Burning Sensation on Head of Penis

[WisdomSeeker]

I had a sensitive skin area on shaft and doctor treated with Clotrimazole and Betamethasone Dipropionate Cream 1%/.05% (thinking it was a fungal infection).  This treatment seemed to work, but since the treatment, I have had a burning sensation on the head of my penis.  No burning when urinating, no redness...all looks normal.  Just a sensation as if the nerve endings are irritated.  When I go to bed and wake up, it seems to be gone.  However, the more I think about it or notice it, the worse it seems to get.  Not a painful burning at all...more like irritation that is annoying.

I do not hink it is std because I have not been in a situation to cause that and my wife has been ill so there has really been no sex at all.  Any thoughts as to what it can be?  Is it in my head?  Please help.

[Bhupinder Kaur, MD]

Hello,

For such burning sensation at the head of penis, it can be due to infection, inflammation or injury along the urethra or the glans itself. In the absence of a significant sexual history ,this may be due to a dermatitis or a fungal infection. Contact or allergic dermatitis may occur and may cause some of these symptoms. Another differential will be a lower urinary tract infection.

A complete physical examination by a urologist will be able to help. A urinalysis may be able to rule out infections in the urinary tract. Just prevent manipulation of the area as this may cause injuries and aggravate the pain. Wear cotton clothes and wash the area well.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Intime369]

You used Lotrisone cream. The burning is caused by the potent steroid Betamethasone Dipropionate. How are you doing now? Has it subsided?