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Antifungal cream for yeast infection for men: Fluconazole (Diflucan) – Side Effects, Interactions, Uses, Dosage, Warnings

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Yeast Infection In Men – TSMP Medical Blog

Once you make an appointment, a doctor will ask you about your symptoms and likely examine your genitals. Some of the white substance that forms on the penis may be examined under a microscope to confirm the type of fungus causing the symptoms, according to 2022 research .

Male Yeast Infection Treatment and Prevention

Angelica Bottaro is a writer with expertise in many facets of health including chronic disease, Lyme disease, nutrition as medicine, and supplementation.

Updated on October 03, 2022

Jamin Brahmbhatt, MD, is a board-certified urologist and Chief of Surgery at Orlando Health South Lake Hospital.

Table of Contents
Table of Contents

Male yeast infections are mainly treated with antifungal drugs applied directly to the skin of the penis. Depending on the severity, an over-the-counter (OTC) or prescription antifungal cream, lotion, or ointment may be recommended. Some may also need to take an antifungal by mouth to fully kill the fungus.

Male yeast infections, also known as penile thrush or penile candidiasis , can also be resolved with improved genital hygiene (particularly under the foreskin) and by preventing the buildup of moisture with breathable underwear and loose-fitting clothes.

This article describes the signs and symptoms of penile thrush and how to get rid of a male yeast infection fast. It also explains how to reduce your risk of penile thrush and when it is time to see a healthcare provider.

What Is Penile Candidiasis?

The most common cause of penile candidiasis is the fungus Candida albicans. Candida is present in the human body but is usually well controlled by the immune system.

On occasion, however, the fungus can overgrow if the immune system is suppressed or the natural balance of microorganisms on the skin (particularly under the foreskin) is disrupted.

Some people with penile candidiasis have no symptoms. Those that do may experience:

  • Genital itchiness
  • Redness and swelling of the foreskin or head of the penis ( balanitis )
  • Trouble pulling back the foreskin
  • Cracking or bleeding of the foreskin
  • White, foul-smelling discharge
  • Small rash-like bumps on the penis, sometimes pus-filled
  • Pain during urination
  • Pain during sex

When balanitis in uncircumcised men is severe, it can lead to the inability to retract the foreskin ( phimosis ) or the inability to return the foreskin to its normal position ( paraphimosis ). Paraphimosis is a medical emergency.

Treatment of Male Yeast Infections

Penile yeast infections are commonly treated with topical antifungals. These are medicated creams or ointments that you apply to the skin of the penis to kill the fungus. Some are available over the counter while others need a prescription.

Among the topical antifungals your doctor may recommend are:

  • Desenex (miconazole)
  • Lotrimin (clotrimazole)
  • Selezen (imidazole)

These medications are applied to the affected skin and can usually resolve an infection within seven to 21 days.

If these topical antifungals fail to provide relief or your immune system is compromised, your doctor may prescribe an oral antifungal like Diflucan (fluconazole) for seven to 14 days.

To protect others and give your body a chance to heal, avoid sex until the infection is fully resolved. Having sex with a penile yeast infection may not only transmit the fungus to the vagina but to the anus as well.

Prevention of Male Yeast Infections

Obesity is linked to an increased risk of yeast infections in men. Maintaining a healthy weight is one way to reduce the risk. Using condoms during sex also helps.

Proper hygiene can also help. This includes washing the penis and foreskin thoroughly with warm water and drying the area thoroughly. Avoid irritating soaps, deodorizers, or perfumed lotions.

Wear breathable underwear to keep the penis and groin dry.

When to See a Healthcare Provider

It helps to see a doctor if the symptoms are severe or unusual. If the problem is related to a tight foreskin, circumcision may be recommended.

If you decide to self treat and OTC treatments don’t work, or the yeast infection recurs, it’s important to see a doctor for an evaluation.

There may be an underlying cause for the infection, including undiagnosed diabetes, an underactive thyroid (hypothyroidism), HIV, or penile cancer.

