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What Causes Irritation On Scrotum?
Question: I have a nagging irritation on my scrotum through out the day. Some days are better than other. This has been going on for 3 weeks+. I've been to a urologist and I was giving Cipro but that doesn't seem to be helping. The skin on my scrotum isn't red and there aren't any bumps, lesions, or scratches. Should i consult a dermatologist? What does this sound like it might be?
Brief Answer:
urologist better if no chance of STDs
Detailed Answer:
hi
Thank you for the query.I am Dr Bharatesh D Basti answering your query.
There are many causes of scrotal pain as described by you.
The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Some are:
Prostatitis, epididymitis, orchitis, urinary tract infection, Varicocoele.etc
Infections can be due to STD or Non STDs infection
Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else like hernia and kidney stones.
It is not clear about the following:
The sexual history ,
any swellings in the area, any swellings which move via your groin into the scrotal sac
any trauma
any fever abdominal pain
does in increase in the evening.
You can do a self examination for these and also look for any coils or chord like feeling in scrotal sac. Provide these details in the follow up.
Support the scrotum with an supporter which reduces pain.
You can use analgesics antiinflamatory tablets like brufen or diclofenac.
You can complete the course of antibiotics - many usually respond if mild infections.
If you have any severe pain you need to consult immediately.
You may need to undergo investigation if not subsiding to antibiotics or if unlikely stds like ultra Scan or doppler study under urologist guidance.
If stds are likely then investigation under dermatologist and venereologist would be better.
You can get back with details and for any clarifications.
Thank you
Dr Bharatesh
urologist better if no chance of STDs
Detailed Answer:
hi
Thank you for the query.I am Dr Bharatesh D Basti answering your query.
There are many causes of scrotal pain as described by you.
The testicles are very sensitive, and even a minor injury can cause testicle pain or discomfort. Some are:
Prostatitis, epididymitis, orchitis, urinary tract infection, Varicocoele.etc
Infections can be due to STD or Non STDs infection
Sometimes, what seems to be testicle pain is caused by a problem that starts in the groin, abdomen or somewhere else like hernia and kidney stones.
It is not clear about the following:
The sexual history ,
any swellings in the area, any swellings which move via your groin into the scrotal sac
any trauma
any fever abdominal pain
does in increase in the evening.
You can do a self examination for these and also look for any coils or chord like feeling in scrotal sac. Provide these details in the follow up.
Support the scrotum with an supporter which reduces pain.
You can use analgesics antiinflamatory tablets like brufen or diclofenac.
You can complete the course of antibiotics - many usually respond if mild infections.
If you have any severe pain you need to consult immediately.
You may need to undergo investigation if not subsiding to antibiotics or if unlikely stds like ultra Scan or doppler study under urologist guidance.
If stds are likely then investigation under dermatologist and venereologist would be better.
You can get back with details and for any clarifications.
Thank you
Dr Bharatesh
Above answer was peer-reviewed by :
Dr. Prasad
1. I don't believe this is sex related although I did have sex one week prior to this occurring with a trusted person.
2. No Swelling in the scrotum area
3. No fever or abdominal pain
4. The irritation seems to be at it's worst when I'm sitting. When I'm walking around I don't notice it as much.
5. The irritation seems to live on one side of my scrotum and starting near my perineum.
Here is the history
Between May 28- XXXXXXX 1st- Had sex with trusted source
XXXXXXX 11th- Lifted something very heavy and seemed to have pulled a muscle in my inner left thigh.
On or about XXXXXXX 13-14- Started experiencing some tingling in pelvic area and left thigh mainly while driving or sitting down, This is about the same time I began to notice the irritation/rawness on my scrotum and on penis and some slight heavy feeling in testicles.
XXXXXXX 19- Had an ultrasound done and everything came back fine. No torsion. Doctor thought I might have some nerve issues in scrotum and penis from the heavy lifting.
July 3rd- Visited urologist and was prescribed Cipro. Urine sample was collected and everything looked normal. I was told to put vaseline on my scrotum and use Ibuprofen for the inflammation.
Currently-The tingling in the pelvic and thigh has gone away. No sign of lesions, bumps. No nausea, or fever, no loss of appetite. No redness, no rash.
The only thing I'm experiencing is a raw/tender to the touch area on one side of my scrotum.
2. No Swelling in the scrotum area
3. No fever or abdominal pain
4. The irritation seems to be at it's worst when I'm sitting. When I'm walking around I don't notice it as much.
5. The irritation seems to live on one side of my scrotum and starting near my perineum.
Here is the history
Between May 28- XXXXXXX 1st- Had sex with trusted source
XXXXXXX 11th- Lifted something very heavy and seemed to have pulled a muscle in my inner left thigh.
On or about XXXXXXX 13-14- Started experiencing some tingling in pelvic area and left thigh mainly while driving or sitting down, This is about the same time I began to notice the irritation/rawness on my scrotum and on penis and some slight heavy feeling in testicles.
XXXXXXX 19- Had an ultrasound done and everything came back fine. No torsion. Doctor thought I might have some nerve issues in scrotum and penis from the heavy lifting.
July 3rd- Visited urologist and was prescribed Cipro. Urine sample was collected and everything looked normal. I was told to put vaseline on my scrotum and use Ibuprofen for the inflammation.
Currently-The tingling in the pelvic and thigh has gone away. No sign of lesions, bumps. No nausea, or fever, no loss of appetite. No redness, no rash.
