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
      2. Bill

        I have a patch of greyish scaly skin every few days it drys and peels it looks like it’s going away and then drys and peels again pls help been going on almost a year

        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
    1. Lubken 32

      scrotal and groin itch over one year,through various cremes, powder, pills doctors (3) have eliminated fungal and bacterial type. Possibly nerve and now taking gabapentin for last seven weeks and no sign of relief. What do I have and how do iget rid of it?

      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
  42. Peter

    My condition began when one evening my scrotum was red, flacks and the skin quite hard. I applied Anti-Fungal cream and the condition improved, after traveling a week later it returned. Subsequently oral Anti-Fungal and More cream resulted in a rash appearing on my inner thighs and disappearing after a few days. My scrotum was still red however no longer itchy. Since then my scrotum has been intermittently red and prickly/slightly itching. During the day it can almost entirely clear up but later become red and with a noticeable sensation. Steroid creams seem to offer slight improvement but redness and prickliness at times persists.

    Please help

    Reply
  43. Peter

    Continued..

    Additionally, during the first occurrence I noticed a redder patch of skin on the back side of my scrotum, best described as circular and red. This patch returns from time to time especially after sweat or tight clothing.

    Reply
    1. Buddy M.D. Post author

      Likely to be fungal. It’s better to restrict on using the steroid cream. Use it not more than once daily.

      You need to keep applying the anti fungal ointment. Such infections may take time to go. However, you should be able to see improvement.

      Reply
  44. Nico

    i have a red rash all over my scrotum for years! you can barely see that it is red, the visual symptoms are very mild. the urge to scratch most of the time is minimal, but it still very uncomfortable i try’t most of the anti fungal cremes, even pills! i did go to my doctor, he just gave me some moistening creme, i am so lost what to do,
    the scrotum is red but not as red as the picture above on this page. what can it be, hope you can help. thankyou

    Reply
  45. Arrugadito

    Three weeks ago I noticed a red coloration on the right front side of my scrotum. I thought it was trapped while sitting for too long and it would go away. But then I noticed days later that it didn’t. I ignored it, then I noticed that it’s not only the right but also the left. So I have like an upside down heart shaped redness on my front scrotum, slightly blending to the sides but the border is blurry yet distinguishable.

    I had been itchy down there for months, but never attributed anything to it. Until I had a firy instance, I decided to look closer.

    I noticed the skin was really shiny. At one point it would start to flake, but it was stubborn to come off. I also started getting patches of this shiny skin on the shaft.

    Admittedly at times, I would wear the same underwear for days, even after working out. Gross but that habit has changed.

    I went to the doctor and she said I had a Candida fungal infection. I was prescribed seven days once a day of Fluconazole 100, and twice a day of topical Ketoconazole 2%. I have also been airing things out, keeping things clean. I have finished the pills and still using the cream.

    The flaming of the skin seems to have subsided, the itching seems to have decreased. The shiny skin seems to have decreased about 75% but isn’t entirely gone.

    But my main concern is, that the redness didn’t change at all. The redness exists strictly on the wrinkly area of the scrotum. It’s more noticeable when the scrotum is crumbled together than when it’s warm and lose. I didn’t have this a month ago.

    Reply
  46. Mile

    Just today i woke up with dry skin area and notice i have black patches around my balls area everything points towards jock itch but their is no red rash but it does itch but no the point were im scratching my skin and the lower back part of my penis itches a little to, i just used some jock itch today but it didnt help like i thought it would does it gradually help more or os this something else?

    Reply
    1. Buddy M.D. Post author

      Unlikely to be jock itch. May be some angiokeratomas.

      Need to see a dermatologist for exact diagnosis on examination.

      Reply
        1. Mile

          The blue star cream worked it stopped itching completely and scabs on my balls area are completely pilled off which left discolored pinkish skin but i can see the color coming back and it dosent itch, i apply grease after every shower to keep it undry

          Reply
  47. David

    Hi Doc,

    I was diagnosed with a yeast infection on my scrotum early December. The GP prescribed hydrocortisone/micanozole cream, but it seemed to make my symptoms worse. I went to the local hospital and the GP over there prescribed fluconazole 150mg capsules for up to four weeks. I’ve finished her course January 1th.

    A couple of days ago I’ve noticed a light reddish and slightly raw and burning sensation on my whole scrotum. It’s not itchy or scaling, but it does feel raw and burning almost like a sunburn. I tried to sooth the skin with petrol jelly, but to no avail. The results from a recent bloodiest showed no diabetes or thyroid problems.

