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Dermatology (Expert Forum)
Burning Sensation on Scrotum
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
Burning Sensation on Scrotum
by Ed S., Mar 02, 2004 12:00AM
Dr. Rockoff,
For 30 years I had struggled with ongoing groin rashes. In 2000, I used 200 mg Diflucan one per da. for six months, which cleared up the problem very effectively. I now use one 200 mg Diflucan tablet once each week to assure no return of the problem. I have been rash free for four years now.
My problem now is that I created a sensitivity on my scrotum by overtreatment of cortiosteroids (including Temovate) as well as Castellani’s Paint. While the color on my scrotum has slowly returned to almost normal from a reddish color, a sometimes mild, sometimes severe (but always present) burning and sensitivity remains, predominately on the right anterior side of my scrotum. Application of Protopic, Elidel, and Emu oil seemed to aggravate, rather than help, the sensitivity.
My dermatologist has recommended that I try Prax lotion (pramoxine) and/or Eucerin Itch Relief Moisturizing spray (menthol 0.15%).
I’d like your opinion as to these two topical applications re, the scrotum, i.e., are they likely to reduce or increse the sensitivity?. Also, for me to consume internally, what do you think of hydroxyzine, alpazolan (Xanax), and/or Neuronton—would any, or a combination help, and if so, what dosage would you recommend.
Finally, is there anything else you would suggest, either internally or externally?
Thanks,
Ed S.
For 30 years I had struggled with ongoing groin rashes. In 2000, I used 200 mg Diflucan one per da. for six months, which cleared up the problem very effectively. I now use one 200 mg Diflucan tablet once each week to assure no return of the problem. I have been rash free for four years now.
My problem now is that I created a sensitivity on my scrotum by overtreatment of cortiosteroids (including Temovate) as well as Castellani’s Paint. While the color on my scrotum has slowly returned to almost normal from a reddish color, a sometimes mild, sometimes severe (but always present) burning and sensitivity remains, predominately on the right anterior side of my scrotum. Application of Protopic, Elidel, and Emu oil seemed to aggravate, rather than help, the sensitivity.
My dermatologist has recommended that I try Prax lotion (pramoxine) and/or Eucerin Itch Relief Moisturizing spray (menthol 0.15%).
I’d like your opinion as to these two topical applications re, the scrotum, i.e., are they likely to reduce or increse the sensitivity?. Also, for me to consume internally, what do you think of hydroxyzine, alpazolan (Xanax), and/or Neuronton—would any, or a combination help, and if so, what dosage would you recommend.
Finally, is there anything else you would suggest, either internally or externally?
Thanks,
Ed S.
Doctor's Answer
by Alan Rockoff, MD, Mar 03, 2004 12:00AM
, Mar 03, 2004 12:00AM
I like Prax and use it all the time for itching. However, I think it will just cause burning and sensitivity on your scrotum. Given everything you've used, I would advise that you do as little as possible. Just apply a bland lotion like Lubriderm and use nothing medicated at all. As for the burning and sensitivity, I advise you to train yourself to ignore it. In time, it will subside, just as the redness did. Steroids, however strong, do not cause permanent damage.
Less is more.
Best.
Dr. Rockoff
Less is more.
Best.
Dr. Rockoff
Member Comments (2)
by aerofoil, Mar 18, 2004 12:00AM
i think you should use a drying powder, its cheaper, and can cover more skin faster, w/ less trouble. e.g. from Gold Bond, if available (or foot powder, without too much additives), (i have a similar, or the same problem - no cure, 2 yrs), i have searched and searched, it is genital candidiasis/fungus. we are both searching for a cure. i have even used ozonated oil, desenex, tinactin, clortrimazole (noticeable effect, good) ketoconzole (noticeable effect, good), and nystatin (also good to use) - i have avoided taking systemic drugs, for liver safety reasons, although diflucan has been said to be not so toxic as others e.g. ketoconzole, amphophin B (sp). plz respond, i know people w/ same ailments can take comfort in knowing others are in discomfort too, and possibly, possibly find a cure.
