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Dermatology (Expert Forum)
Itchy Scrotum
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.
Itchy Scrotum
by DermHelp2007, May 23, 2007 12:00AM
I am a healthy, 32 yr old male non-smoker, social-drinker, fairly active, healthy eater. No prior STDs or any risky behavior.
I have got itchy areas on my bilaterally and intermittently on my testicles for two years. First I discovered this itch at night trying to sleep. The condition presented with itching and rash (more from scratching than anything else) and no blisters or eruptions. Though the skin is raised somewhat, and hard bumps.
I have tried going to a general doctor and informed him that I was afraid I had a fungal infection. I also discovered that if I apply moisturizer it helps with the itch some what but not raised the bumps. He advised me to stop using moisturizer and prescribed Clotrimazole and BetaMethasone Dipropionate cream (Rx only) cream to apply one morning and one night, Ketoconazole 200mg tabs (21 days supply) and was also Ketoconazole 2% shampoo to be used every other day.
While on this regiment, everything seemed to be normal. Thereafter, if I had any episodes of itchiness I used Ketoconazole shampoo and Clotrimazole and BetaMethasone Dipropionate seemed to control it.
Recently, I have had episode of itching and tried the shampoo and discovered that it caused the area to feel ‘drier’ and the itchiness did not resolve. I am not what to make of this, or what I should do.
Like to pictures:
http://www.imagebeaver.com/view.php?mode=gallery&g=305114
I have got itchy areas on my bilaterally and intermittently on my testicles for two years. First I discovered this itch at night trying to sleep. The condition presented with itching and rash (more from scratching than anything else) and no blisters or eruptions. Though the skin is raised somewhat, and hard bumps.
I have tried going to a general doctor and informed him that I was afraid I had a fungal infection. I also discovered that if I apply moisturizer it helps with the itch some what but not raised the bumps. He advised me to stop using moisturizer and prescribed Clotrimazole and BetaMethasone Dipropionate cream (Rx only) cream to apply one morning and one night, Ketoconazole 200mg tabs (21 days supply) and was also Ketoconazole 2% shampoo to be used every other day.
While on this regiment, everything seemed to be normal. Thereafter, if I had any episodes of itchiness I used Ketoconazole shampoo and Clotrimazole and BetaMethasone Dipropionate seemed to control it.
Recently, I have had episode of itching and tried the shampoo and discovered that it caused the area to feel ‘drier’ and the itchiness did not resolve. I am not what to make of this, or what I should do.
Like to pictures:
http://www.imagebeaver.com/view.php?mode=gallery&g=305114
Doctor's Answer
by Alan Rockoff, MD, May 24, 2007 12:00AM
, May 24, 2007 12:00AM
Eczema, not fungus. Try over-the-counter hydrocortisone 1% twice a day. Moisturize liberally. Minimize friction. Check with a dermatologist for definitive diagnosis and perhaps a somewhat stronger cortisone cream for intermittent use. This condition is usually hereditary, it is not an STD.
Take care.
Dr. Rockoff
Take care.
Dr. Rockoff
Member Comments (2)
by DermHelp2007, May 25, 2007 12:00AM
To: Forum-M.D.-AR
For over-the-counter hydrocortisone 1% is it ok to use on scrotum since it is a steroid?
by djffjd, Jan 25, 2009 11:55AM
A related discussion, itch in sensitive area was started.
by mashabam, Dec 01, 2009 11:57AM
A related discussion, itchy scrotum darkened in pigmentation was started.
