Hi I have had a very bad jock itch infection.

Posted on Sun, 13 Jan 2019

Question: Hi I have had a very bad jock itch infection. Since nothing has worked .My general practioner has put me on 200 mg once a day of ketoconazole for one month after 1 week I have had dramatic improvement. My question is I am confused about the side effects. I have OCD and have enough sexually side effect from the SSRI. Does the antifungal med have any male sexual side effects

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
Regarding ketoconazole

Detailed Answer:
Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice.

Ketoconazole binds to androgen receptors and thus interferes with testosterone. It can have sexual side effects like decreased libido, impotence, oligospermia but that is usually seen with long term treatment in chronic mycotic infections. I don't think jusr 3-4 weeks of ketoconazole for superficial fungal infections would cause any significant sexual side effects.

Hope I have answered your query. Let me know if you need any more assistance

Above answer was peer-reviewed by : Dr. Arnab Banerjee