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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Small Bruise On Penis Glans And Pain During Urination?

Hi everyone. For almost half a year now me and my fiancee have a problem. He used to do PEgym but not for a long time. One day he used a vacuum pump and after a week we noticed a small bruise on his glans. He also noticed extremely sharp pain one day while urinating and that never happened again in that shape. He sometimes could feel mysterious pain, not knowing where is it from- is it in penis, testicle, his foot or gluteus. Somewhat before that he was on his TRT since he s a bodybuilder. He never had problems with erection even on his post cycle therapy, but after that injury he suddenly lost his ability to reach orgasm. That bruise was still there, and we went to a 6 OR 7 DIFFERENT UROLOGISTS, AND NOT A ONE TOLD US TO QUIT SEX. We always got a reply THE MORE THE MERRIER. And since we didn t receive NOT ONCE different answer, we kept having sex daily, even with anorgasmia problem. Later on, A YEAR LATER, after neverending research via internet for possible diagnosis, we gave ourselves a death sentence that it MUST be a nerve damage. Since his numbness wasn t present on entire glans, and not even on that part where the bruise is, i just thought this could be some liquid trapped in his glans, and i also did not want to believe that human body doesn t have a defensing system that can take care of that. I mean, if God, or whoever, have us joy of sex and orgasms, why he won t give us something that can protect our friends from that kind of injury, right? So, after a year and a few months, he realized that his glans skin started to thicken and loosen its color. It started being somewhat pale-ish and dry, also with some of the wreckles that started to emerge. I got a new job and my boss s wife is a dermatologist, so i realized we need to see a new doctor (since even dermatologists weren t able to tell us WHAT S THE PROBLEM- and since here in Serbia not a single doctor believes in keratinization) we gave that doctor a visit. She looked at his penis and right away she said- that s eczema . My fiancee used to wash his penis with baby soaps that are a bit more alkaline and can cause dryness, but we never had a direct thought that could lead us that that s wrong. He used a lot of creams to moisture his glans, urea&those kind of creams, but nothing could change. He did blood work and his estradiol and prolactin levels were THREE (yes) times higher than normal level should be. So we also took cabergoline (dostinex) to try with that. Those days he also had erection problems...a lot of them. So the dermatologist told us to STOP USING SOAP, try using only non perfumed creams (here in our country we have a cream that s called Pantenol and it s for all skin problems), and to take some apothecary cream that she s going to prescribe. Suddenly, literally a weak after he stopped using soap and started using right creams (Pantenol, we still didn t get a pharmacy one) his penis started tingling like when he was uncircumcised. He called that as a constant arousal feeling . His glans has became all sensitive like before, he could feel everything from the ligther touch to harder ones. We were enormously happy... I cant even tell you what kind of problems we were having with our relationship since he agreed that his life can end now if he can t enjoy in me, or I can with him, since I couldn t relax always wondering does he feel something when i do something or not. It was hell. Fights, crying, depression. I can t even describe. So we were in heaven again! Sex 3-4 times a day, two or three times a week. Living a dream. We also took HGH (human growth hormone) since we read that it helps skin and nerves rejuvenation. It is expensive as hell but we took a shot. But then, he got on his another steroid cycle. His sensitivity had also slighter decreased before cycle, but we thought it s probably cause we did it too much. And on cycle it started increasing again. But then it stopped. And then started decreasing again. I need to say that he started his cycle with still increased levels of estrogen. His glans dried even more. It was red only in the middle, right on the tip and on his upper side, opposite of frenulum. But there was no bruising, no capillaries broken, nor anything. I guess we just went too much again and it caused that. His erections are fine, he gets aroused only by kissing me and having a foreplay, but now he tells me he doesn t feel a SINGLE SPOT on his glans that s sensitive. Not even when he squeezes glans a bit. His orgasms are again, how he s saying dry, without build up, the build up lasts for a second or two and then disappears. I can actually relate that problem with post cycle therapy since he had that problem before. But the paleness... I don t know how can that even happen since in last 2 months we were really careful, we had sex only once a week with sometimes two weeks break, just in case. He is again in that stadium that this is a nerve damage, but i really doubt that since ENTIRE SENSITIVITY GOT BACK ONCE BEFORE, even after a YEAR of bruise on glans! I m sorry for the words, but i m completely in pain. My soul aches cause I can t give him any advice, he just rejects everything and sometimes even blames on me. But he always says that before there were spots on glans where he always could feel something, and in that way he learned to check whether something damaged or not. PLEASE give me some advice, has anyone had this problem and solved it? I need to say that he takes supplements, vitamins D, E, maca root, muira puama, lecithin, royal jelly, l-arginine, and so and so since i can t remember every of them right now. PLEASE HELP. I also wrote this to tell you that if YOU guys have the same problem- try checking for eczema, since it DOESN T ALWAYS ITCH and it DOESNT ALWAYS LOOK LIKE RED PATCH- sometimes it can be larger and sometimes smaller, it all deppends from your body s inner help. Thanks
Fri, 5 Jun 2020
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General & Family Physician 's  Response
Hi,

These bruise over penis and pain is due to over stimulation to your penile muscles during PEgym. Use antiseptic cream like soframycin for local application over glance penis. Take break from PEgym for 2-3 weeks.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pramod Kokare, General & Family Physician
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What Causes Small Bruise On Penis Glans And Pain During Urination?

Hi, These bruise over penis and pain is due to over stimulation to your penile muscles during PEgym. Use antiseptic cream like soframycin for local application over glance penis. Take break from PEgym for 2-3 weeks. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pramod Kokare, General & Family Physician