Smegma: What It Is, Prevention & How To Get Rid Of It

Overview

• Definition: Smegma is a harmless combination of oils, skin cells, sweat, and other fluids that accumulate around the genitals.
• Appearance: Looks like crumbly cheese with typically a foul odor.
• Prevention and Treatment: Regular washing of genitals with soap and water.

Details

What is Smegma?

• A thick, cheesy-looking secretion that collects if the genitals are not washed regularly.
• Consists of:
  • Oils from sebaceous glands
  • Dead skin cells
  • Sweat and other fluids
• Not an STI, but can foster bacteria growth causing odor.
• Role: Helps keep genital skin moist, provides lubrication to decrease friction during sex.

Affected Demographics

• Common in: Uncircumcised males, accumulates under foreskin.
• Occurrence in Females: Accumulates in skin folds around urethra, vagina, and clitoral hood.
• Age Factor: Common after puberty, decreases post-menopause in females and around age 60 in males.

Symptoms

• Crumbly cheese-like appearance
• Foul smell
• Irritation or swelling
• Discoloration (red, pink, purple, gray)
• Difficulty retracting foreskin
• Clitoral adhesion

Causes

• Accumulation of oils, dead skin cells, sweat, and fluids.
• Not contagious or sexually transmitted.

Diagnosis and Treatment

• Diagnosis: Recognizable by appearance, healthcare provider can confirm.
• Treatment:
  • Regular genital washing.
  • Use mild soap free of perfumes, dyes, or alcohol.
  • Dry area thoroughly after washing.
  • Clean, breathable underwear recommended.

Special Considerations for Children

• Uncircumcised Care: Do not force foreskin retraction. Clean external foreskin only before separation.
• Teach children foreskin hygiene post-separation.

Prevention

• Regular washing of genitals is key to prevent smegma.

Outlook/Prognosis

• Expectation: Smegma can be managed and prevented with regular cleaning.
• Sexual Activity: Smegma is not harmful or an STI; condoms are recommended if STI status is unknown.

When to See a Healthcare Provider

• If smegma persists despite cleaning.
• Development of new symptoms such as pain or discoloration.

Final Notes

• Smegma is a natural condition, not an STI or contagious.
• Regular hygiene can prevent smegma buildup.
• Consult healthcare providers for unexplained skin changes.