Causes and Management of Scrotum Skin Rash

Rash in the scrotal area may occur due to many reasons. Causes such as jock itch, eczema and psoriasis should be considered under its differential diagnosis.

Jock Itch is the Commonest Cause

Scrotum rash

Jock Itch

Strictly speaking jock itch is not a scrotal lesion, at least initially. It usually starts in the groin area that may later involve scrotum. It tends to produce itch and redness in the affected area.

It’s due to a superficial fungal infection called dermatophytes, which is caused by Tinea Cruris. It is also known as ringworm, a misnomer since the causative agent is not actually a worm, but a fungus.

It is associated with heavy sweating and rubbing of inner thighs with scrotum in the groin area. That is why it’s commoner during conditions of excessive heat and moisture.

Tinea Cruris Microscopic

Fungus under microscope

The rash is raised, pinkish red, flaky, cracking, peeling and very itchy. It consists of circumscribed lesions consisting of small, multiple pinpoint-like pinkish bumps. Lesion’s central area may consist of dry scales with distinct edges.

Jock itch is associated with:

  • Excess moisture and sweating
  • Tight underwear
  • Rubbing and friction of skin
  • Fungal infection
  • Obesity
  • Diabetes
  • Long term use of corticosteroids
  • Improper hygiene of groin area

Management

Clotrimazole skin cream

clotrimazole cream

  1. Keep the groins clean and dry.
  2. Wash the area frequently with soap and water. This should be done after any work that involves sweating.
  3. Wear loose cotton underwear; avoid tight-fitting clothes.
  4. You may need a topical antifungal cream such as miconazole, clotrimazole or tolnoftate- as deemed suitable by your physician. If scrotum rash doesn’t go away in 2 weeks, then you may need to see a dermatologist.

Scrotum Eczema or Dermatitis

It is characterized by severe burning-like itching, redness, scaling and thickening of scrotal skin. The common causes of scrotum eczema or dermatitis include allergens, irritants and stress.

Contact dermatitis may be induced by variety of factors including chemicals such as topical antiseptics, clothing dyes, rubber of condom, spermicidal agents and grease etc. Other causes may include bug infestations such as pediculosis and scabies, generalized skin conditions such as psoriasis, atopic and seborrhoeic dermatitis and medical conditions like diabetes and systemic infections.

Treatment

  1. Remove the offending agent, if identified. This may include stopping any over-the-counter topical agent.
  2. Wear loose clothing to avoid moisture and friction.
  3. Manage stress with lifestyle modification and counseling.
  4. Medications such as oral antihistamines and mild topical steroids may be required for short duration.

Scrotal Psoriasis – a Generalized Skin Condition

Several areas of the body may be affected with psoriasis in addition to genital region. Psoriatic lesions are red and shiny with clear cut boundaries that are usually present on both sides symmetrically.

Treatment may include application of mild topical steroids for limited duration. Scrotum psoriasis may co-exist with fungal infection, hence topical antifungal creams may need to be applied.

Is Scrotal Skin Lesion an STD?

Many times people ask if rash on their balls an STD, that is, whether it spreads sexually.

Though jock itch fungal infection is not considered a sexually transmitted disease (STD), but direct skin-to-skin contact during sexual intercourse may cause it to transfer to the mating partner. Both the partners may need to be treated if direct skin transfer has occurred.

Scrotal eczema and psoriasis do not spread through sexual contact.

Rash in Infants and Toddlers

These rashes are noted on the skin beneath the baby’s diaper. These are seen among infants and sometimes early toddlers. Scrotal rash is bright red and scaly with pimples or blisters that may get bigger. Multiple patches may blend together to form larger lesions.

It is due to a yeast called candida which grows in warm and moist area under the diaper.

Diaper rashes may be seen in babies with:

  • Tight, ill fitting and friction-producing diapers.
  • Poor hygiene leading to unclean area with moisture.
  • Having diarrhea or more frequent bowel movements.
  • Taking antibiotics.
  • Reactions to soap or detergents used for cleaning cloth diapers.

Treatment

  1. Keep the affected area clean and dry. Try to provide diaper-free intervals to the baby by laying him on a soft cotton cloth or towel.
  2. Frequently change the diapers, especially if he has passed urine or stools.
  3. Clean the area with soft cloth and plain water gently, that is without rubbing, while changing diaper. Then allow it to dry for some time.
  4. Avoid alcohol and perfumed based wipes in order to avoid skin irritation.
  5. Use absorbent diapers and put them on the baby loosely.
  6. If you use cotton diapers, then avoid fabric softeners. Avoid putting rubber or plastic pants over the diaper as they do not allow adequate air flow.
  7. Avoid corn starch and talc.
  8. You may discuss about diaper rash creams with the baby’s medical care provider. Sometimes topical antifungals such as miconazole and clotrimazole may also be required.

