Persistent Itching Around Penis Head

It’s understandable to be concerned about persistent itching and erection problems. Here are some insights and suggestions:

• Persistent Itching Around Penis Head:

• • • Plausible Diagnosis (please see a professional for an accurate diagnosis): Chronic itching could be due to various reasons like infections (fungal or bacterial), allergies, or skin conditions like eczema or psoriasis. Since you’ve seen multiple specialists without relief, it might be worth considering other less common causes like lichen sclerosus or penile cancer, although these are rare.
    • Current Approach: Using a penis pump and sealing ring might temporarily reduce itching due to increased blood flow, but this isn’t a permanent solution. Long-term use of a penis pump is generally safe if used as directed, but prolonged use might cause tissue damage or bruising. Consult your urologist to ensure your technique and duration are safe.
    • Treatment (please see a professional for tailored treatment): It might be helpful to review all medications and creams with your dermatologist or get a second opinion. Sometimes, rotating medications or trying new therapies like immunomodulators can help.

• Erection Problems:

• • • Medication (please see a professional for tailored treatment): Tadalafil (Cialis) and sildenafil (Viagra) are effective, but if they no longer work as well, it might be due to tolerance or underlying conditions like diabetes, cardiovascular issues, or hormonal imbalances. It’s important to discuss these with your doctor.
    • Frequency of Ejaculation: It’s often advised to ejaculate regularly to maintain prostate health and manage PSA levels. However, if ejaculation becomes difficult, other methods like prostate massage might be suggested by your doctor.

• Future Considerations:

• • Foreskin Removal: While you’re not willing to undergo circumcision, sometimes persistent issues might necessitate it. Discuss alternative treatments or the possibility of less invasive procedures with your urologist.
  • Side Effects: Long-term use of erection aids and medications should be monitored by a healthcare professional to prevent side effects like priapism or cardiovascular issues.