What is the reason why the glans is always cold?

Perennially cold glans penis may be related to factors such as poor blood circulation, neurological dysfunction, and abnormal local temperature regulation. A cold glans usually manifests as a lower-than-normal local temperature, which may be accompanied by symptoms such as pale skin and numbness. It is recommended to seek medical treatment promptly and provide targeted treatment after the cause is identified.

1. Poor blood circulation

Cold glans is commonly caused by local blood circulation disorder. Prolonged sitting, cold stimulation, or vasoconstriction may lead to insufficient blood supply. Basic diseases such as smoking and high blood pressure can aggravate vascular lesions. Improvement methods include avoiding prolonged sitting and exercising moderately to promote circulation. If combined with erectile dysfunction, vascular diseases such as arteriosclerosis need to be investigated.

2. Nervous dysfunction

Diabetic peripheral neuropathy or lumbar disc herniation may affect perineal nerve conduction, resulting in abnormal temperature perception. Such patients often suffer from symptoms such as dry skin and tingling sensation. The degree of nerve damage needs to be clarified through electromyography and other examinations. Blood sugar control is the basic treatment for diabetic neuropathy.

3. Abnormal local temperature regulation

The scrotum has a special temperature regulation function. When the cremaster muscle contracts excessively or has abnormal heat dissipation, it may also affect the glans temperature. It is common in people who wear tight pants for a long time and work in high temperatures. Adjusting clothing to be loose and breathable to avoid continued local heat exposure can improve symptoms. Autonomic nervous system dysfunction needs to be ruled out in some patients.

4. Chronic prostatitis

Chronic pelvic congestion may affect penile blood flow through neural reflexes, manifested by a decrease in glans temperature. Such patients are often accompanied by symptoms such as frequent urination and perineal distension and pain. You can use Qianlieshutong capsules, tamsulosin hydrochloride sustained-release capsules and other drugs as directed by your doctor, along with warm water sitz baths to improve pelvic circulation.

5. Hypothyroidism

A decrease in the systemic metabolic rate will lead to a decrease in the temperature of the extremities, and a cold glans may be a local manifestation of systemic symptoms. Patients are usually accompanied by symptoms such as fatigue, sensitivity to cold, and dry skin. Thyroid function needs to be tested. After diagnosis, oral levothyroxine sodium tablets can be taken as replacement therapy.

Daily care should be taken to keep the perineum clean and dry and avoid prolonged exposure to low temperature environments. Wear cotton breathable underwear and do moderate pelvic floor muscle exercises to promote blood circulation. Avoid tobacco, alcohol and spicy food, and control basic diseases such as blood pressure and blood sugar. If the symptoms persist or worsen, you should promptly go to the urology department or endocrinology department to complete vascular ultrasound, nerve conduction and other examinations to determine the cause.