    Any thoughts?

    Reply
    1. Buddy M.D. Post author

      Better not use any medicines now. The yeast is likely to have got cured with all those tablets and medicines.

      Just give the area some rest and time to heal up. Avoid friction over it. You may keep applying any emollient/ petroleum jelly over it.

      Reply
      1. David

        Thanks a lot for the answer doctor,

        Went to the GP again today. The GP said I have yeast related intertrigo, most likely because of yeast overgrowth. I am on Flucanozole again for a period of three months.

        Do you have any tips on diets or other ways to fight this overgrowth? Would acidophilus or any other probiotic like Kefir milk benefit my situation?

        Reply
        1. Buddy M.D. Post author

          Probiotics are good for you. Avoid excess sugars, fats and processed food stuff. Consume fresh fruits, vegetables and freshly food meals.

          Reply
  48. Jonathan Smithinson

    Hey,
    My testicles are red and itchy. The skin on the sides of the testicles is flaky and Peeling off in some parts there are red spots where the skin has peeled off. My inner thighs are also red. My testicles leave wet areas on the sides of my underwear also some white stuff which I assume is my skin. My testicles and the wet areas on my underwear also have a strange smell, which seems very familiar but I can’t figure out what it reminds me of. It may be related to excesive moisture. I have Ocd so I spend a lot of time taking baths and showers. If I’d help I could try cutting out baths and take mostly showers.

    Reply
    1. Buddy M.D. Post author

      Cut down on baths. Keep the area dry. You may also apply some emollient over the affected area to avoid dryness, which is a cause of severe itch.

      If the situation doesn’t improve. you may need to see a dermatologist for exact diagnosis.

      Reply
    1. Buddy M.D. Post author

      May be used.

      It’s better to take the pills at a gap of a hour. Diflucan is never to be taken empty stomach.

      Reply
      1. David

        Dear Doc,

        I’ve been prescribed Fluconazole 150mg (once a week) for a period of 3 months due to intertrigo/yeast overgrowth on my scrotum and penis (glans). I am approaching week 3 (I took my third pill last monday) My scrotum does look a little better but is still slightly red. Is the redness a side effect?It doesn’t itch but my penis (glans) looks wrinkly/leathery from time to time. In the evening my scrotum looks a little better, especially when the skin stretches. Should I finish the three months of Fluconazole or go back to my GP?

        Reply
        1. Buddy M.D. Post author

          Better to finish off with the prescribed treatment first, before you visit your doctor for physical exam.

          Reply
          1. David

            Dear doctor,

            Are there any other good oral alternatives to if Fluconazole doesn’t do the job and that you can recommend?

          2. Buddy M.D. Post author

            Since it’s not working, it may be that you don’t have a fungal there.

            It’s difficult to comment further without actual examination.

  49. Ray

    2-3 years ago I had itchy scrotum after sweating because I play sports and I scratch the area so hard that my so part of my scrotum skin as a different color ( I’m dark skin so it’s red/pink color….it’s been 3 years now and the skin haven’t get back to normal color can you please help me can it all dark skin again?

    Reply
    1. Buddy M.D. Post author

      Do you get the itch all the time, or does it go away after you wash off the excess sweat from the area?

      Have you tried any anti fungal products there?

      Reply
      1. Ray

        The itch go away after showing but sometimes it itch me in the night and no I haven’t try any fungal products but my main issue is the color not coming back because I scratch the completely off when I could help but scratch

        Reply
        1. Buddy M.D. Post author

          You may start using an anti fungal powder (like TINACTIN, or any other product) over the area every night. Let us know if it improves.

          Also, avoid scratching there. You may keep your nails trimmed to avoid trauma during inadvertent scratching as while sleeping.

          Reply
  50. victor

    i have rashes on penis and my scrotum..it itches me mostly at night..the itch comes with a slight pain on my scrotum..i also notice that the skin on my scrotum peels out after i itch..please i need help urgently its been happening for 6months now

    Reply
  51. Ivan

    Hi Doc

    My scrotum seems to itch mostly at night and it is becoming more intense. There is no visible difference on the skin except that is gets thickened when scratched. Itch can carry on throughout the night.
    May I know what’s the cause for this and any cure for it?