Summary

Penile yeast infections (a.k.a. penile thrush or penile candidiasis) are caused by the overgrowth of the fungus Candida albicans. This can lead to redness, swelling, and itching of the penis and foreskin, as well as a foul-smelling discharge and small rash-like bumps. Uncircumcised men are more commonly affected.

Penile yeast infections are usually treated with topical antifungals, though severe cases may require an oral antifungal. Good hygiene, weight loss, and the consistent use of condoms can help reduce your risk of penile thrush.

Frequently Asked Questions

How do you tell if a male has a yeast infection?

  • Redness and swelling of the penis head or foreskin
  • Itching or burning sensations
  • A soft, whitish, cheesy substance under the foreskin and folds of skin
  • Difficulty pulling the foreskin over the head of the penis
  • Pain with urination or sex

Do male yeast infections go away on their own?

Male yeast infections often go away on their own once the underlying cause is resolved. But, severe cases can sometimes spread to the scrotum, inner thighs, and buttocks if left untreated. That’s why it’s best not to ignore a yeast infection. Your healthcare provider may recommend an over-the-counter topical treatment to treat the infection.

By Angelica Bottaro
Angelica Bottaro is a professional freelance writer with over 5 years of experience. She has been educated in both psychology and journalism, and her dual education has given her the research and writing skills needed to deliver sound and engaging content in the health space.

Penile Yeast Infection: What You Need to Know

Penile yeast infections can create a range of uncomfortable symptoms, but are often treated quickly by OTC medications, and can be reduced by taking certain steps, such as practicing proper hygiene.

A yeast infection is often thought of as a female health problem, but it can affect anyone, including people with a penis.

A penile yeast infection can lead to a wide range of painful and uncomfortable symptoms if not treated. It can also lead to serious complications if the infection spreads to your bloodstream.

Over-the-counter (OTC) medications can often clear up a yeast infection, and some basic prevention steps can help you avoid this fairly common condition.

Some of the most common symptoms of a penile yeast infection include:

  • redness, soreness, or swelling of the penis
  • white, shiny patches at the top of the penis
  • small red spots at the top of the penis
  • cracked foreskin
  • thick, white discharge under the foreskin or other folds of skin
  • difficulty pulling back the foreskin
  • itchiness
  • burning sensation during urination
  • pain or discomfort during sex

Redness, itchiness, and pain in the penis can be signs of other more serious conditions, like some sexually transmitted infections (STIs), so do not ignore symptoms once they appear.

A urologist or primary care doctor can diagnose the condition, often in a single appointment.

A yeast infection is usually caused by a fungus called candida. A small amount of candida is usually present in the body. All it takes is an overgrowth of candida to develop a yeast infection.

A moist environment is ideal for candida to spread, according to 2018 research .

Having sex with a person who has a vaginal yeast infection without using a condom can also cause a penile yeast infection. However, you can also develop an infection without sexual activity.

Aside from sex with a partner who has a yeast infection, several other risk factors can increase your odds of developing a penile yeast infection, such as:

  • not cleaning your genitals or bathing regularly
  • having a weakened immune function due to certain medications or health conditions
  • using antibiotics long term
  • wearing wet clothing or tight-fitting underwear
  • using skin products or soaps that cause skin irritation
  • having diabetes
  • using lubricated condoms
  • being uncircumcised
  • having obesity

Once you make an appointment, a doctor will ask you about your symptoms and likely examine your genitals. Some of the white substance that forms on the penis may be examined under a microscope to confirm the type of fungus causing the symptoms, according to 2022 research .

If you cannot get in to see a doctor or a urologist, consider a visit to an urgent care center or the emergency room. The earlier the problem is diagnosed and treatment begins, the more likely it is you can avoid complications.

It’s not recommended for a person to diagnose themselves and start treatment on their own. If symptoms of a yeast infection are present, contact a doctor. If symptoms are allowed to persist, complications can become very uncomfortable.

