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Glans Atrophy?
Hi, I have been using corticosteroids for a balonopositits. My doctor prescribes me Hydrocortisone 1% but after 2 months of using it and doesnt work I began to use instead betamethasone 0.05% two times/day about a month but just on my prepuce because I read medical reports about the effective use of betamethasone for phimosis.

When I began with hydrocortisone I noticed my glans smaller and crumpled but I thought that was my mind because I've suffer with this two years so Ive had many psycological problems. I used it 2 times/day 2 months (maybe 3) on all my glans and my prepuce. Later I used betamethasone which apparently worked. Recently my dermatologist told me that betamethasone (and I read all corticosteroids) could produce me a glans atrophy, but he seemingly did not notice it maybe because I told him after the clinical examination.

Could I have a corticosteroids induced glans atrophy? Could be glans atrophy not evident? Would I have to have any evident syntom? My doctor should have noticed? How long using corticosteroids you need for a glans atrophy? Maybe is it just my mind? If I have, is it a treatment or cure?, Im still seeing my glans smaller but normal in erection, please somebody help me. Thanks
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563773 tn?1374250139
Hello,
From the symptoms, it does not look like glans atrophy because steroid induced atrophy of the glans is associated with thinning, redness and telangiectasia of the skin. I however advice you to get it evaluated from a dermatologist and slowly taper off the steroids.
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 dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.


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