    Thanks and regards

    Reply
    1. Buddy M.D. Post author

      May be fungal or some skin problem. Needs a physical exam for diagnosis.

      May be you can post a photo of it at our community link or eles where.

      Let us know if you can localize any patches of skin that are affected there or the whole scrotal skin itches. Also, any redness, peeling of skin or white flakes over the affected area .

      Reply
      1. Ivan

        There isn’t any redness Nor peeling of skin. The whole scrotal skin itch rather than any localised area. No any visible changes except skin gets thicker and on some nights itch can really persist till unbearable. Any recommended remedy?

        Thanks

        Reply
        1. Buddy M.D. Post author

          Looks like a local irritation there, not a disease.

          Commonest cause of irritation may be dryness. Wash the skin well with ample water during bathing. Avoid using any soap or gel over it. Dab dry and apply a thick, non perfumed emollient/ moisturizer over it. Avoid using very warm water fer bathing.

          Another reason could be rapid temperature fluctuations. To prevent this, where loose cotton lowers during your sleep. Avoid too much heat in your bed room.

          Let us know if it gets better.

          Reply
  52. BJ

    Hi doc, I get a hot prickly burning sensation on my testicles and buttocks whenever I sit for more than an hour. Making work very difficult (work at a computer). The testicles look red and skin raw when it is happening and get sticky and uncomfortable but always feels much better after a shower. The skin feels dry but moisturizer or emollients don’t seem to help. Have tried many powders and anti fungal creams but all seem to make it worse. Shower everyday (twice) just to keep the feeling away.

    If you have any advice that would be great.

    Reply
    1. Buddy M.D. Post author

      May be the sweat and secretions that get collected while you sit for long irritate the skin out there. Bathing twice is good. Also, avoid wearing tight lowers. Wear loose cotton pants to let the area stay dry.

      Reply
      1. BJ

        Thanks doc is there any chance that washing twice a day is too much and what is causing the area to dry out too much? I try not to use soap as it irritates but also can’t use oils or moisturizer as they also irritate.
        Thanks for responding really appreciate it!

        Reply
        1. Buddy M.D. Post author

          Washing twice with plain water is alright. Avoid using all that irritates, all soaps and creams.

          Reply
  53. Pedro

    Hi doc, my rash started in my toes, spread to back of hands, chin and scrotum. Scrotum by far the worst part, when contracted in cold the skin is horribly wrinkled and feels thick and scaly, very uncomfortable, in warm water or environment it’s not as bad but still very red and raw (can see clear colour change boundary) I freaked out googling it and got checked for STD as result (clear) 3 GP doctors have just prescribed antihistamines and steroid cream and although the tablets help with itching cream not doing much good (been6weeks now). Since started in toes I obviously thought athlete’s foot but no joy with anti fungals. I was using lots of cleaning products with methylisodazonolone (spelling from memory here but hope you know what chemical I mean) so I’ve kind of diagnosed myself with contact dermatitis as a result, does it sound plausible? The folds of elbows and knees have also become affected but perhaps 2 weeks after the initial outbreak and eyes are also itchy when irritated at different times of day. I’ve been avoiding this chemical but it was in my bleach spray, washing up liquid, laundry detergent and surface wipes. I’ve applied numerous types of moisturisers emollients etc but they seem to annoy the head of my penis driving me crazy with uncomfortableness. Last point worth mentioning I got an impacted wisdom tooth out 48hours prior to first symptoms. Also for clarification I cleaned my house barefoot several times which could explain toes as initial point of display? Sorry for long post but I just don’t recognise my body anymore from intimate areas to my hands and face and I’m always uncomfortable so hard to even forget about it!! Thanks for any help

    Reply
      1. Pedro

        No oozing, (I do occasionally see fluid on toes I take to be sweat) if I squeeze my ballsack so the skin contracts there are very tiny intermittent red specs I take to be broken skin from scratching, quite itchy, I’ve noticed more dandruff in my hair but I think I’ve maybe kept skin elsewhere from peeling due to the shear amount of specialist moisturisers I’ve been using (aveno, oilatum, epaderm etc) think I’m going to need to see a dermatologist?

        Reply
        1. Buddy M.D. Post author

          Yes you need to see a dermatologist for expert opinion. This appears to be some skin condition, may be psoriasis.

          Reply
  54. Josh

    Hi doc I have a localized rash only affecting my scrotum sack. The skin is red, from the base of the penis all the way around my scrotum but doesn’t really itch too bad it is just a little concerning to me.

