Burning Sensation on Scrotum

[Ed S.]

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

[hajibaba]

A related discussion, ITCHING OF THE SCROTUM was started.

[aerofoil]

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.

[Alan Rockoff, MD]

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