Dear Anony_mouse, may I compliment you on making such a complete post! I'm sure that if you present your doctor with such a clear overview, (s)he'll know exactly what to do!
On the (not) washing with soap; Please note that Brandye is a doctor and therefor more qualified to answer than I am. But I'd like to present you with an additional point of view, based on what we learn on intimate hygiene as early as highschool (part of the obligated curriculum).
In the Netherlands health care professionals advice both men and women to not wash their genitalia with soap. Not on healthy genital skin and certainly not on irritated skin. Their explanation: the skin is far more delicate in the genital area than other places of your body. Pulling back the foreskin and washing with water is enough to properly cleanse yourself. When washing it with soap, you're not only rinsing away the feeding grounds for bacteria (smegma), you're also washing off the skin's natural protection. Soap dries out and irritates the sensitive skin, making it even more prone to infection. It is warned that daily use of soap over a longer period of time, could lead to producing more smegma, since the skin tries to protect itself. Which is why once you've started using soap daily over a longer period of time, you'll have to continue doing that every day. So if you decide it's necessary to wash with more than water, only do it every once in a while. Better; use a cleansing product without soap and with the same PH-value as your skin. For instance Klinion Personal Care Wash Lotion which is based on milk serum.
Off course; being no medical professional myself, I can't tell you what's best. I do know our sexual education-system is valued as high quality compared to the rest of the world and most men are uncircumcised here. By personal experience; I've been in a relationship with a man who washes with soap daily ever since he was a teen. Him being of a previous generation and on a Christian school; he was never taught any different. If he for some reason couldn't wash with soap for a day, that became immediately apparent by a lot of smegma.
Other than that; please see your doctor and ask for advice, before going out and buying things yourself. Also ask for advice when it comes to daily hygiene. In special circumstances there may off course be exceptions to the general rule. And it seems the general approach may differ.
RedRoses
Posted: 23 Sep 08:55