    Reply
    1. Buddy M.D. Post author

      May be a localized patch of allergy or a fungal infection.

      Can you describe the patch or send it’s picture? Let us know if the patch is increasing in size, how itchy is it, is it raised above the skin surface.

      Reply
      1. Josh

        The patch was just red and only slightly itchy at times. I work manual labor so I am constantly moving around and sweating. It wasn’t raised my scrotum area was just red all the way around. I shower everyday when I come home from work. I have since begun doing some hygeine in the morning and I ditched wearing sweatpants at night to sleep in and I either wear boxers or nothing at all the redness seems to have subsided some some of the skin is returning to normal color so idk if it’s contact dermatitis or something?

        Reply
        1. Buddy M.D. Post author

          Unlikely to be fungal. May be local irritation due to sweat or contact dermatitis.

          You may just continue with the precautionary steps you are taking. Likely to subside in a week or two.

          Reply
  55. Ched

    Hello doc, I have had a lot itching under my scrotum and where the sac meets my inner thigh for 6 months now.it gets worse at night. I moved into a new apartment with a radiator that is very overactive, that which I’m not sure if it correlates or not. I have tried a lot of things under the sun and eventually went to a dermatologist, he said it was ezcema. I was prescribed elidel and it did seem to work however I was only told to use it for 2 weeks, since I stopped it came back just as bad. I should note I noticed a formation of tiny white bumps on my sac, not blisters but bumps that also sometimes itch. Other things I have tried are aloe, gold bond powder, almond oil, etc. please let me know what I can do to rid this, also, I have a new GF is this transferrable? I’m not 100% sold it’s eczema.

    Reply
    1. Buddy M.D. Post author

      Avoid over heating of your bedroom during sleep. Also, weal lose cotton lowers during night.

      If you sweat a lot, fungal inflections need to be ruled out.

      Eczema is not transferable.

      Reply
        1. Buddy M.D. Post author

          Likely to be pimples/ sebaceous cysts over the scrotal skin. Needs to be examined for diagnosis.

          Reply
  56. Paul

    I had this same thing 2 years ago when I was 15 I had this rash next to my balls it grew a lot and disappeared without anything. it came back now, I didn’t want it to grow so I applied hydrocortisone but it developed a white layer which was dead skin and I rubbed it off it leashed some sticky for which I think was lymph so I put coconut oil on it but it formed the white layer again it didn’t happen last time should I looked it grow and due or like last time or do something i tried everything from lemon juice to coconut oil, castor oil even turmeric done times salt and the skin which has the rash is always moist I even put some tissues to keep it dry even after using only cotton undies

    Reply
    1. Buddy M.D. Post author

      Does the rash itch? Is it growing in size? Do you have itch or patch any where else over your body?

      Reply
  57. Paul

    Last time it came it grew in size but I controlled it and it didn’t grow but it became whit and always it was moist compared it the other parts and warmer too it dosen’t it on the rash but on its sides and groin I started putting prickly hall powder at first then the cream I prefer powder to cream add it keeps it dry too

    Reply
  58. Paul

    And the white layer comes off when rubbed with a tissue with rubbing alcohol and some sticky fluid gets generated which on exposure to air dries up and forms the white layer back and I’ve read that I shouldn’t use soap there is that true I normally use cinthol cool

    Reply
  59. Paul

    And I don’t have it anywhere except next to my balls, on my balls, below my shaft (it also makes the white layer ) and STD is ruleed out I’m Virgin

    Reply
    1. Buddy M.D. Post author

      Very likely to be a fungus, may be trichomycosis, where the fungus affects the hair over the affected area. Over the counter anti fungals may not work. Oral dose may be needed.

      You need to see a dermatologist for diagnosis and treatment.

      Meanwhile, keep the area clean and dry. Avoid using soaps or gel there. Clean it with ample plain water only. Dab dry, avoid rubbing. You may clean with rubbing alcohol, as you did, once in a while. Avoid friction over the affected part while walking.

      Do update us about your case.

      Reply
  60. Paul

    I thought I shouldn’t use soap so I stopped soap and started using plain water and rubbing alcohol the whit patch went off maybe it was an allergic reason but the itch seems to be growing slowly in my groin but the one under my shaft the skin came off and the rash isn’t there is it an improvement the skin send to come out under the shaft there was some small wound like it was done by a pin but the rash there is totally fine is this house it goes off and the sides of the rash is becoming black from red

    Reply
    1. Buddy M.D. Post author

      Appears to be heal. It’s important to avoid dryness over the affected area . After washing, you may use a mild emollient / moisturizer over the affected part.

