Frenulum breveDecember 23 2010 at 9:39 PM
|Alejandro (no login)|
I shall call myself Alejandro and, for what it's worth, I'm 26 years old.
It hasn't been a good couple of weeks for me and my penis. You may not need to know all of this to help me, but I guess it couldn't hurt and I just have to tell someone the entire story...
About 2 weeks ago my foreskin started to itch and my glans had a nasty rash. Rashes are quite common for me since I live in Paraguay (South America) and the hot weather makes me sweat (and, therefore, gives me rashes) all the time. So I did what I normally do and tried to kill the rash washing the affected parts with vinegar and keeping it dry with baby powder. This actually worked pretty well until my frenulum started to hurt. I thought it was being affected by the baby powder (but I was probably wrong and my little problem just spreaded), so I discontinued the use. The rash had disappeared at this moment. But before my fenulum had a chance to heal, the rash came back...
A few days later, the itch turned into a burn. So I started to browse the web and settled with fungus infection. (I also discovered I had frenulum breve, but it didn't matter much to be at this point.) I almost made up my mind to just use the anti-fungus cream I had at home, but since I don't really think well of auto-administering antibiotics, I decided to overcome my resistance against having a stranger touching my penis and went to an urologist.
The good news was that I was right and I had a fungus infection which practically disappeared in 36 hours using the exact same cream I had at home and some chamomile tea.
The bad news was that my fenulum breve, according to the doctor, is preventing my foreskin from retracting which favors fugus infections. The only cure for this condition, according to him, is to cut the frenulum and - if this doesn't help - remove the foreskin. Also, he said that this infections were more common amongst diabetics (glucose in the urine seems to provide a healthy meal for the fungus). So I let them test me and yay! I have diabetes. But that's another story. Back to my penis:
No, I don't want anybody to cut my frenulum (and hell no, I don't want a circumcision). I didn't even know it was too short! I can retract my forskin beyond the glans (but not any further and it kinda bulks up under it when I'm erect) and besides the fact that putting on a condom is a little bit more difficult for me than I suppose it is for most people, it has never given me any trouble. Until now. Stupid diabetes! To the point:
I have been reading a couple of threads already and I'll try to pull before anybody is going to cut. But I still got a couple of questions:
1) How hard do I have to pull? Is it better to pull with one or two hands?
2) If I do my pulling daily, how long will it take to see any results?
3) I recall that my baby brother used a cream to help him overcome his phimosis, but I don't remember the active ingredient. Does anybody know which cream I'm talking about?
Thanks in advance for any help and sorry if I bored you with my story.
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|December 24 2010, 10:15 PM |
I've been trying out the pulling exercise a few times now. But I don't "feel" it in my frenulum. In fact, it doesn't even get tensed by pulling forward my foreskin as far as I can.
Am I doing something wrong? Wouldn't it be easier to just pull back my foreskin? I don't have phimosis and this seems to actually stretch my frenulum. Just asking...
(Premier Login jimsplacetofixthings)
Whatever it takes
|December 24 2010, 10:48 PM |
In response to you first post, I suspect yeast, and an antifungal product is what you need to control it. Antibiotics won't work. Don't use any soap to clean, and try not to clean too often so you don't irritate the area. When you do clean, use clear water and then pat it dry as you can. Then apply the preparation. Continue use for at least two weeks.
I would think you'd feel some tension by pulling forward. However, if you get tension by retracting, then do that. The idea is to make the frenulum taut. When you do so, keep it tense up for several minutes to get a good stretch.
It all fits.
|December 25 2010, 2:16 AM |
Well, the news isn't exactly good. Your foreskin - or your frænulum - is to be honest, the very least of your concerns. Diabetes at 26 is really bad, because it severely impinges on your longevity - and your sexual function.
The question I have to ask is - are you in fact overweight? There are two types of diabetes and I will not go into the details here (as I haven't time). You absolutely need to be fully evaluated and properly managed according to which type of diabetes it is. If it is "type 2", then your focus will be on weight reduction and regular, serious exercise and I emphasise that it is these two things and not medication that constitute the treatment. And that is the easier type to manage.
OK, that sorted out as first priority, of course the diabetes is the reason for the Candida ("Thrush") infestation, and management of the diabetes is 100% of the treatment or should I say, prevention of recurrence. If it happens again, well you have the medication, it is generally available "over the counter" and not considered worthy of supervision by a doctor.
Forget about whether retraction favours yeast growth - it is true that circumcised men are less likely to suffer this problem because they have no moist areas for the yeast to grow. But with no moist areas, sex simply does not work as well, so it all depends on your priorities - and in this respect I have to say that inability to control diabetes actually is a genuine indication for circumcision - because if you can't control the diabetes, you can just forget about sex anyway!
Point is, you've spent 26 years with a foreskin, doing what it does, and only now - due to the diabetes, has your difficulty in retraction favoured the yeast. That clearly defines the cause and effect.
