What are the causes and treatments of candidiasis (fungal infection) of the male genitalia?

From the Guidelines

Male genital yeast infections can be effectively treated with topical antifungal agents to relieve symptoms. According to the Centers for Disease Control and Prevention's 2002 guidelines on sexually transmitted diseases treatment 1, a minority of male sex partners may have balanitis, characterized by erythematous areas on the glans of the penis in conjunction with pruritus or irritation, and these men benefit from treatment with topical antifungal agents.

Key Considerations

• The treatment of male genital yeast infections focuses on alleviating symptoms, as the infection is not usually acquired through sexual intercourse.
• Topical antifungal agents are recommended for treating balanitis associated with yeast infections in men.
• Treatment may include topical antifungal creams applied twice daily for 7-10 days.

Management

Some key points to consider in managing male genital yeast infections include:

• Keeping the genital area clean and dry
• Wearing loose cotton underwear
• Avoiding sexual activity until the infection clears to prevent reinfection or transmission
• Completing the full treatment course even if symptoms resolve early
• Considering longer treatment if the patient has diabetes or a weakened immune system
• Seeking medical attention if symptoms worsen or don't improve after a week of treatment, as this could indicate a different condition or a need for stronger medication.

From the Research

Male Genital Yeast Infection

• The provided studies do not directly address male genital yeast infections, but they do discuss various treatments for candidiasis in other parts of the body, such as the mouth, vagina, and skin 2, 3, 4, 5, 6.
• Topical antifungal drugs like nystatin, miconazole, and clotrimazole are commonly used to treat candidiasis, and they have been shown to be effective in various studies 2, 4, 5.
• Systemic antifungal drugs like fluconazole and itraconazole can also be used to treat candidiasis, especially in cases where topical treatment is not effective 3, 4, 5.
• The choice of treatment for candidiasis may depend on the location and severity of the infection, as well as the patient's individual needs and preferences 2, 3, 4, 5, 6.

Treatment Options

• Topical antifungal drugs:
  • Nystatin 2, 4, 5
  • Miconazole 2, 4, 5
  • Clotrimazole 3, 4, 5
• Systemic antifungal drugs:
  • Fluconazole 3, 4, 5
  • Itraconazole 3, 5

Limitations

• The provided studies do not specifically address male genital yeast infections, so the results may not be directly applicable to this condition 2, 3, 4, 5, 6.
• More research is needed to determine the most effective treatments for male genital yeast infections.