What Causes Itching, Swelling, and Pain in the Glans?

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Understanding Gland Head Itching and Swelling: Common Causes and Symptoms

If you're experiencing itching and swelling of the glans (the head of the penis), it is crucial to recognize the potential causes and symptoms. One of the most common conditions related to these symptoms is **balanitis**, which can arise from various underlying factors.

1. Balanitis: An Overview

**Balanitis** is often caused by either excessive skin or phimosis, where the glans comes into contact with bacteria due to the accumulation of shed epithelial cells, glandular secretions, and smegma. This creates a warm, moist environment promoting bacterial growth. If untreated, these bacteria can lead to inflammation.

2. Types of Balanitis

There are several types of balanitis, each presenting distinct symptoms:

2.1. Candidal Balanitis

This form features symptoms like **itching, redness, and scaling** on the glans, primarily due to a fungal infection.

2.2. Erosive Pseudomembranous Balanitis

This type is characterized by **penile pain, glans itching, and a noticeable rubbery swelling** of the glans.

2.3. Acute Superficial Balanitis

Symptoms include **penile pain, purulent discharge, congestion, fatigue, and mild fever**.

2.4. Phimosis

Men with phimosis may experience **pain during intercourse, glans itching, and adhesion of the foreskin**, which can lead to **orgasmic premature ejaculation**.

2.5. Papular Balanitis

Condition involves **pearl-like papules, adhesion of the foreskin, and ulcers on the penile surface**.

3. Other Related Skin Conditions

Itching may also be associated with other skin conditions, including:

3.1. Itchy Skin Conditions

These may cause generalized itching in the groin and anal area, leading to discomfort.

3.2. Signs of Inflammation

In cases of balanitis, the urethral meatus may show **redness and edema**, associated with itching and ulcers on the glans.

3.3. Proliferative Eruption

Symptoms can include **itching ulcers and thickened discharge** from the glans.

3.4. Bowen’s Disease

This involves the presence of **ulcers and itching in the penile region and anus**.

Additionally, **genital candidiasis** might exhibit **adhesive white plaques** and localized redness, particularly painful around the vaginal area.

4. Conclusion: Importance of Hygiene

In many cases, glans itching can primarily be attributed to **balanitis caused by bacterial infections** or poor hygiene, especially in moist climates. It is essential to maintain proper personal hygiene to prevent these conditions from arising.

Consulting with a healthcare provider is advisable for persisting symptoms to determine the exact underlying cause and appropriate treatment. Understanding these conditions can lead to better management and prevention, ensuring a healthier lifestyle.