Red Scrotum Syndrome and anxiety question

[Jasons4330]

About three weeks ago I noticed my scrotum was bring red. The only skin involved was the scrotum, the strip down the middle was its normal color.  It was not a rash just bright red pigmented skin, it did not itch, it had a slight burn every so often so I can live with it.   I also had a classic case of jock itch, I work out alot, sit around in sweaty compression shorts and the folds on both sides of my groin became red, itchy and scaly.   I went to my doctor who prescribed me 100 mg of Diflucan for 7 days and gave me a prescription anti fungal cream which seems to be working on the groin skin fold problem.   I applied this cream for three days to my scrotum and realized that the problem on my scrotum may not be fungal at all.    Alittle back ground on myself in May of this year I did something completely out of character and had a drunken fling with someone I did not know.  The condom broke and for almost 6 months now I have dealt with an huge amount of anxiety, guilt and paranoia over std's. I am also a severe hypochondriac and suffer from OCD.    I have been taken a 7 week IGG test negative for herpes and also a 17 week IGG test which was negative.  

This red scrotum came on at about 5 and a half months since this encounter and in researching it It seems there may be some connection to red scrotum syndrome psychological distress.  Can anyone confirm this ?

Also I have red the best treatment for this is no treatment at all is this also correct?

Has anyone had any luck working with a psychologist in relieving these symptoms ?

Thanks in advance

[pez_484]

Hey everyone.
I had RSS for one year, recently saw much improvement  to a level that I can say i dont really have any problems at all right now.. just wanted to share what I did so maybe some of you can start feeling better. It's a list of different things i picked up from different parts of the internet and a lot of different forums over this year of searching for a cure. Perhaps not all are needed but I suggest you take 3 weeks and follow this plan closely.
1.Stop drinking alcohol
2.Stop eating sugar
3. After washing your underwear in the machine, fold and stack and put them into the microwave for five minutes on high. then hang to dry. do this every time you wash your clothes until problem goes away. It kills any bacteria in your underwear.
4. Shave your testicles with a shaving razor ( to take off the top layer of skin - immediately  follow by step  number five ( and just to warn you apple cider vinegar on freshly shaved balls hurts ...ALOT)
5.for 5-10 minutes every-night sit yourself pants down in front of infrared light (I used a thermal 150w light, make sure the light is about 70 cm away if you are using a thermal light cause you can burn your balls!) then when balls are warm rub apple cider vinegar all around your the affected area.
6..In the morning take a warm shower and immediately on getting out,  while your balls are still warm and your pores are still open rub apple cider vinegar again
I suggest you start this process with the light and vinegar after at least 2 weeks of no alcohol and no sugar for best result.

Good luck everyone!

[Topgun527]

Did it ever go away?

[thedeadmandead]

The following works.

Rub virgin unrefined organic coconut oil
Rub Gold Bond Eczema
Rub Benadryl cream
Used 100% coconut bar soap in that area

gone in 3 days

[thedeadmandead]

The following works.

Rub virgin unrefined organic coconut oil
Rub Gold Bond Eczema
Rub Benadryl cream
Used 100% coconut bar soap in that area

gone in 3 days

[DahkterJ]

- Oh i think it was "zeasorb - af" that i used.

[DahkterJ]

- Baths are always better than showers. Bathing daily for 30-60 minutes is best if possible.

[DahkterJ]

-Also it is best to use a small short-bristled brush that could fit in the palm of your hand. Something from the "dollar store" even with plastic bristles would be fine.

-Also a moisturizing or natural soap is always best but understandably sometimes unavailable.

[DahkterJ]

- Also a dermatologist or doctor would have to prescribe this. And the powder i used was called something other than zeasorb, it was in a red/white/blue mostly white container but i forget the name. It smelled real "mediciney".

[DahkterJ]

I got "redballs" after having sex with a woman with a condom on. It ocurred only about 10-24 hours after coitis (sex) which was surprisingly fast. I think the cause was something she had on/in her vagina, but it was also poor hygene on my part. It is important to scrub your balls with a firm soapy brush daily while in the bath or shower. But this will not cure the rash once you've contracted it, this is only a preventative measure.
            The  actual cure for the rash once you've contracted it is an application of iodoquinol/hyrocortisone cream followed by a dusting of zeasorb or a zeasorb-type powder daily or twice daily and/or after bathing, on the scrotum (nutsack). And  gentle soapy scrubbing of nutsack while bathing. this should be done for at least 1-2 weeks  and the rash should quickly subside.
    Can a woman get "redballs" i don't know? but i do believe i got it from a woman. Their cure may be a bit more complicated though.

[Jacklot]

Im having the exact same problem and nizoral hasnt worked for me. Idk what to do

[Laughalot48]

Derma cool 1%. No cure but what relief.

[Jacklot]

When did it start working... The nizoral shampoo

[Whatsaname]

One week later and I'm completely clear. Nizoral did work.

