Hi,
I am a 34 year old female who was recently diagnosed with sebborhic dermatitis following the weaning of my son from breastfeeding for 3 years. It started on my scalp four months ago and spread to my groin 2 months ago. I am currently trying to get pregnant and I have several concerns about the treatment of this chronic condition. I have gotten relief for my scalp using ketoconozole shampoo and betamethasone lotion every night. If I miss even one night, I'm miserable with itching and prickly irritation. I have also been using the keto shampoo on my groin, but it was not providing enough relief. I have a raw irritated sensations mostly in the crease between my groin and leg and then I get frequent biting, stabbing, itchy feelings all over my groin where there is hair. It also wraps around to my anal region.
For the past 2 weeks, I've added Desonide cream to my regimen and it really soothed the area. I know you aren't supposed to use it a long time, so I stopped and a day later, the redness, irritation and itching is back despite the continued ketoconozole shampoo use. My dermatologist tells me that Desonide can only be used in the groin a few times a week for a total of a month. I'm very worried about this since my rash gets bad after 24 hrs of not using the steroid. I really don't want to be on a steroid cream on my groin or my scalp for a long time because of the thinning skin and I'm afraid I will never be able to stop. I'm considering using Gold Bond powder, but unsure if it will help. Do I have any other choices? Is using hydrocortisone on my groin every day twice a day doable for a longer period of time than Desonide? Is the betamethasone really safe to keep using for over 4 months? I don't understand why my dermatitis is not going into remission and I'm worried it will never get better. Is there any hope?