      Reply
    1. Buddy M.D. Post author

      Keep it very well moisturized. This is likely to solve the problem.

      If not, 1% hydrocortisone cream may be used, once daily, for 3 to 5 days. Avoid over using it.

      Reply
  61. Palu

    It is getting a foul smelling thing which feels slippery when I wash it with water I think that is the cause of the itch . how to make it not produce this slippery thing

    Reply
    1. Buddy M.D. Post author

      You may start using an anti fungal powder over it. Ketoconazole / miconazole powder may be used.

      If not controlled, oral anti fungal pill may be needed. You may need to see a dermatologist.

      Reply
  62. Paul

    Hi I went to a dermatologist they told I have eczema so can I have some tips on how to get rid of it and make the itch go away and I think I shouldn’t use soap it itches when I use it so can u tell me what else to do to make it go away and stop the itching

    Reply
    1. Buddy M.D. Post author

      They prescribe special steroid ointments for eczema. Use only the ones prescribed.

      Avoid using any harsh soap or gel there. You may not use any, just clean the region with plain water. Also, avoid dryness over the affected skin area. Any non perfumed moisturizer may be used.

      Reply
  63. James

    Hello I’ve been diagnosed as inverse psoriasis in my pubes can I get any advice on how to deal with it the doc told me not to overuse the cream so are there anything I can do to get rid of it and advice to deal with it is needed thanks

    Reply
    1. Buddy M.D. Post author

      This condition take around 3 to 6 months to get fully cured. All your symptoms would disappear.

      Reply
  64. Anonymous.

    Hi Doc. My testicle and penis itch with a some tiny bump-like growth underneath my balls and pubic hair. Please, what do you recommend to stop the itchness and the bumps? Thank you.

    Reply
    1. Buddy M.D. Post author

      This could be an allergy, or a fungal infection or some skin condition.

      Let us know if the affected area is red or swollen. Any pain or discharge you may see over it? Is the affected area expanding with time? Since when do you have it? Have you had a similar problem before?

      Reply
      1. Anonymous

        Redness of the affected area – Yes
        Swollen – Between 8 to 10 little(pimple-like) bumps when counted.
        Any pain – Yes (burning sensation) when touched but no discharge.
        Is the affected area expanding with time? – Not expanding because I have been washing with diluted Apple cidar vinegar and application of Penicillin ointment.
        Since when do you have it?- 8days
        Have you had a similar problem before? No.
        NB: Whenever I stop the application of Vinegar and penicillin ointment, its start to expand and itch.

        Reply
        1. Buddy M.D. Post author

          Keep the area clean by washing it with ample water. No soaps to be applied. Dab dry and let the region be well ventilated throughout the day. Wear loose lowers for this.

          Start using an anti fungal powder over the affected region. These are available over the counter. Miconazole/ Ketoconazole may be used twice daily, including once at night time.

          You may continue with the apple cidar vinegar use.

          Let us know if it improves.

          Reply
  65. David

    Hi Dr,

    I got diagnosed with intertrigo/yeast infection a while ago. I’ve used Ketoconazole cream for six weeks on my scrotum and penis. I’ve also used Diflucan for three months. I’ve stopped the topical application of Ketoconazol and I’m approaching the end of my Diflucan course. My scrotum is less red but still slightly reddish corners. My doctor said it’s most likely erythrasma of the scrotum and presribed two claritromycine capsules. The glans of my penis looks very wrinkly and a bit irritated or dry. Any clues why it became wrinkly all of a sudden?

    Reply
    1. Buddy M.D. Post author

      Likely to be due to the long treatment over the area, which usually alters the pH of the region.

      It change would gradually revert back to normal. Take a good diet, consuming fresh fruits, vegetables and any probiotic supplement. This would help in early recovery.

      Reply
  66. Anonymity

    Doc can u tell me the difference between inverse psoriasis and eczema .I have a rash which is red and changes to pink and dulls but if I scratch becomes red again and itches, it’s like a vicious cycle of scratch and itch but it develops a white layer some times .it’s mostly moist to touch but not wet ,there’s no dryness and the white layer has a foul smell. when I wash it the white layer goes away and forms after some time the tag is warmer compared to the test of the body but I guess it’s natural add it’s in my groin . Oh and whenever it itches, it is warmer than usual and more moist and a bit sticky but when it dosen’t it it is dry and cold what could it be

    Reply
    1. Buddy M.D. Post author

      This sounds like inverse psoriasis due to the characteristic white layer that forms over it, however, diagnosis requires a physical examination by a dermatologist.