Medical Advice (Q&As) on “How to Deal With Scrotum Skin Rash?

    1. Buddy M.D. Post author

      May be some infection, likely to be fungal.

      Read above in detail about the problem and its management.

      Reply
      1. Kay Lanza

        My testicales itch and no rash just lil bumps I think it’s become I’m shave wrong but i don’t know what it is

        Reply
        1. Buddy M.D. Post author

          Likely to be razor bumps. Just keep the area clean. Apply some emollient over the affected area.

          Reply
  1. Anonymous

    Scrotal itching. Rash comes and goes around genitals. Started one year ago. Been through all the ozole creams / 2 months Lamisil oral / vytone cream / even clobesasol steroid. Still persists. Help me.

    Reply
  2. Manuel Estrellon

    What are the alternative medicines for scrotom skin rash?There was one time that I used guava leaves to relieve itchiness co’z they said that, it is anti-bacterial.
    Please help me with this.

    Reply
    1. Buddy M.D. Post author

      Depends upon what is causing you that rash. It may be a fungal, an irritative condition of the skin or some allergy. Bacterial infections are uncommon over the skin.

      Is the affected area red or swollen? Since when do you have it? How big is the patch?

      Reply
  3. ahmed

    I work in a chemical factory for 3 years last month i felt itching, redness and scales on my scrotum i was scared and shaved that area and thought it will ease the pain but it gets worse i went to my GP she said i don’t what it is and refer me to someone at hospital but i didn’t go there and find out the next the my colleague had the same problem but his was gone within 2 days but mine lasted for 10 days ( maybe cuz i shaved and got 2 cut in the area ) i used some over the counter steroid cream. Now after a month i have the same condition.
    I am pretty sure the last one was because of some allergic reaction to a chemical at our factory but don’t know about this time as i was cautious about touching that chemical again.
    If it is allergic reaction what will help me heal fast because 10 days are tooooo long

    Reply
    1. Buddy M.D. Post author

      Very likely to be an allergic reaction. It’s now important to avoid further exposure of the chemical.

      Repeated washing with water would help. If it’s not itching, do nothing. Give it time to heal by itself. If it itches, you may occasionally use the steroid cream. Avoid too much use of the cream over the area.

      Reply
  4. Frank

    I have very tiny rashes in my balls. It itches me a lot. And I mean alot! It is reddish, tiny and plenty. Help!!

    Reply
    1. Buddy M.D. Post author

      Needs to be examined by a dermatologist for diagnosis.

      This could be an allergic rash, due to some new soap or garment used. Or else, it could be a skin condition like psoriasis.

      Can you send a picture?

      Reply
  5. Vishal Raj

    My scrotum ball is itching too much at night but their is not any type of rashes..
    And it is leaving dead skin cells also
    If that part is itched too much then it got scratched
    Please help me out from it

    Reply
    1. Buddy M.D. Post author

      It may be moisture collected in the area that’s giving you the itch.

      Wash the area thoroughly with ample water. No soaps or gels to be used. Wear loose cotton underwears to let the region breathe throughout the day.

      You may start using an antifungal powder over the scrotal skin. Zeasorb-AF powder or Miconazole powder may be used twice daily.

      Reply
  6. One poor boy

    I have some kind of red pimple like structures on my scrotum sack.(around 7 to 10). It just started with one 2,3 months back. i didn’t give much importance at first now it has become worse and the same pimple like thing has spread on to my thighs and the tip of my penis.And there are red rashes on my lower abdomen too. And there are small pimple like growths smaller than the one i mentioned above almost all over my body i.e in between my fingers, region near my armpit, thighs. when these all starts itching i use to see the 7 heavens! Please help me out.

    Reply
    1. Buddy M.D. Post author

      Likely to be a severe allergic reaction to some trigger. It may be a new food tried, laundry detergent or some other allergen around you.

      Start taking anti histaminic pills at the earliest. If the reaction doesn’t lessen in a day or two, you must see a doctor.

