Red Spots Under Foreskin Not Itchy

Irritated Foreskin Cause #1: Posthitis

Red Penis Rash: Pictures Symptoms Diagnosis & Treatment

Red penis rash is common to occur during someones lifetime and varies with age and setting, it can be many things. Balanitis is one of the most common, and is a natural infection under the foreskin, which is the most common reason for a red penis. It is most common in the first years of life. The end of the penis becomes irritated, because of an overgrowth of the bodies natural bacteria and is usually found between the glans and foreskin. It can sometimes be related to the difficulty of keeping the area clean or too much cleanliness, it is therefore important to keep a clean balance.

There are many other common causes to a red penis rash, below you can read more on selected cases with a history, picture and the dermatologists answer.

1. Psoriasis

Online dermatologist question
Red penis rash and the entire skin around, they do not itch or sting. I have had this for a year now.

Red Penis Rash Psoriasis ICD 10 L40.0

Online dermatologist answer
Thanks for the picture! The rash looks like possibly psoriasis. Psoriasis is a skin disease that affects the skin and develops red, scaly patches on the skin, it is nothing dangerous or contagious and there are several individual treatment options. You can test with a non-prescription Daktacort cream (2/day for 1 week, then 1/day 1 week, then every other day for 1 week), if it is not better a stronger cortisone cream is needed and the treatment plan should be optimized by your family doctor or dermatologist.

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2. Corona glandis penis

Online dermatologist question
23 year old male. I have had this red rash on the penis for a year now. Itches sometimes usually no trouble. I have tried to self medicate with anti-fungal cream now for two weeks and it has possibly gotten a little better, but I do not know for sure.
Looks like fungus and several bumps, may even turn red on the foreskin sometimes.

Red Penis Rash Balanitis ICD 10 N48.1

Online dermatologist answer
Thanks for the picture! The small bumps are completely normal, called CORONA GLANDIS PENIS and are normal sebaceous glands. Based on the images it looks completely normal. You may have had possible a Balanitis: irritation eczema or Inflammation of the glans penis/foreskin that causes itching. Recommended treatment can be to test with Daktacort cream, which is a combination ointment with mild cortisone and anti-fungal properties 2 times/day for one week, then one a day for a week. Do not wash with soap, use only lukewarm water. I also recommend daily moisturizer cream especially after water contact. If it does not get better see your family physician or a dermatologist.

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3. Balanitis

Online dermatologist question

I am 23 year old. I had unprotected sex about 6 month ago with an unknown girl… I freaked out right after and washed my penis feverishly with both soap and shampoo for a period… I have been tested for chlamydia but I had nothing. I also self-treated with an anti-fungal cream for a week and then it was temporarily gone, but it came back again… After reading on the internet I only wash with lukewarm water and a washing oil from the pharmacy… This has calmed it a bit, but it has come back… Anything else I can do?

Red Penis Rash Balanitis sores ICD N48.1

Online dermatologist answer

Thanks. From your history and images this looks like Balanitis an irritated eczema or inflammation of the skin on the glans penis and/or foreskin. It may be itchy, stinging and some cuts may happen.Treatment with topical steroids (eg hydrocortisone 1%, over-the-counter) twice daily for 1 week, then once daily for 1 week, then once every 2 days for 2 weeks is recommended. To avoid recurrences use moisturizing cream several times daily. Also avoid exaggerated hygiene which dries out the skin, use a mild soap and only luke warm water when washing. During sex or masturbation, apply lubricant to avoid friction. If it does not get better see your family doctor or a dermatologist in person.

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4. Eczema

Online dermatologist question

Red Penis Rash Eczema and Scrotum ICD 10 L30.9

Normally pink red as in the picture but peels sometimes too. The red patch on the scrotum is round an inch in diameter and the one the penis root is oval. Then I have a blemish in the groin that also itches. It is a bit darker and an inch in diameter.

Online dermatologist answer

Thanks for sending in your query. Based on the information and images submitted this looks like eczema, an inflammation, dry and irritated skin, it is very common. You can treat this with OTC hydrocortisone ointment morning and evening 1 a week, then once daily for a week. Important with daily moisturizer, especially after water contact (shower or bath). If no improvement see your family doctor for further assessment.

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5. Eczema

Online dermatologist question

Hello I have had a red penis rash that can be itchy, that some time stings for almost 3 weeks. It started mildly then it has gotten worse, now the whole penis is red and flaking and when I scratch it, it breaks the skin and it stings. Sometimes some liquid appears and it gets a bit “wet”. The itching gets really bad when I sweat, especially at the gym, then it can start to itch terribly. Now it looks like it has started to scar where the skin is cracked. What can I do? Thanks in advance.

Red Penis Rash Eczema ICD 10 L30.9

Online dermatologist answer

Thanks for sending in your case. This looks primarily lika grave eczema. You need strong cortisone to break the circle of itching. Do you have strong cortisone at home, if so use it twice a day for a week, then once a day there after. Also use plenty of moisturizer, especially after contact with water. The eczema could be infected too. I would advice that you see your primary care physician and get an assessment and a treatment plan.