[Whatsaname]

I tried Ted's suggestion of using Nizoral and it's looking like it works! I have gone from a bright red to a deep pink colour in 24 hours.
I think mine was due to steroid creams for another skin condition, so I have stopped using that as well.
I will let you know how it goes from here but a brilliant start

[itsdrivingmenuts]

So, I am in the same boat.  Same questionable decision.  Tested negative for HSV2 at 9 weeks.  Daily burning/pinching pain in various spots in scrotum.  Is this similar to what you are having? After showering, its gone.  When I wake in the am, nothing until I get up and move around.  Strange.  I can't fathom that its all mental since the feeling is so real.  Guess I'll try to stop focusing on it and retest for HSV2  at 6 months.  

[Jasons4330]

Agree with Drum.... Exersise and killing your guilt helps !!  I never imagined my mind could create this... But think of how flushed your ears get when embarrassed !!!  I think the same applies for the scrotum esp when the issue is shame and guilt over the use of your scrotum !   I have been gone for years and want to help all of you out and give back so feel free to pm me any questions .... It is cureable and it will get better!!!

[Jasons4330]

It is now 5 years later.  I completely forgot about my issue.  I honestly believe that this is caused by several things.  1 severe anxiety and stress,  2) minor trauma or infection of groin, 3) use of topical steroids.    

I stopped shaving with a razer and have not had any more issues.  I started getting cold showers and the redness started to slowly fade over months..... I also stopped all topical stetoids.... I dealt with my anxiety and slowly my scrotum healed.    It has never returned back to red.    I will also never put myself in a situation that creates that much conflict in my mind!  

[drumsaol]

I have been back to normal for a while.

I had a 'happy ending' massage in which she used her mouth. I woke that night to a burning red scrotum. No STD would appear that quickly, but I didn't know that at the time.

It is very emotionally difficult. Lots of guilt and shame. And unlike other rashes, you can't tell anyone about it. I became depressed and even suicidal (i had never experienced anything close to this, generally happy). I would turn to this thread and Dr. Rockoff's posts (search medhelp: 'rockoff red scrotum).

Eventually I had an emotional breakdown in front of a friend. Then I saw a good doctor, who didn't know anything about red scrotum but I found telling people and getting rid of the shame helped.

It got progressively better over months. However it is maddening because it seems to come and go with no control. But, each time a little easier to cope with mentally.

I found a skype phsycodermatologist who deals with warts, hives and red scrotum. Seemed to help a lot.

My take aways:

- Don't put anything crazy on it. I used vitamin E oil after showers.
- Read this thread and Rockoff
- Don't kill yourself
- Exercise
- Some doctors don't consider it real.

[DirkSturgeon]

I have been experiencing the exact same thing as the original post. From the encounter, shattering pangs of anxiety and guilt, depression etc. The scrotum is red but the stripe down the middle is a normal colour.  It seems at its worst after every shower (bright red but not itchy or burning).   I have been dealing with it for several months now, have tried a variety of creams including hydocrotisone which made it infinitely worse. (changed an average yeast infection type rash into a tight, burning, bright red one.) Now from my experience since abandoning  any prescribed medication, how it feels is more important than how it looks. The scrotum is naturally pigmented. The more I jostle with my balls and check them compulsively, the worse I feel and the redder they become. Its a psychological battle you must face in your mind. This condition has been turning me steadily into a hypochondriac and now I feel like the first step to take is dealing with those urges (the urge to constantly go to the doctor who thus far as offered very little help other than screening for chlamydia and gonnereha,  and the urge to constantly check my parts).

If anyone else has experienced any improvement in the rash with stress and anxiety relief your input is greatly appreciated.

[Topgun527]

Any improvement?

[TED_ROGERS]

I HAVE THE CURE!!!!!!

For 5 years I went through a very similar experience as most have described here and on other boards.  I spent a fortune on Harley Street doctors, doctors in the US, Singapore and Australia.  Nothing.  Had a million and one swabs, skin scraping and different diagnoses -  none of them correct.  I've been prescribed every topical and oral anti fungal, steroid and antibiotic going.  A couple of the many combinations had some improvement but never got rid of it, particularly in summer time or if I was in a tropical country.  Wont bore you with all the details but it was basically ruining my life.

Then I decided to visit my local NHS dermatologist. Within 5 seconds he told me immediately what was wrong.  Your body is allergic to a fungus that naturally grows on the body in that area. He told me to wash a the area and as much of the surrounding body as I can with Nizoral shampoo every other day, then once every 4 days.  

I didn't believe for a second he was right or it was going to work.  I had got advice from the best professionals in the world and had been medicated with everything you could possibly think of.  But I went through the motions and tried it.  At first I thought load of rubbish, then, as if by magic, for the first time in years, it completely cleared up.  As in nothing, at all.

One year on and as long as I use Nizoral down there once every 4-5 days, its completely clear.

NIZORAL EVERYONE - GIVE IT A GO!!!