In most cases, topical antifungal ointments and creams are enough to clear up an infection. Some of the antifungal creams recommended for a yeast infection include:

  • miconazole (Lotrimin AF, Cruex, Desenex, Ting Antifungal)
  • imidazole (Canesten, Selezen)
  • clotrimazole (Lotrimin AF, Anti-Fungal, Cruex, Desenex, Lotrimin AF Ringworm)

Most of these are available as OTC medications, which means you will not need a prescription. More serious or long-term infections may require prescription-strength medication.

Oral fluconazole (Diflucan) and hydrocortisone cream may be advised in serious infections, like those that have developed into a potentially serious condition called balanitis.

Most antifungal creams are well tolerated and unlikely to cause any serious side effects. Check the label, however, and ask a doctor and pharmacist what to look out for in case you have a bad reaction.

Recurrent yeast infections

Yeast infections sometimes return after they seem to have been cured. If this happens, your doctor will likely recommend a few weeks of daily treatments followed by a few months of weekly treatments.

In some cases, treatment for recurrent yeast infections can last up to 6 months.

If your infection does not respond well to an antifungal ointment and you are uncircumcised, you may be advised to have an adult male circumcision, according to 2016 research . Though this surgical procedure is usually done on infants, it can be done safely on people of any age.

Diabetes and yeast infections

Factors like diabetes and a suppressed immune system may contribute to your yeast infection risk, according to 2019 research .

If you have diabetes, work with a healthcare professional to make sure your blood sugar levels are well-managed. If you have a suppressed immune system, a doctor can recommend ways to help keep your immune system as healthy as possible.

If left untreated, a penile yeast infection can lead to some serious complications.

Balanitis

One of the potential complications of a penile yeast infection is balanitis. Balanitis is an inflammation of the foreskin or head of the penis. Diabetes can increase your risk for balanitis.

If balanitis is not treated effectively, scarring of the foreskin can occur . It can also cause adhesions on the penis.

Balanitis can be painful and make urinating more difficult. If untreated, it can cause swollen and painful glands as well as weakness and fatigue.

Invasive candidiasis

A yeast infection may enter the bloodstream. This is known as candidemia or invasive candidiasis.

This is most common in people who wait to receive treatment until the infection has spread beyond the penis. It is also more common in those with weakened immune systems.

If you’ve been in a hospital and used a catheter to urinate, you may be more likely to face invasive candidiasis. This advanced form of yeast infection is very serious.

Oral antifungal medications may be needed for several weeks. In some cases, the drugs are administered intravenously.

If your infection is treated early and responds well to antifungal medication, it can clear up within 7 to 14 days.

If you are sexually active, your partner should also be treated for a yeast infection to avoid passing the infection on to them, or back to you.

If you get repeated yeast infections and can rule out causes like hygiene and sexual contact, talk with a doctor about other possible causes. You may have an underlying health condition, such as diabetes.

You can help prevent a penile yeast infection by avoiding sexual contact with a partner who has a yeast infection.

You should also avoid having sex with anyone while you have an active yeast infection, as you could pass the infection back to your partner. This could cause the two of you to pass an infection back and forth.

To lower the risk of getting a yeast infection or passing one along, do the following:

  • Wear an external condom each time you have sex to help reduce your chances of developing a yeast infection.
  • Practice good hygiene, and keep your penis and genitals clean and dry.
  • If you are uncircumcised, clean under the foreskin with soap and water, and return your foreskin to its usual position after you have sexual intercourse.

Penile yeast infections are not as common as vaginal yeast infections, but they do occur. They may result from poor hygiene or sex with a partner who has a vaginal yeast infection without using an external condom.

Symptoms include small white patches and redness on the skin as well as itchiness or burning. If left untreated, it can also cause other conditions and complications.

Topical antifungal ointments and creams can typically treat the infection and reduce the risk of long-term complications.

Last medically reviewed on May 11, 2022

Causes, Symptoms and Treatment Options

Medically reviewed by Drugs.com. Last updated on Jan 23, 2023.

What is Balanitis?

Balanitis is an infection or inflammation of the skin on the head (glans) of the penis. In men who are not circumcised, this area is covered by a flap of skin known as the foreskin, or prepuce. Balanitis can occur in both circumcised and uncircumcised men, although it occurs more commonly in men who are not circumcised. Young boys generally are affected only if they have a very tight foreskin that is difficult to pull back.