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6. Genital Herpes

Online dermatologist question

Hi I am 30 years and I have a question about my red penis rash that I get now and then, that can last for a few weeks, before getting back to normal. First the skin is dry and flaky, which can be rubbed off, which leaves the skin underneath red, and a bit irritated. In the last 6 months I have had unprotected sex. I have tested for syphilis and other venereal disease that can cause a rash on the penis, with negative results. My primary care doctor thought it was a fungal infection and gave me daktacort cream that has helped. I am looking for reassurance.

Red Penis Rash Genital herpes ICD A60.00

Online dermatologist answer

Thanks for the images and history. This looks possibly like genital herpes given that it comes from time to time and lasts about a week. The infection is caused by the Herpes simplex virus type 1 or 2, which is a sexually transmitted disease. I recommend you contact a STD clinic for further testing, when you have visible sores. Treatment and additional information can be provided at the clinic. Fungal infections and balanitis (inflammation of the penis head/foreskin) rarely look like this and are rare on the penis shaft alone.

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Prevalence of Pubic Hair Grooming–Related Injuries and Identification of High-Risk Individuals in the United States. Matthew D et al. JAMA Dermatol. 2017 Nov; 153(11): 1114–1121

Three Causes of Irritated Foreskin and How to Fix It

The foreskin is that little extra something that keeps a man’s penis warm at night. However, these extra few folds can cause a lot of issues. Red, irritated foreskin can feel like a hot poker. Men who are not circumcised, the majority of men, do have a few other concerns to keep in mind when it comes to their trouser snake. Foreskin problems like posthitis, phimosis, and paraphimosis are serious issues that can cause a man a lot of pain and suffering, and in some cases, can cost him his penis. Let’s talk about that extra flap of skin that some men have and how to identify any foreskin problems before they get out of hand, and even better, prevent them from happening in the first place.

Irritated Foreskin Cause #1: Posthitis

Posthitis is an inflammation of the foreskin exclusively. It presents not only as red and inflamed, which additional symptoms that can include dryness, tenderness, discharge from under the foreskin, itchiness, a funky odor, thickened skin, and phimosis. It can be caused by a host of things such as yeast infection, fungal infections like jock itch, and sexually transmitted infections, which can include syphilis, herpes, gonorrhea, chlamydia, HPV, chancroid, herpes, and trichomoniasis.

Treatment options include antibiotics, steroid creams, and antifungal ointments, which have been shown to reduce symptoms and attack the infection. See a doctor for a diagnosis.

Irritated Foreskin Cause #2: Phimosis

Phimosis is an ailment wherein foreskin cannot be withdrawn or pulled back from the head of the penis. Phimosis can be caused by a few different things which may include:

– Irritation or redness of the foreskin and head as a result of poor hygiene

– Bacterial, fungal, or viral infection of the head or foreskin

– Scarring caused by aggressively retracting a child’s foreskin prematurely

Phimosis treatment depends on the severity of the condition. If an infection caused it, a doctor will prescribe either oral or topical medication contingent on the type of infection it is. For men with a tight foreskin, a daily exercise of light retraction and steroid cream can make foreskin easier to pull back with time. For men who experience chronic phimosis and for whom no other treatments work, circumcision may be recommended.

Irritated Foreskin Cause #3: Paraphimosis

Paraphimosis is triggered by swelling of the foreskin or the head of the penis. This inhibits the ability of the foreskin going back in place after being retracted. Reasons for paraphimosis may include infection, genetically tight foreskin, injury, retracting the foreskin too forcefully, or leaving the foreskin withdrawn for too long.

This is a very dangerous condition, so seeking medical help quickly is vital. Paraphimosis can restrict circulation to the penis, which can lead to penile tissue death, or the surgical removal of some or all of a man’s penis.

Preventing Irritated Foreskin

Some foreskin problems are avoidable. With these tips, a man can keep irritated foreskin problems away. Wear loose cotton underwear and change them daily (more if needed). Practice safe sex to avoid STIs and other infections like UTIs and yeast infections.

Practice good penis health by cleaning the penis, foreskin and all, regularly and thoroughly with warm water and a gentle cleanser. Retract the foreskin gently and wash between every fold of skin carefully. Rinse well and then air dry.

For extra protection against irritated foreskin, apply a specially formulated penis health creme (health professionals recommend Man 1 Man Oil, which has been clinically proven safe and mild for skin) to keep the penis healthy and strong. This crème harnesses the power of vitamins A and C to fight off infection-causing bacteria, while vitamin B promotes cell regeneration. Together, they create a crème that restores and protects the penis, keeping it vital and invigorated for years to come.

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Alex Koliada, PhD

Alex Koliada, PhD

Alex Koliada, PhD, is a well-known doctor. He is famous for his studies of ageing, genetics and other medical conditions. He works at the Institute of Food Biotechnology and Genomics NAS of Ukraine. His scientific researches are printed by the most reputable international magazines. Some of his works are: Differences in the gut Firmicutes to Bacteroidetes ratio across age groups in healthy Ukrainian population []; Mating status affects Drosophila lifespan, metabolism and antioxidant system [Science Direct]; Anise Hyssop Agastache foeniculum Increases Lifespan, Stress Resistance, and Metabolism by Affecting Free Radical Processes in Drosophila [Frontiersin].
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