When you pull your foreskin back, look at where the frænulum ends in the foreskin. Then pull your foreskin forward again while you note - or take hold of - that point. That is the point you need to grip to pull on, and you pull enough to make it uncomfortable, and pull for longest time you can, continuously, on each occasion. This should take one hand to do - the other end of the frænulum is anchored to the penis (just under the glans) and you do not need to grip it.
In fact, whilst pulling the foreskin back is OK, you cannot apply much tension simply because you have to "hold" an erection to do so, and as you do so, you are pulling the meatus (pee hole) downward and open, which it is not so well designed to withstand either. If you think about it, what we recommend makes a lot more sense.
By no means have you bored us - it is essential to provide all this detail for us to determine just what it is that is the problem (though most of the problem is always the same) and perhaps more to the point, whether you have understood the situation - and our advice - fully. For this same reason, I give you no guarantees as to how long it will take to achieve any results.
The steroid ointment of choice is betamethasone. If you read sufficiently far back through this discussion board, you will find full details on how it works, why it works, and how to use it. If you have had a problem with Candida, you almost certainly would need to use it together with the anti-fungal as it as well as the diabetes, makes you more susceptible. It has some advantage in addition to stretching, but you must understand that stretching is the important part.
Oh, putting on a condom is easy. You get an erection, hold the end of the condom and roll it on. Whether you have a foreskin or not, whether you pull it back or not, is quite immaterial to this - it will do what it pleases anyway.
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|December 25 2010, 12:20 PM |
First of all, thank you for your replies.
You're right, it's a fungus. As suspected by me and confirmed by my urologist. I am - of course - not trying to treat a fungus with antibiotics, but the cream my doc recommended is antibiotic and
antimicotic. I'm currently washing myself twice a day using nothing but chamomile tea, drying with paper towel and then applying the cream. It seems to work pretty well since I'm asymptomatic by now.
The frenulum doesn't get tensed at all by pulling forward. Maybe my foreskin is too short to tense the frenulum this way?
Don't worry, I'm taking my diabetes seriously. I just didn't go into details since this is a forum about forskins...
I have an appiontment with a endocrinologist this Tuesday (the holidays are a bad season for being sick). I still don't know which type I have, also I suspect type 1. The symptoms fit better. But we'll see. I don't know if type 1 is really harder to manage then type 2. Inyecting insulin according to your food intake seems easier than radically changing eating and exercise habits. My grandfather had a long and good life despite of his diabetes (he started at about my age). It would've been longer and better if it wasn't for his cancer...
OK, I won't pull back then. But I don't need and erection to apply tension to the frenulum that way. And it seems to work so much better... Maybe I'm just expecting too much tension?
My antifungus cream actually contains betamethasone. Two birds, one stone!
As for the condom, it kinda gets stuck because of the bulked up foreskin. When rolling doen the condom, the foreskin on top of my penis will further slide down whil it stays in place on the other side. I'll try to put it on without pulling back the foreskin. Honestly, I never thought of that option...
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(Premier Login jimsplacetofixthings)
How are you treating it?
|December 25 2010, 9:17 PM |
Type I presents a medical emergency in which injections of insulin are not an option but a matter of life and death. Is this what you are doing?
|This message has been edited by jimsplacetofixthings on Dec 25, 2010 9:18 PM|
|December 25 2010, 11:03 PM |
Well, I suspect that I have type 1. All I have until now are the lab results that confirm diabetes (283 mg/dl). This is pretty high, but shouldn't be enoguh for a diabetic coma by ketoacidosis. So far, I have none of the symptoms of an upcoming coma, which usually announces itself about 24 hours before happening.
To answer your question: I'm not treating it yet. I cut down on the carbs (practically no sugar), but I'm still not inyecting insulin. I'm not waiting for the coma, but for the doctor. Paraguay is a 3rd world country with a crappy health system. Sad, but true. The earliest appointment with an endocrinologist I could get was for this Tuesday. I'm not happy about having to wait, but I was diagnosed on December 23. Wrong time of the year...
Given the danger to my health, I might get some doctor to see me, but I'd really rather wait for the endocrinologist. Messing up the dosage of the insulin or misdiagnosing my diabetes type and treating accordingly can have by far worse consequences than waiting a few days...
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Will be interesting to see, but - no panic!
|December 26 2010, 2:50 PM |
15.7 mM (millimolar)? That's just a little elevated but no panic - far more consistent with type 2 diabetes and neither an indication for panic or treatment with insulin.
It goes without saying that if your presenting symptom was (balano-)posthitis, you have had this sugar level for weeks or months, and coma is hardly a risk. As I said, the serum insulin level - has this been taken? - will be the indicator.
