White and red patches on penis and tight foreskin

It is likely you have one of two things going on - i.) a Dermatological reaction to something the penis, and in particular, the head and foreskin of the penis are in regular contact with; or ii.) the beginnings of a skin condition such as Balanitis.

As you have blotches, spots and a tightening of your foreskin it is commonly Lichen Sclerosis (LS) (Balanitis Xerotica Obliterans {BXO}, to be precise) that you may have, this can ONLY be treat with a Steroidal ointment and a radical dietary change, plus finding the right Vitamin and Mineral food supplement regime to follow. Please note: the presence or absence of LS / BXO can only be confirmed by a Medial Biopsy being carried out.

Certainly, if the foreskin tightness continues you will need to start doing regular stretches to maintain the flexibility and healthiness of your foreskin. If you need any specific information on this, simply update this post as I have been dealing with LS / BXO myself for almost 8 years.

For you and other readers - never entertain the suggestion from a Medical Professional that you need to get circumcised to 'cure' LS / BXO and the associated symptoms, such as foreskin tightness, while symptoms may reduce following circumcision, it is highly poissible it will not provide a complete cure!

I will post some general information - you need to put in place the Penile Hygiene regime I suggest, then look at implementing the other tips and things to do if things do not improve or your condition worsens. If you want to update your forum here if you get any changes, then by all means do ..... PREVIOUSLY POSTED INFORMATION >>>>>>

Penile Hygiene

The best approach is not to use ANY SOAP on the Glans - wash with water only EVERY time you have urinated, after sexual arousal, and ejaculation. If you are not circumcised, protect the Glans of your penis every time you take a shower by drawing the foreskin as far forward as you can, then wash everywhere else, thoroughly rinse off all the gels / shampoo and suchlike, then expose your glans wash it with the water only using the inside of your hand, then each time you have washed it you must make sure it is 100% dry immediately afterwards.

After you have put this in place and you still have the situation going on you need to look at what else your penis is coming into contact with on a fairly regular basis.  The likely suspects are:-

• any chemical compounds such as skin cream / lotions, baby oil, oil based lubes, chemicals inside condoms (e.g. easy-on and spermicides) you need to exclude these one by one to discover the culprit
• if non of these make any difference you need to look to things such as washing powder in which you wash your clothes, and underwear in, in particular.  The simple alternative to washing powder is Liquid Soap Flakes, most sizeable supermarkets stock this in their own brand names - and you use this in your washing machine instead of powders or ANY fabric conditioner type additives.

  If all this produces no resolution to what you have, or your condition dramatically worsens, seek medical advice from your regular Doctor - but please note, many do not fully understand the differences between the potential skin conditions you may potentially have.  Therefore, the better course of action may be to see a Dermatologist, or alternatively, go to a Specialist Sexual Health Service and ask to see the duty Urologist.