Jock Itch, psoriasis, or something else.

[Ryansocal2]

So, I first noticed my symptoms about 4 weeks ago.  There was a soreness/slight pain on either side of the base of my penis.  This changed slightly to a soreness in the testicles, kinda moving from one to the other from time to time.  I waited a week and saw my GP who put me on a ten day antibiotic, and did blood urine and bacterial.  The idea being a likely infection of one of various things down there.  So, slight improvement, but overall symptoms didn't go away.  All the tests come back clear.  There was also a physical exam, no lumps hernias, nothing the doctor noticed.  
Went to urologist, another physical exam, different antibiotic this time 30 days this one stronger too, it's been about 10 days and symptoms are about the same.  Mostly just the pain around the base.  Where this comes into the dermatology area, I have psoriasis as well as having had ring worm in the immediate past ( I train mma 6 days a week ) There is a rash around the base of the penis and the urologist mentioned it as a possible cause.  I had assumed it was just psoriasis and I actually don't know much about that, having self diagnosed myself with that years ago.  I get the spots that come and go, right now I have a small section under my arm.  I will say that the rash is in the area where the pain is...  I have been to the urologist twice and I will keep going to doctors until I can get a handle on this, but what are the odds a rash can be causing this?  Is an uncomfortable visit to the dermatologist my next step, or ultrasound ( the urologist doesn't think this is going to show anything ).

It's been almost a month and I would very much like to have some answers!  

[jemma116]

I should imagine that the pain in base of your penis could have been epididymitis and hence why you were given the antibiotics.  If the condition has not improved, then it would certainly be a good idea to have an ultrasound scan done.  

With you being on a long course of antibiotics, it is highly likely that the soreness under your armpits and in the groin area is Thrush.
You can get impetigo in the armpits and on the skin anywhere, but you do not mention whether the spots weep and scab over.  This is contagious.

Antibiotics not only kill the bad bacteria, but also the good ones and because of that fungal problems start to get out of hand.  

If you feel the problem is on the skin, then seeing a dermatologist is a good idea.  But in any event your doctor can take a swab from the private area and another one from your armpits to get it analysed at the laboratory.

After the swabs are analysed, the lab will inform the doctor of the results so that the doctor would be able to know which medication to prescribe if anything untoward was found.  Fungal problems are treated with antifungal medications which come as a cream, spray, oral gel (if in the mouth), and also capsules/tablets.  Sometimes fungal problems need to be treated for quite a long time.

The dermatologist should be able to identify your skin problem and confirm whether it is psoriasis that you have or any other skin condition like Lichen.
He/she is the best person to see if you have a skin problem.

Hope you find some relief soon.

[BritishFemale]

Could the patches of irritated skin be related to a reaction to your own sweat?Only ask as under arms and groin are areas which can get warm and sweaty especially so during summer, if your are active or if you are over weight.
Just something to think about. There's a few medical conditions relating to this, I'm sorry I don't remember all the names. It sprung to mind as I knew a boy at school who suffered with something similar but I can't remember the details. Hope you get sorted.