      Reply
  7. Omar Mehdi

    I have small circular white rash that peels off if scratched and the skin under it is really red.
    Its located in small groups at the front side of the scrotum and the base of the penis.
    Sometimes it itches.
    It just started suddenly three days ago .
    I wash it twice a day and apply sofromycin to that area.

    Reply
    1. Buddy M.D. Post author

      This is likely to be a fungal infection. Start using anti fungal powder over it. Candid dusting powder may be used thrice daily for 7 to 10 days.

      Reply
  8. Moby

    Hi so it goes like this my balls feel hard coarse and itchy. I scracth them a lot and i think i have scratched too much since i now peel of dead skin from them. Also as i examine the balls and area around it with my left hand i feel a burning sensation.
    same goes for my anas gap as it feels dry itchy aswell and i get a burning sensation when i apply water when i walk i get a burning feeling around my anas and balls and area underneath it. I have tried moisturizing creams and wash my self twice a day. The problem comes and goes but the burning sensation stays.
    24M round
    Help me
    Thanks

    Reply
  9. pari

    My scrotum has small circular white rash and when scratched, it peels off and is raddish/pinkish. Affected skin area looks thicker. Now it spreads almost both side of my scrotum. What should i do? It is itchy sometimes.

    Reply
    1. Buddy M.D. Post author

      May be psoriasis. See a dermatologist at the earliest.

      Let us know about your health status.

      Reply
  10. John

    Hi
    I am feeling a burning sensation on a small part of my balls and there are crack like wounds on it. It releases white like fluid from time to time but much lesser nor actually. Its been going for 2 days now. Please advise..

    Thank you.

    Reply
    1. Buddy M.D. Post author

      Any itch?

      May be a mild skin irritation. Apply a thick emollient over it. Let us know if it lessens the problem.

      Reply
  11. Owenn

    The skin between my testicles and legs sweat a lot and I have noticed recently that it is very sor and when I checked it most recently I noticed some skin had peeled away what do I do and is this bad

    Reply
    1. Buddy M.D. Post author

      You need to keep it dry. Any itch?

      Wash it thoroughly with ample water 2 to 3 times a day. Sweat is a irritant and can peel off the skin, if it gets accumulated. Wear loose underwears to let the area breathe throughout the day.

      Reply
  12. Chris Daniel

    So last fall, nearing the end of football season, I got this rash under my scrotum and the sides of my thighs and it was really excessively sweaty and itchy. I finally tried treating it like a month ago with lamisil cream for jock itch for like 3 weeks and it looked like it was working until like a week after the 3 weeks of treatment it grew incredibly itchy again and I ended up getting another rash this one is more dry than sweaty though. And I have a darker skin complexion so the rash is almost like white specs and the skin is shiny where the rash is.

    Reply
  13. DK Thakur

    Hello sir
    My scrotum skin is totally red looks like no covering skin layer for last four years no itching but some burning sensation. I apply daily candid Dustin powder in morning and coconut oil at night taking no pills. Many times I had visited dermatologist but they it will get cured but all in vain for last four years pls suggest me a good treatment so that my scrotum skin may become as normal skin

    Reply
    1. Buddy M.D. Post author

      Does it itch? If not, candid powder has no role. You may stop using it.

      Is the skin over it peeling off or forming scales?

      Reply
      1. DK Thakur

        There is nothing to peel off at scrotum skin . As I told there is no outer covering skin. Scrotum is totally red. I use Candid only to stop sweating. There is no itching at scrotum. Pls suggest me a treatment so that skin can be recovered as normal skin. I use daily Amla juice, Aloe Vera Juice, Neem Tablets Tulsi Tablets and Gilloy tablets as a part of aurvedic treatment twice. What should be taken to get normal skin from allopathic medicine.

        Reply
        1. Buddy M.D. Post author

          You may stop using all medicines there. Just apply thick emollients there. Give it time to recover.

          Avoid too tight bottoms. Let the area be well ventilated.

          Reply
  14. Albert Jones

    Hello,

    I had a fungal infection and was given Dazole cream, and after a while the infection has gone. However, my scrotum skin look much lighter than before. Is this normal?

    Reply
    1. Buddy M.D. Post author

      Yes, that’s alright. The affected skin area would gradually blend with the surrounding skin in due course of time.

      Reply
  15. Paul

    Between my legs and testicles it sweats and makes me itch my scrotum is also itchy. I have used lamisil containing terbinafine hydrochloride and miconazole nitrate 2% w/w cream. I’ve also used sudocrem to help healing process but my scrotum still itches. Am I right in thinking I should try ketocanozole cream?