A variety of infections and skin conditions can cause balanitis. These include:

  • Infections with yeast (Candida) or bacteria that live on the skin (the most common cause)
  • Sexually transmitted infections, such as herpes simplex
  • Irritation of the skin by soap, detergents or spermicidal jelly
  • Benign (noncancerous) skin conditions such as psoriasis
  • Some types of skin cancer (very rare)

While any man can develop balanitis, the condition is most likely to occur in men who have a tight foreskin that is difficult to pull back, or who have poor hygiene. Diabetes can make balanitis more likely, especially if the blood sugar is poorly controlled. High blood sugar causes elevated amounts of sugar in the urine. Sugar-rich urine that dribbles on to the glans and under the foreskin provides a friendly environment for yeast and bacteria. Also, people with poorly controlled diabetes have a harder time fighting infections.

When balanitis keeps recurring, it may be caused by a yeast infection transmitted back and forth between partners during sexual contact.

Symptoms include:

  • A red, inflamed rash on the head and shaft of the penis or under the foreskin
  • Itching or burning in the affected area
  • A white, clumpy or yellowish discharge from the affected skin or from under the foreskin

Diagnosis

Your doctor usually can recognize balanitis immediately. Occasionally, a swab or scraping of skin may be examined under the microscope, or may be sent to the laboratory for further testing to confirm the diagnosis.

When balanitis does not respond to treatment or appears different from a typical infection, your doctor may recommend that you see a dermatologist (skin specialist) or that a skin biopsy be done. In a biopsy, a small piece of skin is removed and examined in the laboratory. This is done to determine if you have an unusual type of infection or other type of skin condition that is causing your symptoms.

Expected Duration

Most cases of balanitis respond to treatment within three to five days.

Prevention

Men who are uncircumcised should practice good hygiene, including fully retracting the foreskin during bathing. People with diabetes can help to prevent balanitis by carefully controlling their blood sugar.

Treatment

Treatment depends on the cause.

If your problem is caused by a yeast infection, you will be advised to use an antifungal cream. Clotrimazole (Lotrimin, Mycelex) is a very effective over-the-counter medication, which is also used for treating vaginal yeast infections and athlete’s foot. Apply it to the affected area two to three times daily for 10 days. Your doctor also may recommend a prescription antifungal treatment, either in a cream or pill form.

If you have an infection with skin bacteria, you will be told to use an antibiotic cream, and to make sure you clean the area thoroughly. Occasionally antibiotic pills may be necessary.

When the skin is inflamed, but not infected, you will be advised to keep the area clean and dry and to avoid any soaps or skin lotions that may be aggravating the condition. Sometimes a cortisone cream can help to improve the problem more quickly. However, cortisone can make certain infections worse, so it is best to avoid this type of medication unless it is prescribed by a physician.

Once effective treatment begins, you usually do not need to avoid sex, although sexual contact can chafe or inflame the affected area. Rarely, sexual contact can pass an infection back and forth between partners. If this occurs, both partners may require treatment at the same time to prevent further episodes.

In uncircumcised men, circumcision often prevents repeated infections, especially in men who have a tight, difficult-to-retract foreskin.

Treatment options

The following list of medications are in some way related to or used in the treatment of this condition.

  • clotrimazole
  • metronidazole
  • miconazole

When To Call A Professional

Contact your physician if:

  • You develop balanitis that does not respond to hygiene measures and an over-the-counter antifungal medication
  • Your physician’s prescription does not appear to be curing your condition
  • The balanitis keeps returning
  • You have diabetes, because balanitis may be a signal that your blood sugar is not well controlled.

Prognosis

The outlook is excellent if the problem is treated.

National Library of Medicine (NLM)

http://www.nlm.nih.gov/

American Urological Association

http://www. urologyhealth.org/

 

Learn more about Balanitis

Treatment options
  • Medications for Balanoposthitis
Care guides
  • Balanitis
  • Balanoposthitis

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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