A 47 years old lady who is not in physical relationship for the last few years develops rashes over face following masturbation. Areas of hyperpigmentation are left over face after few days. What could be the reason? How to manage?
Dear Veena could you please post any picture of this hyperpignentation?
Please do not post any pictures of the patients face - we should always preserve anonymity and confidentiality. Other than that, you provide too little clinical information to conclude or give you any advice. All I can say is that in my opinion, false causality with masturbation is assumed and all possible causes of this rash should be explored (infectious, allergenic or autoimmune ethiologies).
I certainly agree with Irena Jakopanec ·opinion.......wise one and pls always respect patient anonymity and ofcousrse none sense of such associations...U need to look for causes.
Another possibility is an allergic reaction - what does she use to masturbate? If she has a vibrator may be a non-latex condom on it might be worth a try? Or if she uses lube maybe she could try another type?
In some individuals and in particular conditions, the climax could to produce an effect similar to Flushing and promote an acute and persistent rosacea-like rash. In this cases the rash should be present also in other sites (I.e., neck).
Trop peu de données cliniques pour répondre précisément. Depuis quand? Quelle durée? Quelles zones du visage sont marquées? Faute de ces précisions,
- Il peut s'agir d'une simple coïncidence,
- On peut assimiler cette hyperpigmentation à celle de la grossesse ou à celle de la période ménopausique
- Pourquoi pas ...une pigmentation par un médicament?
Merci et cordialement, P. De Beer
Empirically speaking, masterbation involves one deriving images from the limbic system, which is responsible for replicating memory. Masturbation as a whole stimulates acetylcholine/parasympathetic nervous functions. Excessive stimulation can result in over production of sex hormones and neurotransmitters such as dopamine, acetylcholine and serotonin. Abundant and unusually large amount of these hormones and neurotransmitters can cause the brain and adrenal glands to perform excessive dopamine-norepinephrine-epinephrine conversion and turn the brain and body functions to be highly sympathetic.
Histamine is grouped with the aforementioned neurotransmitters, therefore causing vasodilation, which in turn would cause a rash.
Dear Marie,
How to manage such case? Some rashes leave areas of hyper-pigmentation.
Veena,
It depends on the increase in melanocytes, so severity has to be taken into consideration when adjusting dosage/frequency. For mild to moderate hyperpigmentation cases, personally, I've seen remarkable results with the following two a) hydroquinone 2%/glycolic acid 10% combo BID coupled w/ Tretinoin 0.05% qhs b)Tretinoin 0.1% QD
Topical azelaic acid, which has been approved for the treatment of acne vulgaris, is advised for postinflammatory hyperpigmentation as well, particularly in people with dark skin tone, but I have no experience w/results.
After sufficient improvement hyperpigmentation is achieved, a corticosteroid should be applied topically with hydroquinone to promote healing.
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