      Meanwhile, Castellani’s Paint may be tried for relieve.

      Reply
  67. David

    Hi Dr,

    I’ve been diagnosed with erythrasma on my scrotum. I’ve been having brown/reddish patches on my scrotum for 10 months. I’ve been given a single course of 2x 500mg clarithromycin. It seems to be spreading to my foreskin, because it’s getting really dry. Does it take a long time for the pills to work? The patches seem to decrease, but the irritation around my foreskin concerns me.

    Reply
    1. Buddy M.D. Post author

      Since when are you taking the pills?

      Avoid warmth and humidity getting accumulated there. Keep the region down there well ventilated by wearing loose cotton undergarments.

      Reply
        1. Buddy M.D. Post author

          3 weeks should be enough for healing.

          Do you have any other symptom there, like itching, burning, pain etc.?

          Reply
          1. David

            I have no itching or pain. The skin looks better when it’s stretched. It feels a little raw, but not really burning. The patches are slightly red and brownish tho.

          2. Buddy M.D. Post author

            The area is likely to be healing. You may wait for some time and observe.

  68. Abhishek

    Sir, there is lot of itching on my testicles as there is lot of redness and swallow marks , i get itching when I am walking , underneath the balls and burning sensation as well

    Reply
    1. Buddy M.D. Post author

      This may be a fungal infestation. Wash the region well with ample water. Dab dry and start applying an anti fungal powder/ ointment over it thrice daily. Powder would be preferred. You may use fluconazole/ miconazole powder.

      Wear loose cotton bottoms to let the area be well ventilated. Avoid friction over the lesions while movements.

      Reply
  69. David

    Hi,

    I am applying Fusidic Acid Cream for erythrasma on my scrotum. Third day in I am developing small red bumps (rash) on my inner thighs. It’s not itchy or painful. How long should I keep on applying this cream? Is it normal to have these side effects?

    Reply
    1. Buddy M.D. Post author

      This ointment is used for around 10 days, in most cases.

      It’s not normal to get such side effects. Are you taking any oral pills too?

      Reply
      1. David

        Thanks for the reply Dr,

        I’ve taken pills a couple of weeks ago. As for now I am only applying Fusidic Acid Cream. The rash on my inner thighs are very small light reddish clusters. It started to appear around the third day. It’s not itchy or painful, but it surprised me. I’ve been on antifungals for a long time prior to the Fusidic Acid.

        Reply
  70. Marco Toronto

    Hi there,

    I have a sticky red-brownish patch (mostly on the left side) on my scrotum. My balls look pinkish and shiny. It looks kinda brownish when the skin tightens. It feels very chapped and little sticky, but not flaky (none) and doesn’t really itch. It doesn’t seem to respond to fungal or antibiotic meds.

    Reply
    1. Buddy M.D. Post author

      Though there’s no itch or any other discomforting symptom, advised to see a dermatologist for diagnosis. This may be some type of Eczema.

      Reply
  71. And

    Hi Dr. Buddy,

    I’ve been dealing with a chronic scrotal itch — dry, scaly, flaky, itchy. I notice that the the top layer of skin is all broken up, i.e. not a continuous layer but a many different scales that upon itching flake off. For the most part, this only occurs during the night time.

    Interestingly, during the day, my skin is intact and does not scale or peel even if I itch. As night comes, the skin just all of a sudden loses its integrity? and when I itch the scales and flakes form.

    Sometimes the skin looks like it forms fissures or grooves in the skin. This frequently bleeds when I itch. No sexual history and not sexually active. I’ve also noticed some darker round pigmentation around the scrotum. About 1-2 mm spots that are not raised. Is this concerning?

    sorry for the multiple questions and thank you in advanced if you take the time to take a look at this.

    Reply
    1. Buddy M.D. Post author

      Appears to be some skin condition, like Eczema or Psoriasis. Need to see a dermatologist for diagnosis.

      Do let us know the update.

      Reply
  72. Marco

    Hi Doc,

    My doctor outruled eczema, psoriasis or fungal infections and thinks I have red rashes on my scrotum, due to sweating and hormonal changes.

