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Suggest Treatment For Fungal Infection On The Penis

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Posted on Mon, 11 Jul 2016
Question: Hello. About 6 months ago a small red spot developed on my penis just below the head. I went to the doctor and had tests done and they ruled out herpes or any other sexually transmitted infections and suggested it might be a fungal infection. I applied anti fungal/hydrocortisone cream and it cleared up within days. I continued to apply the cream for over a week after it had cleared up and then switched to an anti fungal without hydrocortisone. As soon as I switched to the anti fungal without the steroid it flared up again and two weeks later I tried the same treatment. The hydrocortisone combined with anti fungal got rid of it and I took this cream for two weeks. When I stopped the cream and switched to the anti fungal it flared up again really badly and now it is bigger and very inflamed and raw. Now I also have a similar spot on the head of my penis as well. I went to another doctor and he said it's unlikely to be a fungal infection but is more likely to be dermatitis. He prescribed a stronger steroid cream. I have been reading things online about steroid creams and now I am very concerned (particularly because the sore has gotten larger) that I have caused a problem by using steroid creams in the first place. I have not used any creams for the past two weeks but over the past few months I have probably used the steroid cream twice a day for a total of 4 weeks on and off. Now the sore has gotten larger and very irritated and it doesn't seem to be healing at all. I am very concerned about this. It's extremely itchy and painful and causing me a lot of stress. I am not sure if the symptoms I have now are related to dermatitis/eczema (which I suffer from on other parts of my body from time to time) or if this is now a new problem caused by damaging the skin through the overuse of steroid creams. I have no idea what to do. Please help.
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Answered by Dr. Asmeet Kaur Sawhney (33 minutes later)
Brief Answer:
Seems to be eczema, use steroid cream, antihistaminic & moisturising cream

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have reviewed the attached photograph and it seems to be eczema. It is not looking like a fungal infection.
It is not due to overuse of steroids as you have used only hydrocortisone cream over it which is very mild to cause any side effects.
If I was your treating doctor I would recommend you to again apply steroid cream like mometasone cream or clobetasol propionate cream on the affected areas twice daily for 2 weeks and apply a moisturising cream containing white soft paraffin on the entire penile skin frequently and liberally for 2-3 weeks.
Besides this take antihistaminic like tablet Chlorpheniramine 4 mg twice daily till the itching subsides.
This will resolve the eczema.
Steroidal preparations are prescription drugs and you need to see the doctor in person to get them.
I hope to have answered your query and would be happy to clarify any further doubts.
Regards
Dr Asmeet
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Priyanka G Raj
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Answered by
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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Suggest Treatment For Fungal Infection On The Penis

Brief Answer: Seems to be eczema, use steroid cream, antihistaminic & moisturising cream Detailed Answer: Hi Thanks for being at healthcaremagic I have reviewed the attached photograph and it seems to be eczema. It is not looking like a fungal infection. It is not due to overuse of steroids as you have used only hydrocortisone cream over it which is very mild to cause any side effects. If I was your treating doctor I would recommend you to again apply steroid cream like mometasone cream or clobetasol propionate cream on the affected areas twice daily for 2 weeks and apply a moisturising cream containing white soft paraffin on the entire penile skin frequently and liberally for 2-3 weeks. Besides this take antihistaminic like tablet Chlorpheniramine 4 mg twice daily till the itching subsides. This will resolve the eczema. Steroidal preparations are prescription drugs and you need to see the doctor in person to get them. I hope to have answered your query and would be happy to clarify any further doubts. Regards Dr Asmeet