    Reply
    1. Buddy M.D. Post author

      Miconazole and ketoconazole are the same. You may use the latter one if you want, may be it suits you better.

      Also, wash the affected area liberally with water. Keep it well ventilated. Wearing loose bottoms would help in this.

      Reply
  16. Anonymous

    Hey, I have had this problem for 5 months now but my scrotum is itching and scaling but it’s not itchy all the time. When I do get itch flashes it is complete hell and I have had jock itch before and I can say this is definitely not jock itch. Any help here for home treatments before I go to the doctor.

    Reply
    1. Buddy M.D. Post author

      This looks like a skin problem, may be eczema or psoriasis. You need to be examined for diagnosis.

      Reply
  17. Ty

    Started 2 days ago a rash that occasionally gets dry flakes and only was on the right testical but I think is spreading to the left and itches but hurts to touch and I know about jock itch could that be it? Or what else

    Reply
    1. Buddy M.D. Post author

      Could be eczema or psoriases. You need to get this examined for diagnosis.

      For now, an anti fungal treatment may be tried. If this solves the problem it’s alright.If not, go for a physical exam.

      You may try anti fungal powder there. Miconazole powder may be used twice daily.

      Reply
    1. Buddy M.D. Post author

      You may be having mild fungal infection over the affected area. You may start using miconazole powder over it.

      Reply
  18. Drew

    My scrotum is very dry and flaking, it’s red in certain areas, very cracked and when I touch it stings and really hurts.

    Reply
  19. Bjorn

    Dear doctor,

    Last June I suffered from an extreme red and itchy rash on my scrotum. I thought it was a fungus infection, so I applied Dactarin cream for 2 weeks. The condition and itch worsened, so I went to my GP and he gave me Triamcinolone. It healed within 4-5 days and I stopped applying Triamcinolone after 9 days.

    Last august I had to go to the GP against, because I had some irritation on my foreskin after rigorous sex. The GP prescribed Daktacort for the foreskin rash. It healed within 7 days.

    Now this September I’ve been having a light reddish rash/irritation on my scrotum again. It’s not itchy like in June, but it feels slender and raw. I do shave my scrotum with a clipper once a week. I also have a very tiny/shiny (non itchy) light reddish patch on my foreskin. I’ve been applying Shea Butter and a Cold cream.. It’s been a week since my last shave, but the rash on my scrotum hasn’t healed. It’s not itchy, but the skin feels slender and raw.

    I wear cotton underwear. I wash myself with water every evening. I don’t wash the area with soap and I don’t have a history of eczema or psoriasis. I am a bit worried because it’s the second time within a timespan of 3-4 months that I have irritation scrotum skin. I don’t want to apply another Corticosteroid cream, because I’ve heard that using those Corticosteroid too often might lead to chronic conditions like Red Scrotum Syndrome.

    Reply
    1. Buddy M.D. Post author

      Difficult to comment without a physical exam.

      This is unlikely to be fungal or any other infection. It’s some condition that’s coming from inside. It may be a local irritation to some product being used, or else, you need to be screened for eczema and psoriasis.

      Reply
      1. Bjorn

        Thanks doc,

        The skin doesn’t peel off and isn’t flaky tho.

        It covers most of my scrotum but not all of it.

        I will get it examined.

        Reply
  20. sam

    Hey doc I’m 18 years old and I’m facing this problem for about 3-4 years. Area of my thighs near to testicles is covered by dry skin when i rub it skin peels of same with testicles whenever I rub them light brown muddy type substance is peeled off and I also have itching problem on my scrotum and nearby areas. Yesterday, I was rubbing near scrotum it hurts when I saw it there is little skin peeled off which really hurts. I can’t even play coz when I run skin near my thighs near to scrotum stretches and it hurts. I live in India. I am a student most of the time I do lay down on bed or just sit on chair. I daily bath for about 2 or three times my pubic region is very sweaty. Please suggest me medicines which are useful to it and available in India, and also tell me some do’s and don’t. and please is there any another way to talk more privately..? I’m waiting for your reply.

    Reply
    1. Buddy M.D. Post author

      This is likely to be jock itch. This is a fungal infection that has stayed in that area since a while now.

      As you understand, excess of sweat and moisture in that area has been promoting it. You need to keep the area clean and dry. No need to put soap there. Cleaning with plain water in enough. However, you need to clean it more often, 3 to 4 times a day.

      Wear loose cotton underwears, that allow aeration there.