    He advised me to use Ketoconazol cream for 6 months.

    Is it safe to use this cream on my scrotum and penis for such a long period? Are there any other measures I could take against sweating?

    Reply
    1. Buddy M.D. Post author

      You may use the cream for 3 months and re assess.

      To avoid sweat and moisture from accumulating there, wear lose cotton underwears and bottoms. Let the area be well ventilated throughout the day.

      After each exercise session/ work out or whenever you sweat a lot, it’s better to take a bath to wash off that excess sweat.

      Reply
      1. Marco

        Doc,

        I’ve been using the Ketoconazol cream for around five days, but all of a sudden I’ve noticed a red bump on my foreskin and tiny red bumps on my penis glans. Are these side effects common?

        Reply
          1. Marco

            No discharge nor pain. Mostly no itching
            It’s one red hive/pimple on the upper side of my foreskin and a pinkish rash on my penis glans. It started to appear on the fifth day of the cream application. I’ve used this cream a couple of time earlier this year.

          2. Buddy M.D. Post author

            It’s unlikely to be due to the cream. However, you may stop the cream for a day or two and observe. Let us know if your lesions heal or lessen down.

          3. Buddy M.D. Post author

            You may use it for a short duration only. Long term use needs to be avoided.

  73. Anon

    After running a big distance out of the blue, I fell ill and couldn’t chane the clothes in which I ran for a day and half. After feeling a slight burning sensation, I checked my scrotum and found that vast red patches had developed all through the right side and some on the left too. Assuming it to be a funal infection, I applied Clobetasol Propionate cream in the area. Now some of the patches have dried up, but there are gash-like wounds on the lower right and upper left portions of my scrotum. It burns so much that I can’t even move. I have been applying anti fungal cream for a day now, but the patches haven’t dried. What do I do?
    Thank you in advance.

    Reply
    1. Buddy M.D. Post author

      Are you sure it’s fungal. Fungal gives you intense itch. If its just burning, may be local irritation of the skin in response to excess of sweat and secretions produced there.

      Clobetasol Propionate cream is a steroid. To be used with caution.

      You may use an anti fungal like, ketoconazole cream.

      Reply
      1. Anonymous

        Thanks, doc. I only used the clobetasol cream once. Right now, I’m using CloteRite-BN anti fungal cream which has Clotrimazole,Beclomethasone and Neomycin Sulphate. Will that do the job? Also, how long will it take for this condition to subside?

        Reply
  74. Tommy

    My scrotum has red patchs which are itchy it gets quite a dark colour at times this is just on scrotum. Trried fungal cream for week nothing hydrocortisone which made it worse and moisturiser no improvement. In the past ten years had this twice brfore and it cleared up by itself. Sti checks negative any ideas

    Reply
      1. Buddy M.D. Post author

        It appears more like a fungal than else! What anti fungal did you try?

        Do the patches have a clear boundary or i it blurred? Is the patch swollen/ red? Is it spreading?

        Anyway, do not use Hydrocortisone over it.

        Reply
        1. Tommy

          You can see the edge of it but it is not sharpe edge. The rash just covers the scrotum i do get itchy bum but the rash stops at bottom of scrotum. Used clotrimazole for six days no improvement . The patch goes between bright red and a darker red when shrivelled. If i stretch my scrotum out you cant see the rash.

          Reply
          1. Buddy M.D. Post author

            Fungal infestations may take time to go. It’s worth continue applying the anti fungal ointment for some more time. Let’s see if the patches start reducing in size.

            Also, keep the area clean and free from moisture. Wear lose underwears to keep in well ventilated.

        2. Tommy

          clotrimazole for a week . The rash is just on scrotum the edge is not sharpe but can see where it finishes and covers the whole of the scrotum. . Its bright red not swollen skin shrivells up at times and the skin gos a dark colour

          Reply
    1. Buddy M.D. Post author

      Response comes within 2 to 3 weeks!

      It may be some other skin condition, may be psoriasis/ eczema. You need to see a dermatologist for this.