[grassland]

Good day buddies,  I'm sylvester grassland from Nigeria west Africa, I'm 24.  I'm having this same similar issue and from all I noticed I just discovered the truth of this whole thing originating from our own head.  I will just try and lay most of them out to see if I will get out of the awful experience.........  Thanks peeps

[pigerker]

I know someone who had a very similar experience. HJ from SW and then severe anxiety and burning red scrotum. Yet no STD even when tested at 3 months. Based on what he was telling me I am convinced that the red scrotum issue was real, but that it was created to a large degree by anxiety. When the negative results came back the irrigation seemed to fade.

[Jrock79]

I have had this same issue for a few years off and on. I too had it happen the first time after sex with a questionable person. No stds just red itchy burning ball sack. The more stuff I threw at it the worse it got! I believe this experience shocked me from the stress and guilt so much that my body just continues to react this way. Kind of like your body is allergic to your sack! What I have found works for me is, as soon as it starts to flair up I take a Claritin and put Benadryl cream on my sack. After the cream is rubbed in good I put baby powder all over my twig and berries. It goes in about a couple of days. But it does always rear it's ugly head again though. It's a good idea between flair ups to moisturize the boys too, potentially keeping the red sack back! I hope this works for all of you. Can't promise though!

[smw222]

I had the same symptoms as mentioned in these post.
1. Noticed red spots on my right inner thigh.
2. A day or so later I had red testicles with a very defined border where the testicles sack ends. The skin began to feel thick and leathery.
3. Infectioned then moved to the penis. Spots on the foreskin and tip of penis also in and above the hair line of my genital area.
4. Last noticed spot on my left inner thigh. Very distinct oval, looked like ring worm.

Like many on this and other forums, i was freaking out for fear of being infected with an STD. If you have these symptoms, you are fine, stop worrying. You have Tinea Cruris, a form of jock itch. I struggled with this for over a week and finally went to the doctor. He prescribed Terbinafine HCL 250MG daily tablets and Nystop 100,000 units/gram powder. The tablets were the cure, the powder to keep area dry and comfortable.

Within 48 hrs. the area began to look and feel normal. 4 days later I am almost completely back to normal. Skin returned to normal color and texture, with spots almost completely gone. Skin still a little tender but mild considering where I was a few days ago.

If you are afraid or can't afford a doctor I would suggest Clotrimazole USP1%
Anti fungal cream. Same thing you would use for jock itch or athletes foot. You can get this over the counter at any drug store for about $5. My doctor said this is also effective, but not as fast and much more uncomfortable. You're going to feel a burning sensation the first couple of times you apply.

Back story is that I recently began shaving my genital area. I work out at home each night after work. I fell into the habit of working out and then resting, eating, and watching a little tv before finally showering right before bed. I also recently purchased a new down comforter and was sweating more than usual at night. The skin touching skin of shaving my genitals and sweat was apparently a perfect breeding ground for bacteria.

I wanted to come back on here and give some comfort to others with these symptoms. This was an emotional and uncomfortable experience due to fear of contracting something much worse. If you can muster up the courage to go to the doctor you will feel 100% better in 48 hrs. Stop worrying, you DO NOT have an STD!

[diverdown59]

Same symptoms. Great ball of fire. Severe burning. Treated with every cream you can think of. Tried doxycycline. No help. Found a good dermatologist. He has seen it before. Gave me a very strong steroid cream for several months, some improvement. Also putting a cool towel on the area twice a day. Then reduced the strength of the cream. Problem became tolerable but did not clear up. Ok days and bad days.

All during this time, I have been under a lot of stress and just feeling off, kind of in a fog, frustrated with a lot of things. I am in my mid fifties. For the first time in my life I went to see a mental health therapist. Kind of sorted out what has been bothering me. I  won't go into details, but I will say that the red scrotum issue has significantly resolved. Still a bit red but almost no burning.

Stress related. I sure think this is a factor.

[Topgun527]

Did you ever recover??

[Jasons4330]

Just an update.  It has been a year since I had this problem.   I have been clear for a year.  I believe I have found out what brings this on.   When this occurred I had been under extreme stress and anxiety over a dumb decision I had made.   I had shaved my scrotum and ended up getting a heat/rash/friction rash in my groin area.   I believe initially it was a mixture of the prolonged stress and guilt manifesting itself physically and the rash.  I ended up putting topical steroids on which turned it from a pink hue to bright red and made it itchy.  

I have been under a similar period of stress since about April of this year. I had began competing for a promotion at my job and my presentation was coming up this week.  It was the similar feeling I had a year ago.  constant stress.  Well I shaved on Saturday and ended up getting another heat rash where my scrotum touches my leg.   My left side of the scotum had the same pinkish hue as last year.  This time I began treating it with gold bond, and cold showers.... NOTHING ELSE  I also made sure I relaxed and did not freak out this time.    This morning the heat rash is still there but the pink is starting to fade.   When I get stressed out it begins to get darker.    

I think its important for anyone who ever looks down and sees a pink or red scrotum to not freak out... DO NOT USE TOPICAL STEROIDS on it and let it resolve itself.    I think once you start using the steroids it leads to damage that takes a verylong time to heal.