      You may also start using an anti fungal powder in the affected area after wash. Apply it 3 times daily. Candid powder / Miconazole powder, any of these may be used.

      Reply
  21. Daniel

    Dear Buddy M.D,

    I am prone to dry skin on my scrotum.

    I’ve experimented with different moisturisers. Coconut oil works well on my face and foreskin, but causes redness and a very bad itch on my scrotum. When I washed it off the itch disappeared, so I assumed it might have been an allergic reaction to the Coconut oil.

    I’ve also tried Shea butter, but it gave me similar results.

    Would you recommend Aloe Vera gel?
    Can you recommend a good moisturiser for a dry scrotum?

    Reply
  22. oscar

    Good day doc! I am having like rashes on the two sides of my scrotum. It doesn’t itch but it reddish and it hurts whenever I move because it rubs against my laps. Please help.

    Reply
  23. Anonymous

    The very front of my balls itch very bad around the seam where the 2 balls join. They itch on both sides of the seam. When they itch, they’re slightly red and the skin in that spot looks sort of inflamed. I work in a very dusty environment and i sweat alot. I’m also bad about not wearing underwear. The spot that itches is where my pants rub my balls. I shaved it almost a year ago and no hair will grow back in that spot. Hair also won’t grow on my lower legs because of the friction of the pants combined with the dust. My balls don’t itch every day, and they’ll even itch when I’m off work. The itch is intense and feels like poison ivy. Scratching makes it worse. I’ve used jock itch spray, i even sprayed athlete’s foot cream on my balls. Anyway, I’m also sexually active with multiple partners. I’m just wondering if my problem is heat and irritation and maybe fungal, or if it’s an std. Also you may want to note that the pants i wear at work with no underwear are cleaned by a uniform cleaning company, they’re cleaned with some harsh chemicals. I started wearing boxer briefs but sometimes my balls itch, sometimes they don’t. Even when they don’t itch the skin on the balls and around the base of my penis feels real dry.

    Reply
    1. Buddy M.D. Post author

      Likely to be due to heat and irritation and also a fungal infestation. Keep the area clean and dry. Wash it thoroughly with ample water splashes. Dab dry and apply a antifungal cream (miconazole may be used) over it. Weal loose boxer briefs to avoid contamination with dust.

      Reply
      1. Anonymous

        When using anti fungal creams how long does it usually take to clear up? And would it be ok to use lotion to help with dry skin on my groin area?

        Reply
  24. HG

    Hello doctor, I’ve been under medical treatment for last 75 days for ringworm.For first 30days Doctor prescribed me itraconazole 100 mg twice a day with cream lulican and flintop and onabet powder and washing with ketoconazole soap. Infections were on my thighs area . After 30 days doc prescribed me fluconazole 200 twice a week and continue with lulican and onabet cream for next 3 months.I havent any issue with scrotal skin. But from last few days I was using Terbinafine Hydrochride powder to prevent sweat and keep it dry. It worked fine first week. Later on my scrotal skin seems to be infected. Firstly dry flakes coming out with a little burning sensation. Later on burning was unbearable . I started applying mosturizer like boroline .There is a very little itching after applying moisturizer, But the outer skin became rough and dry and it doesnt start burning instanly. Burning sensation starts after few seconds of touching. If it get touched in sleep anywhere the burning starts. Please help. Thanks in advance.

    Reply
    1. Buddy M.D. Post author

      The skin seems to have become raw there. Stop using onabet cream. This thins out the skin if used for a long time.

      Rest of the treatment can be continued. You may apply boroline if it makes it better. Avoid friction over the affected part.

      Likely to heal is 3 to 5 days.

      Reply
  25. HG

    Thank you doc. I am using boroline from last 5-6 days. Doesn’t seem to heal the skin. It just keep it moisturized. Without boroline the dryness doesn’t go away.

    Reply
  26. Bob

    I noticed I have a rash on the left side of my sack earlier today. It is red, itchy and slightly burning. I recently did have unprotected sex but I talked to my partner and was told she is regularly checked for STDs. I have had epiditymitis twice this year. It’s also on the right a little as well.

    Reply
    1. Buddy M.D. Post author

      Diagnosis requires a physical examination.

      From what you’ve described, it may be a mild fungal infection. You may try any over the counter cream over it. If it doesn’t improve, you need to see a doctor for examination.

