How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr AW Your Own Question

Dr AW
Dr AW, Doctor
Category: Health
Satisfied Customers: 127
Experience:  MBBS with hospital experience as SHO in a wide variety of fields
Type Your Health Question Here...
Dr AW is online now
A new question is answered every 9 seconds

What is the male equivalent to a gynaecologist Need to go

Resolved Question:

What is the male equivalent to a gynaecologist? Need to go see a doctor who specialises in male genitalia.
Submitted: 5 years ago.
Category: Health
Expert:  Dr AW replied 5 years ago.

The equivalent would be a urologist who deals with problems of prostate, testis and penis. A urologist does however also deal with urinary problems so does see women as well.

 

I hope this information is useful, feel free to reply for any clarification

Customer: replied 5 years ago.
Hey there

I went to a GP a while back and he diagnosed me with dermatitis on the head of the penis. He prescribed a cream but said it was not really treatable and would also be a symptom, which I find hard to believe.

What I am finding is that that part of the penis is now quite tender which is causing erectile problems during intercourse, particularly with condom.

So rather than go to a GP I thought I'd go see a specialist on genital conditions like this.

Would you still recommend a urologist or any other tips?


Expert:  Dr AW replied 5 years ago.

Dermatitis on the head of the penis (I tthink balanitis is being described) could be caused by to certain soaps, or contact that precipitates allergy. This could even be from spermicide from a condom.

Another possibility is infection.

I would just check if any new products were used in association with the start of your symptoms. I would also see the GP again in the first instance to ensure any infection has been ruled out - with appropriate antibacterial or antifungal prescribed if this is a potential problem. If this doesn't yield a result in terms of diagnosis or treatment then it is well worth seeing a urologist for another opinion on viewing the area.

If you are uncircumcised a relatively common problem is the build up of smegma just under the foreskin that can cause irritation and lead to dermatitis on the head of the penis. If you gently retract your foreskin and wash the area you may find some smegma that can be washed away. Sometimes this is difficult for men with a tight foreskin.

 

I hope this information is useful, feel free to reply for any clarification

Customer: replied 5 years ago.

Dermatitis on the head of the penis (I tthink balanitis is being described) could be caused by to certain soaps, or contact that precipitates allergy. This could even be from spermicide from a condom.

 

I think this is what he described. The first time it appeared was after I had intercourse using a condom, which I had not used for a long time prior to this occasion since I was in a long-term relationship before.


Since then (July) I have had three other sexual partners and it seems this problem occurs after using condom each time since the head of the penis then is quite sore and irritated, which lowers erectile functioning.

 

I am curious that it may be an allergy to the spermacide or to a particular soap?

 

Another possibility is infection.


I had STD test with that GP and he cleared me from that possibility.

 

I would just check if any new products were used in association with the start of your symptoms. I would also see the GP again in the first instance to ensure any infection has been ruled out - with appropriate antibacterial or antifungal prescribed if this is a potential problem. If this doesn't yield a result in terms of diagnosis or treatment then it is well worth seeing a urologist for another opinion on viewing the area.

 

Ok

 

If you are uncircumcised a relatively common problem is the build up of smegma just under the foreskin that can cause irritation and lead to dermatitis on the head of the penis. If you gently retract your foreskin and wash the area you may find some smegma that can be washed away. Sometimes this is difficult for men with a tight foreskin.


I go to the gym so I probably shower and clean that area thoroughly 2 x times per day.

 

I hope this information is useful, feel free to reply for any clarification


Any further pointers would be appreciated.

Expert:  Dr AW replied 5 years ago.

Thank you for the further information.

Given what you have said it would be worth checking the condoms you have been using contain spermicide. It is also possible to be allergic to the latex. There are non latex and non spermicide condoms available and your pharmacist should be able to supply these if you ask to try these. Which may help with your problem.

If you do wash the area thoroughly, it may be that the soap you are using might be irritating the area.

However given what you have said I am suspicious of either a spermicide or latex allergy.

 

I hope this information is useful, feel free to reply for any clarification

Customer: replied 5 years ago.
so do you recommend i go and see a GP or straight to a urologist?
will they still be able to prescribe something for the dermatitis which seems to still be there even in the times when i have not used a condom for up to three weeks?
thnx
Expert:  Dr AW replied 5 years ago.

It appears that the GP has ruled out infection. We have discussed possibility of allergy to which measures to prevent a reoccurrence can be carried out by yourself.

When such a sensitive area is irritated it can take time for the area to heal.

If your symptoms are not improving I think that you could go straight to a urologist for another opinion as I can well imagine how uncomfortable this problem is. In order to prescribe something the cause of the dermatitis needs identifying, in case of bacterial infection antibiotic, antifungal cream for candida, steoidal cream for allergic irritation. If just the foreskin of the head is involved circumcision could be suggested which would eliminate the problem.

But it would be a good idea to seek a urologist opinion to see if he agrees with the diagnosis and seek additional options especially if your GP feels they can't offer anything else to relieve your symptoms. If your urologist feels that it isn't balanitis it is possible depending on the involvement that they may sugget a consult with a dermatologist as there are other skin conditions that can mimic this.

 

 

Customer: replied 5 years ago.
The first person who saw me for this is an old GP - I have moved in the last three months so will go and see a new one tomorrow - does that sound like a first good step?

With the old GP we did not really explore all options as you have laid them out - all he said was it was not an STD, and so he went with dermatitis - I am sure there was more evidence that led to this analysis but he did not tell me.

I will tell the new GP the type of cream I am on and describe the symptoms just like I have to you, and mention that the symptoms have not disappeared even after the application of the cream.

If he feels it is a good way forward he can always refer me to a urologist.

Any other thoughts?

Expert:  Dr AW replied 5 years ago.

I think you have arrived at a very sensible plan given your circumstances.

I think we have dicussed all the relevant information regarding balanitis and don't think there is anything further to add information wise at this point.

 

Dr AW, Doctor
Category: Health
Satisfied Customers: 127
Experience: MBBS with hospital experience as SHO in a wide variety of fields
Dr AW and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery