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Gay Health News May 21,2023

Gay Men Can Get Yeast Infections Too, Especially Candida Balanitis!

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Gay Health News: While yeast infections are more commonly associated with women, it's crucial to acknowledge that men, including gay men, can be affected too. This particular type of infection, caused by a yeast named Candida, is frequently overlooked in discussions concerning sexual health, despite being a noteworthy concern.


Understanding Candida and its Implications

The term "yeast infection" predominantly refers to vaginal infections caused by Candida species, including Candida albicans, C. glabrata, C. parapsilosis, C. tropicalis, and C. krusei. However, it's crucial to understand that Candida can also cause infections in various body parts, such as the mouth, skin, and, significantly for men, the penis.


An infection of the penis, referred to as candida balanitis or balanitis thrush, is an important concern for the gay community. 'Balanitis' refers to an infection of the glans penis or the penis head, which Candida frequently infects.


Prevalence of Penile Yeast Infection

Approximately 30 to 35 percent of all balanitis cases are caused by Candida yeasts, with multiple factors contributing to these occurrences. However, research concerning candida balanitis is limited, making it difficult to estimate its annual incidence accurately.


Interestingly, Candida species can live in the gastrointestinal tract and other warm parts of the body without causing illness unless present in large numbers. Studies suggest that 16 to 26 percent of men carry Candida yeast on their penis, with approximately 37 percent being asymptomatic, while 27 percent develop balanitis.


Recognizing the Risk Factors

The risk factors for developing candida balanitis are varied. For instance, sexual transmission occurs when a man engages in sex with someone already having a yeast infection. However, penile yeast infections aren't considered a sexually transmitted disease (STD) as men can develop the infection without having sex.

Key risk factors include antibiotic use, immune-suppressing illnesses like HIV, diabetes, and corticosteroids. Gay men with uncircumcised penises are more susceptible due to the warm, moist environment beneath the foreskin, promoting yeast growth. Age, particularly being over 40, and having diabetes mellitus are strongly associated with candida balanitis. Hygiene practices can also influence the development of this infection.


Symptoms to Look Out For

Recognizing the symptoms of candida balanitis can aid in early detection and treatment. Common signs include burning and itching around the penis head, redness and swelling, small rash-like bumps (papules), and pain during urination or sex. Gay men with candida balanoposthitis may experience additional symptoms such as a thick, lumpy discharge under the foreskin, an unpleasant odor, and difficulty retracting the foreskin. Gay men with diabetes may face more severe symptoms.


Navigating Treatment Options

Fortunately, penile yeast infections, similar to vaginal ones, are effectively treatable with antifungal drugs known as azoles. Over-the-counter and prescription-based topical medicines, including clotrimazole (Lotrimin), miconazole (Monistat), and econazole (Spectazole), are commonly used. However, oil-based medications should not be used with latex condoms. In more severe cases, an oral azole medication, fluconazole (Diflucan), can be used.


Don't Underestimate the Power of Prevention

Prevention is always better than a cure. When it comes to yeast infections, prevention is indeed within your control. The easiest and most practical way to prevent male yeast infections is by maintaining a high level of personal hygiene. Regularly washing the genital area with mild, unscented soap and water is essential. After cleaning, it is equally important to thoroughly dry the penis, as yeast thrives in moist environments. It might be advisable to use a soft towel and gently pat the area dry, taking care not to rub too vigorously which could lead to irritation.


The avoidance of strongly perfumed shower gels and soaps is a critical preventative measure as these products can cause irritation and create a favorable environment for yeast to multiply. Use of mild, fragrance-free soaps is recommended.


Keep an Eye on your Diet and Health

Research suggests that yeast infections might be linked to high sugar levels in urine. Individuals with high blood sugar levels, such as those with diabetes, are more likely to contract yeast infections. In light of this, maintaining a healthy diet low in sugar could aid in preventing yeast overgrowth. Regular exercise to maintain a healthy weight is also advantageous as obesity can also create conditions conducive to yeast growth.


Moreover, keep an eye on your health condition. Gay men with weakened immune systems, particularly those with HIV, are more likely to experience yeast infections. Likewise, people with other long-term health conditions like diabetes or those taking antibiotics or corticosteroids are at a higher risk. Regular health check-ups are essential to monitor and manage these conditions effectively.


Clothes and Sexual Health Matter Too

The choice of underwear can also influence yeast infection risk. Opting for loose, cotton underwear as opposed to tight, synthetic ones can be beneficial as it allows for better air circulation, reducing moisture and heat where yeast is likely to grow.


Safe sex practices are equally important. Although not classified as a sexually transmitted infection (STI), a yeast infection can be contracted from a partner with a yeast infection. Using a condom during sex can prevent transmission. Also, if your partner has a yeast infection, it's best to avoid sexual contact until the infection has cleared up.


Proper Foreskin Care for Uncircumcised Men

For uncircumcised men, special attention should be given to foreskin care. The warm and moist environment under the foreskin is a perfect breeding ground for yeast. Therefore, ensure to retract the foreskin gently and wash underneath with water regularly. After washing, dry the area thoroughly to keep it from becoming overly moist.


When to See a Doctor

Despite all preventative measures, if you notice any symptoms associated with a yeast infection such as itching, redness, swelling, or unusual discharge, it's crucial to seek medical help promptly. Remember, early diagnosis leads to early treatment and prevents complications. A healthcare provider can accurately diagnose the condition and prescribe the appropriate treatment. Gay Health News warns that an untreated yeast infection can cause many complications which may include:


-Scarring and narrowing of your penis.

-Pain and difficulty pulling back your foreskin or moving your foreskin over the head of your penis.

-Issues with blood supply to the tip of your penis.

-Increased risk of penile cancer.


The Path Forward

A yeast infection can be uncomfortable and even embarrassing for men, but remember, it's quite common and treatable. It's crucial to remain educated about this condition and take the necessary preventive measures. By maintaining proper hygiene, keeping an eye on your health, practicing safe sex, and seeking timely medical care, you can keep yeast infections at bay.


As we conclude, keep in mind that while we aim to raise awareness and offer some guidelines, this article should not replace professional medical advice. If you suspect you have a yeast infection, it's always best to consult with a healthcare provider for a proper diagnosis and treatment.




Candida Infections of the Genitourinary Tract


2013 European guideline for the management of balanoposthitis


Genital Mycotic Infections in Patients With Diabetes


Vulvovaginal candidosis


Candida infections of the mouth, throat, and esophagus


Candida infection of the skin


Thrush in men and women


Superficial fungal infections of the male genitalia: A review


Merck Manual. Inflammation of the Penis


Urology Care Foundation. What are Yeast Infections?




Candida Balanitis with Hyperplastic Plaque Mimicking Vascular Neoplasm


For more about yeast infections in gay men, keep on logging to Gay Health News.