      Reply
  27. shan

    sir,
    i am troubling every year in monsoon season, by don’t know what is problem in my male reproductive system.
    i am 20 year old, this was started at when i was 17 years old.

    mostly every doctor treat like fungal-bacterial infarction. and it was correct. but this year, i am suffering, (like i have to rub my scrotum), and feels like there is something activity or any insect is inside of it.
    i get relief by taking cetirizine tablet ip and other medicine recommended by doctor. i had take it for continues around 10 days(2 times) and then stopped. i got relief for around 1.5 month.
    doctor had suggest me steroids injections. my sister is in last year of MBBS, and she suggested not to take that heavy.

    at now i am taking 1 tablet cetirizine tablet ip and as result, it reliefs me for 2 days. at 3rd day, i am getting so much feelings to rub my scrotum. and i was worried that i will destroy my scrotum by rubbing it, and i take that tablet.

    at the stage at 1 month from 1.5 month, many additional diseases were stared and healed by additional drugs recommended by doctor.

    what you think dr.? is it skin disease or any other problem?

    what should i do? i don’t want to eat medicines any more.

    Reply
  28. shan

    additional :

    scrotum looks like normal.
    the atmospheric temperature is about 35c and humidity is 65% and more.
    i get relief when i am in air conditioner.

    Reply
    1. Buddy M.D. Post author

      Start applying an anti fungal powder over the affected part thrice daily. (Use any- lotirmin powder/ clotrimazole powder). You have to wash the affected area with ample water before each application. Dab dry it and then put the powder. Wear loose cotton underwears only.

      Reply
      1. shan

        today, i got another problem.
        it looks like a bump on my penis. i disappears sometimes and comes back. looks like it is moving inside of my penis. i want to show you by image.

        sir, can you recommend me a shop?

        Reply
  29. Michael

    Hi I never had sex before and I have bumpy skin where my scrotum meets my penis and then again by my head I have had it for 2 days now and it itches wash going on, and how can I fix it

    Reply
    1. Buddy M.D. Post author

      May be a fungal infection. Any discharge there? See for white colored secretions over the penile and scrotal creases.

      Reply
        1. Buddy M.D. Post author

          Is it itching? If yes, lets go for an over the anti fungal treatment. Wash the region daily. Apply the powder liberally over the affected area thrice daily. Avoid friction over the portion. Wear lose cotton underwears. You may use candid powder.

          Let us know if it improves.

          Reply
  30. john

    My scrotum on one part of the left side is dry and which feel like its a rash, it is very sensitive and irritated when touched, very little itching, have applied fungul cream for two days and a half which slightly helped then stopped because i didnt know how long i should stay on with it, so i started applying zincast which really calms it down, but doesnt seem to fix it. so what should i do? continue with fungul cream? and if so for how long?

    Reply
    1. Buddy M.D. Post author

      If it’s a fungal infection, you’ll have a lot of itching.

      This looks like dermatitis. You may keep using Zincast. Wear loose hypoallergic cotton underwears only. Let the area be clean and dry. Avoid friction over the affected part.

      If it doesn’t get better in a day or two, you may need to see a doctor for physical examination.

      Reply
  31. James

    Redness and itching began on scrotum, has spread to underside of penis over course of 2/3 days, no raised bumps/ sores/blisters etc or burning just redness and itching but appears to have circlular spots but not raised.

    Reply
    1. Buddy M.D. Post author

      This may be a fungal infection. Keep the affected area clean and dry. Wear loose cotton underwears to avoid moisture accumulating there.

      You may start using an anti fungal powder thrice daily over the affected parts. Candid powder may be used.

      Reply
  32. Ken

    I have small red like bumps slightly raised on my scrotum that are centralized on my right scrotum. I noticed them first about 3 to 4 months ago after running a few miles and it was near the spot that my underwear was causing friction with my scrotum.

    The area on my scrotum(towards the front of my balls) started itching profusely (about 3 to 4 months ago). I went at began applying Lamisil to the location and it seemed to help with the itching. After about 4 to 5 days, the rash seemed to go away. I then began exercising again and shortly would notice the rash. This has been going on and off for about 3 months. It seems to go away when I put an over the counter antifungal cream on it but as soon as I stop applying the cream it comes back and will itch in the one spot. The rash does not spread at all.

    I also wash regularly and dry off and use talc powder after I shower to try and keep everything dry down there. However, it seems like this rash will leave for a few days and then come back.

    I’m wondering if my problem is STD, fungal or a bacterial infection. Please help!