The only thing I'm experiencing is a raw/tender to the touch area on one side of my scrotum.
Brief Answer:
Intertrigo needs antifungals, needs dermatologist
Detailed Answer:
Hi
Thank you for query.
The hernia and and other related to testes disorders has been ruled out.
Even STDs by your history appears to be not the cause.
Earlier I felt nagging as pulling sensation in your scrotum.
Now it appears you have more irritation and pain in the perineal and scrotal aspect than inner scrotal pain.
It is likely you have a fungal infection either intertrigo or tinea likely intettrigo with pain.
Did you apply any irritants or moisturizers .as you say Vaseline was advised.
Please stop it as it will likely cause more messy and more problem.
Keep the area dry and clean.
Use loose cotton inner wears.
Keep the area well aerated.
Do not lift heavy objects as it can further precipitate pain.
You can get back for any clarification else please close the discussion.
Thank you
Dr Bharatesh
Intertrigo needs antifungals, needs dermatologist
Detailed Answer:
Hi
Thank you for query.
The hernia and and other related to testes disorders has been ruled out.
Even STDs by your history appears to be not the cause.
Earlier I felt nagging as pulling sensation in your scrotum.
Now it appears you have more irritation and pain in the perineal and scrotal aspect than inner scrotal pain.
It is likely you have a fungal infection either intertrigo or tinea likely intettrigo with pain.
Did you apply any irritants or moisturizers .as you say Vaseline was advised.
Please stop it as it will likely cause more messy and more problem.
Keep the area dry and clean.
Use loose cotton inner wears.
Keep the area well aerated.
Do not lift heavy objects as it can further precipitate pain.
You can get back for any clarification else please close the discussion.
Thank you
Dr Bharatesh
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is intertrigo or tinea possible without a rash or any redness? Outside of vaseline I have also tried coco butter and baby oil on my scrotum to try and cut down on any friction in the area. Should I stop with the Vaseline? Right around the time I started feeling this discomfort I was using Gold Bond Medicated spray on my genitals.
Brief Answer:
Stop moisturisers .
Detailed Answer:
Hi
Thank you for query.
I need some details about your condition, so that I am better able to help you.
Is it pain or irritation bothering you?
If pain, is it pulling type of pain from your inguinal region down the scrotum?
If it Is irritation is it only in the scrotum cleft thigh on left side? Is the area moist has any rash or at least rawness as described?
If possible can you send photos?
Intertrigo may be there in dampness and cleft with symptoms.
It is better you stop all moisturizers to prevent maceration in the area.
It is likely that you have pulled up muscle or in the early stage of hernia which (either of them) usually had dragging type of pain.
You have applied all moisturizers to alleviate it which may have been further causing you the rawness and symptoms.
Please use anti-fungal creams and powders.
Get a Ultra sound scan done to rule out hernia or varicocele.
STDs unlikely.
You can get back for clarification else please close the discussion.
Thank you
Dr Bharatesh
Stop moisturisers .
Detailed Answer:
Hi
Thank you for query.
I need some details about your condition, so that I am better able to help you.
Is it pain or irritation bothering you?
If pain, is it pulling type of pain from your inguinal region down the scrotum?
If it Is irritation is it only in the scrotum cleft thigh on left side? Is the area moist has any rash or at least rawness as described?
If possible can you send photos?
Intertrigo may be there in dampness and cleft with symptoms.
It is better you stop all moisturizers to prevent maceration in the area.
It is likely that you have pulled up muscle or in the early stage of hernia which (either of them) usually had dragging type of pain.
You have applied all moisturizers to alleviate it which may have been further causing you the rawness and symptoms.
Please use anti-fungal creams and powders.
Get a Ultra sound scan done to rule out hernia or varicocele.
STDs unlikely.
You can get back for clarification else please close the discussion.
Thank you
Dr Bharatesh
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
There isn't any pain just irritation. The feeling is more annoying than anything else. It doesn't hurt it is just annoying/ The irritation is mainly on the left side of the scrotum and in the perineum area. There is no rash just a raw feeling to the touch. I've had an ultra sound scan done and everything looked ok.
Brief Answer:
Likely intertrigo.
Detailed Answer:
Hi
Thank you for query.
If irritation is the only symptom without pain that too localized only to the left side of scrotum and in the perineum area it would be Intertrigo which is more likely. as you have applied lots of moisturizing creams which might have aggravated or precipitated the irritation.
It is better you stop all moisturizers to prevent maceration in the area.
You can wash the area with warm saline water twice daily also.
Please use anti-fungal creams like terbinafine and powders(Candid).
wear loose cotton inner wears.
You can get back for clarification else please close the discussion.
Thank you
Dr Bharatesh
Likely intertrigo.
Detailed Answer:
Hi
Thank you for query.
If irritation is the only symptom without pain that too localized only to the left side of scrotum and in the perineum area it would be Intertrigo which is more likely. as you have applied lots of moisturizing creams which might have aggravated or precipitated the irritation.
It is better you stop all moisturizers to prevent maceration in the area.
You can wash the area with warm saline water twice daily also.
Please use anti-fungal creams like terbinafine and powders(Candid).
wear loose cotton inner wears.
You can get back for clarification else please close the discussion.
Thank you
Dr Bharatesh
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. Vinay Bhardwaj
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