The other possibility to consider is pubic lice (crabs). I have heard of dermatologists missing it, although it's a really bad miss when they do.
The picture did not load for me. I'm not sure of the cause at all, but I would try treating it with aloe vera if Lotrimin cream makes no difference. Try washing sheets and towels in hot water. I'm not a fan of bleach because lots of people react to it. You could add 1/2 cup of baking soda, measure the Tide accurately (make sure you don't use HE if you don't have that type of washer; it is a diluted product. If one rinse cycle doesn't get the soap out, try two rinse cycles.
I just uploaded a picture of my scrotum that is the only visible rash right now. I have had this since around march. Go to my pictures if you would like to help if you think you might know what this could be. The rash is only visible when my scrotum becomes tight and is not hanging loose. Thanks for any helping. Nathan
Also I question the water because I moved to college and it didn't start immediately. Conditions continued this summer when I moved back home.
okay thanks, why would this just all of sudden come up after 20 years of no problems though?
I would suggest finding out what is added to your city water. Is it chlorine or both chlorine and ammonia? When you find out, get a filter for your shower to filter those out.
Change to laundry detergent that is dye free, fragrance free, clear, and made for people with sensitivity.
The cream that might be soothing would be Lotrimin. With all the scratching, you could have introduced some yeast into abraded areas and made the itching worse.