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What causes itchy penis with smegma build up?

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Posted on Fri, 24 Aug 2018
Question: I had a body to body massage 6 months back. I got my full STD profile test done after 6 months. The results are - VDRL: Negative, TPHA: Negative, HSV1 Ab Igm and Igg : negative, HSV2 Ab Igm and Igg: negative, HIV combo test: negative, Chlamydia Igg: negative, Chlamydia Iga: negative.

My penis sometimes gets itchy, and also, there's a bit of white fluid that gets accumulated on the ring of the penis (i don't know how to explain - if you pull the foreskin down till the level, where there's a kind of circular ring, kind of penis joint). Whenever this white fluid accumulates, it itches , the moment i wash it, it is gone . Though all my profiles are negative, is there still a chance, that I have some std? What is the problem with me, and medications? Is this due to over thinking about std?
doctor
Answered by Dr. Kakkar S. (12 minutes later)
Brief Answer:
Smegma

Detailed Answer:

Hello,

Body massage does not confer any risk of STDs. STDs are usually transmitted through unprotected sex - either vaginal, anal or oral sex. Not with skin to skin contact.
The whitish creamy deposit under the prepuce in the crevice behind the corona of glans is Smegma. Smegma is exfoliated skin cells mixed with moisture. Accumulation of smegma is a normal thing in uncircumcised males, specially if this area is not cleaned regularly.
I suggest you to gently clean this area with a wet towel or cloth at the time of bath. Do it regularly to prevent it from accumulating.

Perhaps you also have a yeast/candida superinfection which can cause itching and whitish accumulation. I suggest you to use a topical antifungal e.g clotrimazole 1 % cream, twice daily for a week. I suggest you to abstain from sex for a week.
Does your partner also complain of vaginal discharge?vulval itching?

Hope I have answered your query.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Kakkar S. (40 minutes later)
Hi doctor, thanks for the prompt reply. This white watery thing never used to be there earlier, or may be it never itched for so many years , but after this incident, i can see it pretty evident. Lot of itching and a bit of tensed penis. Even after washing frequently, it comes up every 2 - 3 days. Is it an issue? Also, is this contagious, can it spread to the female partner while having sex? Should i abstain from having sex?

Hi Doctor, In the body to body massage incident, the masseuse rubbed her entire skin with me completely naked, including a handjob. Can a handjob or naked body to body massage lead to STDs or HIV?

Also, regarding my current problem, I haven't started the medication that you had suggested, but I can sense that my penis is much relaxed now. May be I don't have any infection (as I couldn't find any symptoms of thrush or yeast) and only smegma is causing this?

Please suggest?
doctor
Answered by Dr. Kakkar S. (2 days later)
Brief Answer:
No risk of STDs

Detailed Answer:
Hi.

Body massage and Handjob is not a risk for transmission of any STDs including HIV.
Perhaps it is just smegma. Smegma can cause a little itching/ irritation if it is allowed to deposit. I suggest you to clean the area regularly.

Take Care!

Dr. Kakkar S.,
Dermatologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8961 Questions

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What causes itchy penis with smegma build up?

Brief Answer: Smegma Detailed Answer: Hello, Body massage does not confer any risk of STDs. STDs are usually transmitted through unprotected sex - either vaginal, anal or oral sex. Not with skin to skin contact. The whitish creamy deposit under the prepuce in the crevice behind the corona of glans is Smegma. Smegma is exfoliated skin cells mixed with moisture. Accumulation of smegma is a normal thing in uncircumcised males, specially if this area is not cleaned regularly. I suggest you to gently clean this area with a wet towel or cloth at the time of bath. Do it regularly to prevent it from accumulating. Perhaps you also have a yeast/candida superinfection which can cause itching and whitish accumulation. I suggest you to use a topical antifungal e.g clotrimazole 1 % cream, twice daily for a week. I suggest you to abstain from sex for a week. Does your partner also complain of vaginal discharge?vulval itching? Hope I have answered your query. Let me know if I can assist you further.