    Reply
    1. Buddy M.D. Post author

      Likely to be fungal. Such infection tend to come again whenever they get appropriate conditions to grow.

      Keep the area clean and dry throughout the day. You may need to wash it with ample water after every exercise session. Little talc may be used to keep it dry. Wear loose cotton underwears to let the area breathe throughout the day. Avoid wearing tight bottoms for some time.

      If you have itch, better keep using an anti fungal powder over the affected area thrice daily. It may take around 10 to 15 days for the infection to go completely.

      Reply
    1. Buddy M.D. Post author

      Let us know your symptoms. Where is the lesion? Does it itch, pain or burn? Any discharge, rashes or pus filled lesions there?

      Reply
  33. Anonymous

    I feel burning pain on the scrotum skin and kts like the skin peals its self of cause of the look of my underwear when i remove it and it kinda sticks
    The pain or burn or even rush is occurring under the penis near the scrotum skin

    Reply
  34. Yash

    I have been suffering from this since about a week. First there was only burning itching on the thigh area around my genital. When I checked it was red. I thought it may be due to some sweating. So I stopped scratching it and left it alone. After a few days I started feeling pain in skin of some areas on my ball sack. Now it really hurt and there was a stinging sensation even at the lightest touch on it. Sometimes even if I didn’t touch it, it would still burn and pain. There is no severe itching. The affected area’s skin has become dull and appears like dead skin. While washing today, it was hurting a lot. While I was washing my ball sack, the skin there peeled off and it was so painful like no pain I’ve ever experienced. It burned. Upon peeling off, it revealed moist red skin.. Which looked like fleshy…and burned like hell when touched or came in contact with water or anything at all. I had been using the candid dusting powder.

    Reply
      1. Yash

        Thank you for replying..
        As for your question..
        Not on the scrotal skin.. No it didn’t work. But it worked on the inner thighs.
        But it helped with the itching overall.

        I’ve posted the same thing on the “Ask a question section”
        With the pictures. Maybe that will help you. Could you please check it out. If you could help me.. It would be great. I’m suffering a lot.

        Reply
        1. Buddy M.D. Post author

          The affected area looks inflamed. This may have happened due to some irritant like new soap, gel, or cream tried there. Such inflammations may also happen when you wear synthetic lower garments that rub against the skin.

          For now, avoid all kinds of friction over the affected area. Avoid using hot water for washing. Wear loose cotton lower garments only.

          Keep the area clean. Better wash the region with ample water, if you sweat too much or after every exercise session. You may start applying 1% hydrocortisone cream over it once daily for a week.

          Let us know if it improves.

          Reply
  35. John

    I have a small light red rash either side of my penis, doesnt itch or burn. When the skins stretched cant see it
    Is this likely to be jock itch?

    Reply
    1. Buddy M.D. Post author

      Jock itch would give you intense itch there.

      Could be due to collected sweat over the region. Keep the area well washed and dry. Wearing loose cotton undergarments would help. Avoid friction over the area. A little talcum powder may be used to aid this.

      Reply
  36. A black boy

    Hey doc,
    I av dis patch at my pubic area.. Does not itch or red or painful.. And I noticed it is also at d back of my knee..pls wah can I use

    Reply
    1. Buddy M.D. Post author

      What’s the color of the patch, any sensation over it, is the boundary sharp or blurred, is it increasing in size?

      Reply
      1. A black boy

        Thanks for the reply,
        Its slightly darker than my black skin, blurred boundary, no sensation, can’t really say if its increasing in size but I don’t think so.

        Reply
        1. Buddy M.D. Post author

          Some people have localized darker colored patches over the skin since childhood. Such patches are considered normal. They may arise due to abnormal distribution of melanocytes there or because those areas remained folded (less exposed to open) for a longer time during the growing years.

          Reply
  37. .willie

    I have a burning sensation on the right side of my scrotum. If I stretch my scrotum skin surface, little tiny bumps are present. My GP responded to the reddish coloration. My GP prescribed Clotrimazole and Betamethasone Dipropionate cream. The burning sensation still present.

    Reply
  38. Rio

    Am 19. It have been some years now am suffering with scrotal itch. I feel SME pain wen the place is moist bt the skin of the scrotum is scaly wen dry.it usually goes en come afta some times. Plz ur aid wit the treatment

    Reply
  39. David

    Dear doctor,

    Last June I was diagnosed with itchy scrotal eczema and GP prescribed Triamcinolone for up to 9 days.
    Last August I was diagnosed with an inflamed rash on my foreskin and another GP prescribed miconazol/hydrocortison cream for up to 7 days.
    Last September the yeast type of rash on my scrotum returned and I was diagnosed by my GP with a yeast infection on my foreskin and glans and he prescribed Ketoconazole for up to 4 weeks.

