A small cut near the head of the penis that causes pain during sexual intercourse can happen due to several reasons such as friction injury, dryness, tight foreskin, fungal or bacterial infection, allergy to soaps or condoms, or inflammation of the sensitive skin around the penis. Sometimes repeated friction during intercourse or masturbation can cause tiny tears in the skin, especially if the area is dry or irritated. In some people, conditions such as balanitis (inflammation of the foreskin and glans), fungal infection, or uncontrolled diabetes can make the skin more fragile and prone to cracking. Since the area is sensitive and exposed to friction, healing may take longer if the underlying cause is not treated properly. Avoid sexual intercourse and masturbation for a few days to allow the skin to heal. Keep the area clean and dry by gently washing with plain water and avoid using harsh soaps, perfumes, or random creams. Do not apply steroid-containing creams without medical advice because they may worsen infection or thin the skin further. Wearing loose cotton underwear may also reduce irritation and friction. If the cut is associated with redness, itching, discharge, swelling, burning during urination, or repeated recurrence, you should consult a dermatologist or urologist for proper examination. The doctor may prescribe antifungal, antibacterial, or healing creams depending on the exact cause and may also check for conditions such as fungal infection or diabetes if needed. Seek medical attention sooner if the pain becomes severe, the wound enlarges, or healing does not occur within a few days.

A white-like substance on the glans, along with pain while retracting the foreskin, may be due to a condition called balanitis, which is inflammation or infection of the head of the penis and foreskin. The white material could be a buildup of dead skin, natural secretions called smegma, a fungal infection, or sometimes a bacterial infection. Painful or difficult retraction of the foreskin may happen because of swelling, irritation, infection, or tightening of the foreskin. Poor hygiene, excessive moisture, diabetes, fungal infection, use of irritating soaps, or unprotected sexual activity can sometimes contribute to this problem. It is important not to forcefully pull the foreskin back, as this can cause small cuts and worsen the pain. Gently wash the area daily with plain lukewarm water, dry it properly, and avoid harsh soaps, perfumes, or antiseptic solutions. Wear loose cotton underwear and keep the area dry. Avoid self-medication and avoid applying steroid-containing creams without proper medical advice because they can worsen infections or thin the skin further. Since the symptoms are causing pain and the foreskin is becoming difficult to retract, it is advisable to consult a dermatologist or urologist for proper examination. The doctor may prescribe antifungal or antibacterial treatment depending on the cause and may also check blood sugar levels if infections are recurring. Seek medical attention sooner if you develop severe swelling, fever, discharge, difficulty urinating, or inability to pull the foreskin back normally. Early treatment usually helps prevent complications and improve healing.