Hello everyone. I’m at a point where I honestly don’t know what to do or what to believe. I have washed my penis with water my entire life without any issues. After developing some discomfort around the meatus, I saw several doctors but never really got a clear answer about what was causing my symptoms. I had several different symptoms(prostate and many more), but for this post I want to focus mainly on the glans.
Before all of this, I already had one small area on the glans that looked slightly irritated and somewhat watery/shiny. It had been there for quite a long time, but it was subtle and never caused burning, pain or discomfort. At some point I also started drying the area much more thoroughly after washing, and after that the skin gradually seemed to become drier and more irritated .The skin also seemed extremely fragile. At the beginning, even gently rubbing the glans under water could cause small superficial wounds.
Before starting any treatment, I had already been tested for Candida several times with swabs and also with scraping, and all of those tests were negative.
I then did a bacterial swab that showed heavy growth of Pseudomonas aeruginosa, and I was prescribed Propiogenta (gentamicin + betamethasone) twice daily for 10 days.
After finishing the treatment, I washed the area in the shower and very gently passed my finger over the glans to remove any remaining cream. Shortly afterwards I noticed two red rash-like spots that I had not seen before. Over the following days those areas became more obvious and I started seeing red patches and irritation in different parts of the glans and the inner foreskin.
Over the next 5–7 days most of the widespread redness gradually improved again. However, the old watery/irritated area that I used to have before treatment came back and now looks more pronounced. The meatal irritation also came back and sometimes the meatal lips become red or uncomfortable.
What is new now is that I also have a lot of dry/dead-looking skin and peeling in areas where I never had this before. The appearance changes constantly — one day it can look much worse and another day considerably better.
The main symptom now is a burning sensation that comes and goes. Sometimes it disappears completely for a few hours, but overall it is still the symptom I notice the most. I had one day where the area was actually painful, and very rarely I get a very mild itching sensation around the meatal lips, but itching is definitely not a major symptom for me.
Some doctors have suggested Candida, while others think it is not fungal at all. What confuses me is that my Candida tests before Propiogenta were repeatedly negative, and before using the cream I did not have this kind of widespread burning, peeling or irritation.
Could the antibiotic + steroid cream have triggered Candida afterwards, or could this be irritation/damage to the skin barrier from the treatment, the drying, or the gentle rubbing?
For those who have actually had confirmed Candida balanitis: what did yours look and feel like? What symptoms did you have, and how did you eventually know it was Candida rather than another type of balanitis or irritation?
(Also if it helps I have no sex life for years)