Hello,
Thanks for posting your query.
I can understand your concern for the tingling sensation in the scrotum.
Given your history, first of all HSV 1 can be responsible for the tingling sensations. During the first outbreak the initial sign can be a tingling sensation in or around the site of infection. Since you are getting the outbreak in the groin region, the area around it can also be effected. During a recurrent episode there is a tingling feeling in the skin in or around the primary site and is known as prodrome. These sensory feelings often indicate that the virus is active and traveling through the nerve ganglia to the skin infection site.
Apart from this, it can be due to parasthesia skin which is due to dysfunctioning of neurons and can occur due to nerve irritation also. It can be due to diabetes, hypothyroidism, peripheral vascular disease, vitamin B12 deficiency, neurological causes or malnutrition.
Get your blood sugar, vitamin B 12 and thyroid hormones levels evaluated. Animal protein is the richest source of vitamin B 12 and if you are a vegetarian then you may be having vitamin B 12 deficiency. You can take some vit B12 for some days and see if the symptoms improve.
If the symptoms persist then get an evaluation done from a physician and also get nerve conduction velocity tests done to rule out any nerve irritation.
Hope that this information helps and hope that you will get better soon.
Wishing you good health.
Hi Doctor. Thank you for your quick reply. It was very helpful. I feel I can rule out a lot of those disorders other than parasthesia. Like I said I do not think it is prodrome bc it is not in the areas where I break out, and haven't suffered an outbreak in a while and this feeling is everyday. I will schedule an appointment with a urologist in person, but in the mean time is there anything I can do to mediate parasthesia? Also is this a condition that will dissipate by itself over time or is it something I am stuck with? Thanks again.