Hello, Dr.
I apologize for the graphic content, but I am bisexual and about a month ago I received unprotected oral sex from another male with a course goatee and he was rough on my inner thighs.
About a day later I noticed some mild itching in my inner thigh, and when I looked at it I noticed that there was a red, non-scaly rash on both sides. It was worse on the left side than the right. I figured it may have been a fungal infection so I got some Lotrimin cream and that kept it at bay for about 2 weeks. Unfortunately, when the Lotrimin ran out the rash came back.
I then took a trip to my GP who diagnosed it as mild jock itch and prescribed a Nystatin Triamcinolone Acetonide ointment. I asked him if the rash was just a coincidence with the oral sex and he assured me that it wasn't anything to worry about.
I have been on the Nystatin for about 2 weeks now. It keeps the rash at bay, and for all practical purposes it doesn't itch. As of now, the right side is very slowly getting better from what I can tell, but the left side seems to be the same. Also, the redness goes down on both sides after I have cleaned the area in the shower, and they are better mid-day after the ointment has been on the skin for a few hours. But, it seems like I reset to square one and the redness comes back when I wake up in the morning and repeat the process the next day . . .
It's not very itchy and it's not interfering with my life. Truth be told, had it not occurred after the oral sex I wouldn't even be very worried about it. I just want to know if I should be worried.
So, my questions:
1. Do you think it's jock itch? Eczema? Something else?
2. Is there anything I can add to my treatment regiment?
3. Is this connected to the oral sex? From the roughness on my inner thighs?
4. Causes like HIV aren't even a plausible concern, right?
5. Should I see a dermatologist or go back to my GP?
6. Should I be worried?
Thank you, Dr. I look forward to your reply.