    Today I got diagnosed with a yeast infection on my scrotum (again) and my new doctor prescribed miconazol/hydrocortison cream for up to 7 days.
    The doctor also advised me to go to the local hospital for a blood test. (which I did) I am kinda worried now.
    I don’t eat a lot of sugar or junk food and I am certainly not obese.

    Do you have an educated guess about what it could be?

    Reply
    1. Buddy M.D. Post author

      Are you taking any other medications, like steroids, for some other medical condition?

      Getting frequent yeast could also be related to your daily hygiene. Factors like not bathing daily, wearing tight lowers, sweating too much there, eating more of junk food, may contribute.

      Reply
      1. David

        I don’t take steroids or any other medication. I wear clean underwear every day and I shower once every 3 days, but I wash my private parts with lukewarm water on a daily basis. I don’t eat a lot of sugar or junk food. I do take a lot of supplements like Acidophilus and Vitamin D etc.

        Reply
        1. Buddy M.D. Post author

          For now, you need to treat the infection on your scrotum. You may start taking the recommended treatment.

          You may get tested for blood glucose, sometime, to rule out diabetes.

          Reply
          1. David

            Thanks for the reply doc,

            I got an allergic reaction (severe itching) from the miconazole nitrate/hydocortison cream. So the doctor prescribed Fluconazol tablets 1 a week for a 4 week period. Still awaiting the results from the blood test.

  40. HD

    Hello Doc,
    I’m having skin of my scrotum crack profusely, from extreme dryness/flaking skin. It seems to come and go starting with a mild dryness with mild itch from the sheading skin. But the mild dry skin on scrotum will peel or flake away. Then after 3-4 days the new skin will be dry/flaking away but increasing in dryness and severity, with each cycle. This time is the worst ive had of it though. It looks like the skin is tight, glassy, and intense sensation to peal it away. But I can no longer do this as there are fissures/cracks in the “acordianed” non exposed surfaces of the skin (scrotal sac is in a similar state as exposer to frigid temperatures-tight, tucked up) so im “crawling in my skin” to peal it away, but to painful.
    My general skin type is very dry. Its like my body can’t produce oil to keep the skin healthy. At any given time threw out the year I can rub a leg, and it will be snowing skin. lol So i am very accustomed to dealing/tolerating dry skin. But ive never had dryness in this area. And never had dryness this sever anywhere on my body including cracked heals. Theres no rash or irritation. No bumps/oozing of new skin. There’s no rash or irritation, but I have had spouts of intense itching in the past sometimes so intense “eyes roll in the back of my head-euphoric”. I was sexually active then (2.5yrs ago) but not sexually active since. The intensity of sensation to itch has not been often, many months go by normal as anyone else, and occasionally a spout of moderate to intense itchiness would developed but only on a 1 time itch occurance. Never a persistent itch .
    I avoid chemicals like fabric softeners, anything that has perfumes or dyes, and all that stuff that would irritate dry sensitive skin. So I’m thinking its not a reaction to a chemical/substance. Also I don’t have any allergies so I’ll rule out a allergic reaction, unless its a autoimmune reaction…
    Long story short and if you have not guessed it, I have a issue about seeing doctors.
    I’m not to fond of it, but the autoimmune possibility (if you think there is one??)
    Would make seeing a doctor the only chance of fixing the issue..

    Other wise…
    Have any good remedies, or your thoughts on 1-2 of the very very best remedies that come to mind lol

    Daily joke:
    I was told at an early age, that I would NOT make a good doctor…
    Because I don’t have any Patience……. “Patients” XD

    Reply
    1. Buddy M.D. Post author

      Unlikely to be simple dryness or fungal. Your problem may be having an autoimmune basis. Diagnosis requires an examination by a doctor.

      Reply
  41. rio

    thnkz Dr for replying. Didnt try any anti fungal actually..May i know one antifungal cream plz so as to buy en try that one imediately

    Reply
    1. Buddy M.D. Post author

      You may start applying an anti fungal powder over the affected area every night. These are easily available over the counter by the names- clotrimazole powder/ lotrimin etc.

      Also, try to keep the area moisture free. Wear loose cotton bottoms to aid this.

      Let us know the response.

      Reply

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