      Reply
  75. Anon

    Hi Doc,

    I have a red rash underneath my scrotum which has been there for about a year now. I’ve tried all sort of remedies including anti-fungals (Lamisil), anti-itch creams with hydrocortisone. I have applied them to the affected area for the prescribed amount of time, but no change in the area. I have also tried home remedies such as tea tree oil, coconut oil, aloe-vera plant to try to soothe the rash. I have been wearing cotton underwear and washing the area with soap/water and then completely drying it with a fan before applying any ointment. Also, during the night I usually put the fan on, so the area is getting plenty of air. With the amount of effort I’ve put, this rash should be gone by now. However, the rash is not going away.

    The rash is red, roundish in shape, and just underneath the scrotum. The rash is very sensitive to touch. For the most part, the rash only itches when it is rubbed up against something like when I walk or sit. However, It is near impossible to avoid friction in the area, because it’s just underneath the scrotum. Whenever I walk, the movement causes friction against my skin, and when I sit the rash rubs against my skin/underwear.

    It is important to note – I am currently 22 years old, but when I was younger sometimes I would not wear underwear and I guess the underneath of my scrotum would rub up against my clothing when I would sit. Overtime, this may have caused this rash. So a possibility is that the area might be chaffed skin via continuous friction. If so what type of medication would I used to heal chaffed skin?

    Any suggestions would be much appreciated.

    Reply
    1. Buddy M.D. Post author

      Just not wearing an underwear is unlikely to cause any pathology.

      These may be some skin condition that needs to be diagnosed, may be localized dermatitis. Have you seen a dermatologist for this?

      Avoid cleaning it with soaps or gels. These may render the area dry and weaken the skin. Just plain water washing is enough.

      Reply
  76. Allen

    For the last 8-10 months I’ve dealt with issues ranging from what looked like jock itch early on to the most current symptom which now acts like a soap allergy.
    During this time, my wife has also battled yeast infections – we’re sexually active and exclusive but only a couple times a month due to her condition.
    Mine doesn’t seem that bad but won’t go away. Sweat doesn’t seem to bother me much, but if I use soap in the shower I get reddish scrotum with discomfort – when at its worst it’s a little itchy but more so raw feeling and can take on a shiny characteristic. I’ve tried everything from men’s body wash to dove to tea tree wash – even my wife’s Vagisil, but the best seems to be not washing. I’ve done a couple hydrocortisone creams but nothing seems to work long term. Also, I used to regularly use a powder like gold bond, but that is also irritating now. Thanks you.

    Reply
    1. Buddy M.D. Post author

      Clean the area daily with ample plain water only. Avoid using soap or any gel. Wear hypoallergic fabric, that’s lose cotton briefs only.

      Avoid using hydrocortisone. Let’s give it time and a chance to heal on its own.

      Reply
  77. Pilky

    Okay so i got a fungal rash that started on my thigh then spread onto my testicles and around to my other thigh. I got checked out for STIs all clear. The doc confirmed it was fungal sweat rash. After about a week of using the cream it started to get better and wasn’t itchy any more but the red area although pretty faint is still there. It’s almost been 2 weeks of using the cream now. My scrotum feel tight and very red also. Not itcyness at all though .

    Reply
  78. FoNo

    I have a discoloration on my inner thigh, only on one side, where my testicles touch my thigh. Can’t feel any difference between the skin there and the rest of my thigh. No itching, no sensiticity. It’s recently become much darker in color,besides that no other changes.

    Reply
  79. Strauss

    Pls doctor for a very long time now I have a very bad itch on my thigh and penis. It is usually very Sweet when the itch starts and I will keep scratching till I injure my self and it brings out some water and I believe it spreads when the water touches the unaffected parts… But all this started with a rash on my back pls doctor what could this be?

    Reply
  80. Robert Praveen

    Near the only left thigh where there the inner wear covers know. there is a like reddish colour . That’s is cause to itching .. and then rub there.. it becomes wet and then later it so much so much reddish colour and also some some little paining.. can u help me .. and also give some medical cream to solve that

    Reply
    1. Buddy M.D. Post author

      Wash the area daily with ample water while bathing. Dab dry and wear lose cotton wears only. You’ll need to keep the region dry, free of moisture and sweat.

      Also, start applying an antifungal cream (clotrimazole/ canesten) over the affected area, thrice daily.

      Reply
  81. Aso

    I have fillowed the instructions for more then a week but its no changing
    I also use cream made of betamethasone and gentamicin

    Reply
    1. Buddy M.D. Post author

      Gentamicin is not suggested. It’s not anti fungal.

      You need to use a anti fungal cream, as mentioned above. Ketoconazole/ miconazole may be used.

      Reply

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