Penis foreskin cracks during sex, peeling skin, dots and spots [documented]

34 year old male just started experiencing this condition about a month ago. Could it possibly be a friction burn? it takes skin in that area a long time to heal and gets super thin and sensitive after a friction burn.

it looks like perioral dermatitis genital, stay away from any type of topical steroids cause it will make it worse and seek medical advice.

For the last couple of months I've been dealing with this. This thread concerned me, because I was having trouble resolving the issue, too. After being convinced that I was going to have to deal with this for many months or years, I think I have resolved the problem. I am writing this knowing that it probably won't apply to (nor work for) all of you, but to encourage you all to at least give it a shot if you haven't buckled down as thoroughly as I'm about to describe.

BACKGROUND

I found this thread by googling "dry cracked foreskin." My foreskin looked exactly like OP's pictures. I won't post my own pictures, but I swear to you the symptoms and appearance were identical.

I went to my doctor and they said it looked like a mild candida (yeast) infection, and to use a saline wash for a week or two, and if there was not significant improvement, to use Lotrimin (Clotrimazole 1%) . If you've read this thread, you know this is nothing groundbreaking.

I tried saline twice a day, and there was some minor improvement, but I didn't feel like it was heading toward healing. I switched to Lotrimin twice a day and for the first 4-5 days was completely celibate. I saw a lot of improvement, and after a bit over a week thought I was resolved. Toward the end, I was using Neosporin a couple of times each day as well to prevent infection and help with the cracks healing. I still had a little redness but everything felt fine. I tried to keep using Lotrimin for the next week but in truth I tapered off to once a day or so, because I didn't have the constant reminder.

The following week, I had regular daily sex with a partner, using a condom, for about a week. After that week, I noticed it was coming back. I thought maybe I just hadn't given the skin enough time to heal, so I planned to go celibate for a week and used Neosporin to help the cracks heal again. It got worse, rapidly.

This is when I decided to attack the issue thoroughly. Here's what I did that seems so far to have worked.

DETAILED INSTRUCTIONS

• Stay celibate. This means no sex or masturbation. You won't be able to help getting erections (you get 3-5 every night) but don't masturbate and don't have sex. Don't even touch the area excessively. When you urinate, make sure you're very flaccid first (tip: stand up with your feet a bit over shoulder width apart, and flex your thigh muscles for 20 seconds); pull the foreskin back slowly and carefully.

• Shower and clean the affected area every single day. Twice if you can, but don't scrub it vigorously or use anything harsh. A mild soap and warm water applied with your hands in the shower is plenty to remove medicine residue and clean the area effectively.

• Pat (don't rub) the area dry with a clean fresh wash cloth if you're just out of the shower. Get under the foreskin and especially under the coronal ridge. The wash cloth goes directly into the laundry, no reuse.

• Apply the cream heavily. It will make a mess but more is way better than not enough. You won't be able to rub it all into the skin if you use enough, and I think rubbing the skin too much may be detrimental anyway. This will be messy, but do you want to get better or not?

• Apply the cream thoroughly. Don't just put it on the affected area. Get it under the coronal ridge, all over the tip, and down the shaft half an inch to an inch past where you're having issues.

• Apply it frequently - I made sure I touched up every time I used the restroom. The most affected area of my foreskin was right at the tip when the foreskin was not retracted (not pulled back), and this got rubbed clean by by boxers frequently.

• Wash your hands thoroughly before and after touching the area.

• Clean boxers twice a day, especially any time you get out of the shower.

• Do all of the above for a full two weeks. Toward the end if it's gotten better to the point that you have trouble remembering, put something in the bathroom to remind you. A ribbon on the faucet handle or door knob? A mark on the mirror? Anything to make you go, "oh yeah."

• After 2 weeks, if you still have cracks, apply a small amount of Neosporin directly in them right after your daily shower to help them heal, and keep using Lotrimin on the entire area. And I do mean a small amount of Neosporin. The medium is basically petroleum jelly, so it will interfere with the Lotrimin contacting any skin you cover with it. The remaining cracks should heal within a few days at this point.

• Ease off the Lotrimin after the cracks are gone. Still apply it overnight for another week, then see how it goes.

• If you reach 2 weeks without significant improvement or maybe 3 weeks without fully healing, it's doctor time again.

• JOURNAL! Seriously. Take notes every day. Why? Because doctors take documentation seriously. A lot of people come in with complaints and exaggerations about how good they've been about treating some condition, when in reality they've been hit and miss. If you write your condition down every day, and log all of your treatments, they will recognize that you're organized enough to be a reliable narrator. Even if it's just a page in a notebook that says:" 12/16/20 - No change in cracks, more red today. Lotrimin: morning, night; touch ups at ~11a, ~2p, ~5p." Bonus points if you take daily pictures. This also motivates you to keep plugging away at it around day 10 when there's definite improvement and you really want risk breaking celibacy.

CONCLUSION

If you do all of this and then still have issues, you'll probably be taken much more seriously when you talk to a doctor. What I'm really saying here is not that you lack commitment or focus, but rather that doctors may be underestimating how tenacious a fungal infection can be, and the attention to detail it takes to cure, sometimes.

It would be fantastic to get more biopsies for those of you this doesn't help, and the combination of a detailed treatment with documentation is a good way to motivate doctors to dig a little deeper.

Whether you're new to this thread or have been watching it for a while, I suggest trying this method. The hardest part is the celibacy.

Good luck, everyone.

Did you find a cure? You mentioned getting circumcised, I have the same symptoms but I am already circumcised.

Hi all,

Just to update everyone on my situation.

I was given the choice of two treatments, either surgery to remove the affected pre-cancerous area or some "chemotherapy" cream (it doesn't have the side effects like losing hair, being ill etc.)

I opted for the cream initially (efudix) and it cleared my problem right up. I haven't had a tear in it for a few weeks now, although I also haven't had sex in a few weeks now!

I'm going back to the hospital on the 5th January for another check up as I believe some cells in that area are still affected and that the problem might come back again but I'll make sure I keep the page updated.

I've caught myself up on the previous discussions over the last couple of months and honestly believe that if you've tried EVERYTHING then the only course of action is for a biopsy.

Jay, I read your post about the doctors not thinking the biopsy would return anything, I had exactly the same discussion with a dermatological specialist here in the UK and stood my ground and she had to call me after and apologise for trying to dissuade me because of what they found. Keep pushing them man, it's your health and your body, the only reason they don't want to do it is because they think they know what it is, but they don't have any proof!

Talk to them about P.I.N and ask them why it couldn't possibly be that. Bet they won't have an answer.

With anything medical like this, it's a process of elimination. If the cleaning and the soaps and creams don't help then that points to the next logical step which is to talk to your doctor about the possibility of it being PIN, and the only way to get that fully diagnosed is through a biopsy.

Just tell them that you're in this forum, talking to numerous people with the same issue and this has been the answer for one of them.

I truly hope this helps.

Cheers,

J

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