flaky skin on scrotum

[fc_hat]

3-4 years ago I was diagnosed with HSV-1 then I started having problems with the skin on my scrotum, itchy, flaky scabby.  I was fearful it was a symptom of HSV.  

After numerous visits to Dr's, dermotologists and posting on the STD forum I have been convinced that it is not a symptom of HSV.  

Wel,l my derm and I did determine that my flare-ups coincided with my playing ice hockey and she suggested that it was irritation caused by my own sweat, and suggested that I use petroleum jelly as a barrier.  Well my derm has since moved out of state and the petroleum jelly isn't helping so rather than seek out a new derm I thought I'd see if anyone here had suggestions.

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be eczema. Wash the areas several times with fresh water. Do not use any cosmetic products at the sites. You can apply some calamine lotion at the rash as it will help in soothing the skin. You can take some OTC oral antihistamine medications like Benadryl or Claritin and see if it helps.

For mild-moderate eczema a weak steroid may be used (e.g. hydrocortisone as dermacort), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).

Eczema can be exacerbated by dryness of the skin. Use good quality moisturizers to prevent moisture loss from the skin.

If still the symptoms do not improve then pls get a clinical examination done by a dermatologist.

I hope that helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.

[willy851]

It sounds like eczema. Sweating makes it worse. Petroleum jelly can help if you use it properly. When you get a shower try not to use much soap in the area. After shower apply a liberal coat of Vaseline. Use loose fitting clothes to keep from rubbing.
The condition can come and go or never go away.
Dermatologist don't do much to help, the only treatment they have are steroids, which can make things much worse.
The doctor probably told you but it is very important that you do not scratch. You will make things much worse and spread it.
You need to moisturize every day, not just when playing hockey.