Balanitis Treatment Online — telehealth consultation with a Specialist GP, $59, available Australia-wide. In-person follow-up at our East Melbourne clinic from $149 if a swab or physical exam is needed.
What is balanitis? Balanitis is inflammation of the head of the penis (the glans). When the foreskin is also affected it's called balanoposthitis. Symptoms include redness, soreness, itching, a discharge, sometimes a foul smell, and pain on urination or during sex. It's common — particularly in uncircumcised men — and most cases respond quickly to the right cream.
What causes it? Most balanitis falls into one of four buckets. Candida (thrush) is the most common cause — typically presents with white plaques, intense itching, sometimes after antibiotics or with poorly-controlled diabetes. Irritant contact dermatitis — soaps, perfumed body washes, condoms, lubricants. Bacterial overgrowth — moist conditions under a tight foreskin allow bacteria to multiply. STIs are a less common cause but worth ruling out, particularly if there's a new partner or recurrent symptoms — chlamydia, gonorrhoea, herpes, and trichomoniasis can all present with balanitis-like symptoms.
How telehealth treatment works. Your Specialist GP calls you privately. We discuss your symptoms — what it looks like, when it started, what's making it worse, recent sexual exposure, antibiotic use, and any underlying conditions like diabetes. From this we can identify the most likely cause in the majority of cases. You can also send a discreet photo via secure message before the consult if you'd like — many patients find this helpful but it's optional.
Treatment is matched to cause. Candida — clotrimazole 1% cream applied twice daily for 7–14 days, often combined with hydrocortisone if there's significant inflammation. Bacterial — fusidic acid or mupirocin cream, occasionally an oral antibiotic for severe cases. Irritant dermatitis — gentle cleansing, avoid the trigger, mild steroid cream short-term. The script is sent by SMS to any pharmacy in Australia. Costs are typically $10–25 over the counter.
When in-person review or testing is needed. If symptoms don't clear in 5–7 days of treatment, if there's an unusual presentation suggestive of lichen sclerosus or premalignant change, if it's the third or more episode in a year, or if there's any chance of an STI — we recommend either an in-person exam at our East Melbourne clinic ($149) or an STI screen via our $39 online test. Recurrent balanitis also warrants checking blood glucose to rule out undiagnosed diabetes.
Completely confidential. Your consultation, prescription, and any follow-up are private. We don't notify your regular GP, employer, or anyone else.