Noted the concern about the health system. In Australia we have "General Practitioners" (GPs) who - particularly outside the cities - (are expected to) have substantial expertise in and primary responsibility for treating diabetes; endocrinologists are a luxury - generally many km away from me.
Well we shall see.
|December 27 2010, 1:25 AM |
I repeat that type 1 diabetes is the last
thing you would want as it is by very definition more
difficult to treat - it is when your body cannot
make enough insulin, so you have to replace it and replace exactly
the amount needed.
Type 2 is when your body - due to overweight - becomes resistant
to the insulin you can
make. You then make more
insulin than necessary. The "downside" of this is that if you flog your pancreas long enough in this fashion, then
it wears out and eventually becomes "type 1". The prime objective of treatment of type 2 is to prevent
this happening by removing the insulin resistance - by losing weight. Doing that effectively is actually
easier (and more effective) than a lifetime of juggling insulin. The only problem is people who do not take the threat sufficiently seriously to actually do
the exercise and weight loss.
The extent of polydipsia and polyuria have no
diagnostic significance to the form of diabetes, these are simply an effect of the raised blood sugar. They may be less apparent in older people (who are more likely to have type 2) simply because older people are more likely to have other urinary symptoms which are a decoy.
Why am I so keen on GPs? Well, that would be telling indeed.
Hospital doctors on the other hand, have a quite different experience and in particular are not used to long-term management - of diabetes or indeed, emotional problems - because they only ever see the acute exacerbations.
Topical creams containing gentamicin are not used (or at the least, extremely
rarely) in good medical practice - I am particularly alarmed at the promotion of such things as "Polysporin®" and "Neosporin®
" as over-the-counter products in America. But I suppose if you have it, there is not too
much risk in continuing to use it.
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|December 26 2010, 8:34 PM |
I'm pretty calm. Everbody however else seems to be far more worried than I am...
I consider 283 more than just a little too high (taken after fasting for 10 hours, so levels after eating should be much higher), but - as you said - far from being an acute risk. I'm still tooting for type 1 though. I am a little overweight (not morbidly though and not for long) and the glucose level is low, but - as it seems - I discovered the disease early. Most people discover type 1 diabetes when they're already in bad shape. I guess I have to thank my yeast for that...
My furhter symptoms are more consistent with type 1 than type 2. Especially the polydipsia (which I blamed on the frickin' hot weather) and the polyuria (which I blamed on the polydipsia, so I confused cause and effect). But I guess only the doc will tell me for sure. As far as I know, I could also have Cushing's...
As for the GP: You're probably right. But I won't take any chances. My neighbor once went to the hospital because of a nervous breakdown. It was late at night and the doctor on call - a gynecologist if I recall correctly - gave her pain killers. Needless to say, it didn't do much good...
Mi serum insulin hasn't been taken yet. I would go and get it measured tommorow, but the doc will probably prescribe another 50 studies as well, so I'm getting 'em done all at once.
Regarding my foreskin, I'll keep pulling as you indicated.
As for the cream: It contains gentamicin, betamethasone and miconazole. Weird mix, I know. The miconazole probably would have done the job by itself. But I can't argue with the results.
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Interesting way of looking at it.
|December 26 2010, 12:29 AM |
Diabetes that is.
The main diagnostic factor is whether you are overweight or underweight. Type 1 diabetes often (but not always) causes
you to be underweight. Type 2 is a consequence
of being overweight. It is possible to have a mixed type, and exercise (as well as dietary restriction) is important for both, but more
so to the extent that it is type 2 ("insulin resistance"). A blood test for insulin level - which you should already have had - will tell. An interesting factor is that for people of certain racial groups - Indians and Asians in particular, "overweight" may be the higher end of what is for "westerners", normal. This may be relevant to your grandfather too as type 2 is heritable, but type 1 not (in general).
Well, we do focus on the foreskin here, but that is not to the exclusion of other health matters.
I know only too well about a bad season for being sick - I have a bad tooth which became blatantly obvious on Christmas Eve. Four public holidays in a row and even then, the dentist may be taking his "annual leave" for longer.
I believe my instructions for determining where to pull on the frænulum will indicate the most effective method.
I am a trifle anxious about an anti-fungal cream containing betamethasone as a primary "Thrush" treatment, but it will indeed be appropriate to continue
to put on only
the points you wish to stretch. Is the actual anti-fungal clotrimazole or what? Perhaps I suspect it is "Vioform®" = clioquinol?
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|December 27 2010, 7:59 PM |
Why did your replies come up in the wrong order? Well, nevermind...
Well, I guess my diabetes won't care if I want
it to be type 1 or type 2.
Tommorow is the big day. The first date
with the endocrinologist. That probably measn I will donate blood (again) on Wednesday and know the type
by Thursday. At least, I hope so. All the what if
is driving me nuts...
As for hospitals and long-term management: That's just how it's done here. Very
few doctors have their own practice.
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