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Itch and pain on groin and testicles. Suggest treatment

May 2014
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Practicing since : 2002
Answered : 6312 Questions
I have extreme itch and pain on my groin and testicles..Red in color and it pains during sex and masturbation..There also seems to be a reduction in erection.
Posted Tue, 5 Nov 2013 in Men's Health
Answered by Dr. Vivek Chail 1 hour later
Brief Answer:
You might be having Tinea cruris

Detailed Answer:
Thanks for writing in to us.

I have read through your query in detail.
You might be having Tinea cruris, which is a fungal skin infection of the groin. The conditions fungi like best are warm, moist and airless areas of skin, such as the groin.

Typically, the groin becomes itchy and irritable, mainly in the crease between the top of the leg and the genitals. It is more common in men, and the scrotum may also be itchy. A red rash then develops in the groin, usually with a definite edge or border. Both groins are commonly affected. The rash often spreads a short way down the inside of both thighs.

You can buy an antifungal cream from pharmacies, or get one on prescription. There are various types and brands - for example, terbinafine, clotrimazole, econazole, ketoconazole, miconazole, and sulconazole. These modern creams are good at clearing fungal skin infections.

Apply the cream to the surrounding 4-6 cm of normal skin in addition to the rash.
Apply for as long as advised. This varies between the different creams, so read the instructions carefully.
For skin that is particularly inflamed, your doctor may prescribe an antifungal cream combined with a mild steroid cream. This would normally be used for no more than seven days. You may need to continue with an antifungal cream alone for a time afterwards. The steroid reduces inflammation and may ease itch and redness quickly. However, the steroid does not kill the fungus and so a steroid cream alone should not be used.

An antifungal medicine taken by mouth is sometimes prescribed if the infection is widespread or severe. This needs to be taken after consulting a doctor.

The following tips may prevent tinea cruris from recurring:
1. Wash your groin daily; then dry thoroughly. Drying is perhaps the most important point. It is easy to put on underwear when your groin is not quite dry. The damp groin is then an ideal site for fungi to multiply.
2. Change underwear daily. Fungi may multiply in flakes of skin in unwashed underwear.
3. Do not share towels with people in communal changing rooms. Wash towels frequently.
4. Keep your own towel when you have a fungal skin infection to reduce the chance of passing on the fungus to others.

Hope your query is answered.
Do write back in case of doubts.

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