specifically this is related to the hygiene especially in uncircumcised males. It is more common to find moist area at glans penis and frenulum (skin covering the glans penis) area which favours the growth of fungus.

The fungus can be grown directly in an individual or can be more commonly because of infection from the partner. So in case of unprotected sexual intercourse if the area is not washed properly or later on if the hygiene is not maintained properly anybody can get the infection again. So the same thing is in your case too.

Three are further of the suggestions below: -

-     Wash your penile area for two times in a day. You can use a mild soap to wash the area. Wash it very gently but properly. If you are uncircumcised then it is quite important to retract your skin fully backwards and then wash the area.

-      After every sexual intercourse too, wash the area properly. I personally suggest you to use protection in form of condoms during every intercourse. Though you have to abstain from intercourse for dew days and be very gentle in next few instances.

-     Wear cotton undergarments. Change these two times a day. Do not wear any synthetic or tight garments.

Your fungal infection is not related to blood sugar as your status is quite healthy in respect to the same. If the blood sugar fasting is above 120 then we consider it as important cause and control of sugar becomes mandatory in these cases. In your case you need to do any active intervention for control of sugar.

Do not try to touch the genital area repeatedly. I quite often see my patients who touches and repeatedly examines the penile area out of anxiety and this causes more redness with further aggravation. So kindly do not try to touch or see the area repeatedly.

The dose of fluconazole is 1 tablet of 150 mg on alternate days for 14 days. It means you have to take 7 tablets in 14 days on alternate day basis.
Do maintain a good hygiene and be vigilant next time to avoid such kind of episodes. You wile b total y alright soon. Drink plenty of liquids and flush your urinary system to avoid any urinary infection too!!!


I hope this information will help you. If you have further queries I will be happy to help or if not then can close the query and give ratings to the discussion.

"Wish you healthy and wealthy happy new year dear young buddy"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology & Sexually transmitted diseases)

---

Brief Answer:
Kindly follow the suggestions. you will be alright

Detailed Answer:
Hello young fellow,

Welcome again to the forum and thanks for your swift response.

I am pretty sure that if you follow all the suggestions then would be quite alright in next few days.

You are most welcome to keep the conversation open and can take any sort of guidance if required.

My all best wishes for the new year.

Enjoy the new year's eve with great enthusiasm.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.

---

Brief Answer:
The bumps in mouth are simple prominent galnds & are not related to thrush

Detailed Answer:
Hello young fellow,

Very good morning and very happy new year to you.

I have gone through both the pictures and after analyzing these with best diligence let me reassure you first that that this is neither related to oral thrush and nor to any type of sexually transmitted infection of any sort.

These simple glands in the oral mucosa which are more pronounced and are present since long. It is the only part that you noticed these in day or two because of anxiety and therefore perceived these for first time.

I fully reassure you that these are very simple prominent glands which all of us have. SO rest assured about the same.

For the part of penile issue: the things will be aright soon and as you can notice that it is getting better day by day. You may have one or the other eruption which are simple proliferation of the glands after the infection. So just maintain a good hygiene and do not attempt any intercourse or masturbation for few days.

I additionally suggest you to not read anything related to your condition without an expert suggestion. Internet is full of knowledge but you don't know which thing is applicable to you. So it becomes a big stress when we find something unusual which might on might not be related to your issue.

I also suggest you to use a protection in form of condom in ever future incidence to have ease of mind. You are most welcome to take as many guidance you want and I am with you to solve any issue regarding your simple problems. For any future guidance you can reach me directly at:

bit.ly/drsanjaykanodia

My all best wishes for your healthy and wealthy new year ahead.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.

---