Hello XXXXXXX

Thanks for posting your query. The rash has been present for 3 years, is itchy and scaly and is responding to cortisone which is a steroid. Thus an important possibility for such a scaly skin rash is eczema skin. It is a form of inflammation skin characterized by redness, skin edema (swelling), itching and dryness, crusting, flaking and cracking.

I suggest you to get the diagnosis confirmed from a dermatologist after examination. Steroids is one of the best treatment for eczema but it should be used only under medical supervision as it can cause skin thinning and atrophy.

Follow these treatment options till you get an examination done from a dermatologist:
1)     Avoid using soaps and harsh detergents which can dry the skin and deprive the skin of natural oils. Instead use a mild soap like Dove or colloidal oatmeal baths.
2)     Avoid using products that may dry the skin such as powders or perfume.
3)     Wear cotton clothes and change the underwear twice daily
4)     Keep the area moisturized by using light emollients.

Do not worry so much, nothing to be so scared about, once diagnosed accurately, treatment will be effective.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hi XXXXXXX

Thanks for the clarification. Although it appeared after unprotected messing around but since it has been present for three years without spreading and is dry and itchy, so it does not look like any STD rash. Please don't worry about STD's as this rash is not symptomatic of STD but a skin cause. However you can get a STD test done to rule out STD's like herpes or Chlamydia which may sometimes be asymptomatic.

This rash looks like eczema and if it bothers you too much if not a primary physician, a dermatologist can easily help you.

These thoughts should not bypass your happiness with your new girlfriend.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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