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Suggest Treatment For Intertrigo Of Groin

Posted on Thu, 15 May 2014

Question: Hello Doc,

Last month March 13 I had sex with 2 hookers in Canada..it was a mistake..
I moved to India on March 16, since then I had been having groin itiching..My skin around my groin gets soft and then I start feeling uncomfortable whenever the skin around my balls get ruptured against my inner thighs..I am attaching a pic of my groin.. Can this be herpes? I am a little scared and freaked out coz of this sever itiching..

Answered by Dr. Sankaranantham Murugan (3 hours later)

Brief Answer:
Intertrigo and mild hair folliculitis found.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.

I saw the pictures sent by you.
These pictures are not at all fit with Herpes infection.
I can make out an intertrigo of groin and mild hair folliculitis from these pictures.
Intertrigo is a form of Eczema.
Application of Steroid creams along with antibiotic, oral antihistamines for itching and if necessary an oral antibiotic for a week or two will relieve your problem. It is not related to any STD or HIV.
If your sex is unprotected then testing for STD and HIV is mandatory to rule out these conditions.
Safe sex is always to be followed in future.
DR S.Murugan

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sankaranantham Murugan (27 minutes later)

Thanks doc..though i was drunk I had protected sex(100% sure) infact I haven't done much..I had erectile dysfunction that night..may be I was scared I don't know. . I am getting married soon and will not be doing anything stupid like this ever. aftermath is too painful...

can u also tell me if I need to take any meds for erectile dysfunction problem..
also pls explain the reasons for these infections around my groin?
currently I am on the following meds
1 clotrimazole dusting powder after shower
2 syscan 150mg daily night
3 onabet b cream daily night for 3 days
.......
apart from this I have mild pain in my penis?
could this be due to dehydrating or sunstroke?
What I can do to reduce this?

thanks again doc
XXXX

Answered by Dr. Sankaranantham Murugan (25 minutes later)

Brief Answer:
No need to treat ED.Consume enough water

Detailed Answer:
Hi,

Welcome back.

As you said, the Erectile dysfunction is situational and you need not take any medication for ED.
Contact with sweating of the sex partner during your encounter may be a reason for your problem.
Your medications are enough to take care of Intertrigo. If the folliculitis has not been controlled then an addition of antibiotic cream and oral tablets may help you.

Pain in penis , it has to be examined for if there is any inflammation.
Consume plenty of water you will feel better.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sankaranantham Murugan (2 days later)

Hello doc, Thanks for the speedy replies..

I am getting married in may, Should I be refraining from sex until this skin infection of mine is fully cleared? How many days will the infection be cleared?

Thanks & Regards
XXXX

Answered by Dr. Sankaranantham Murugan (31 minutes later)

Brief Answer:
You can proceed with your marriage.

Detailed Answer:
Hi,
Welcome back.
What you had, is not a sexually transmitted disease. But there is a possibility of transmission through skin to skin contact. But your problem will be solved within a weeks time and folliculitis might need a long course of management though.

You would not be infectious even through skin contact; atleast not after a week. So you need not worry and you can proceed with your marriage.
\
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (3 days later)

Hello Doc,

Today when I masterbuated, I felt pain while ejaculating.. Specially when Seman was about to come out..I felt like I was going to cum a lot but I didnt..
After that I do not have any problem in peeing or anything..
I read online that there are few STDs which have such issues..
I am really concerned cos I am getting married soon..

Pls advice if I have to go through any tests or medication?

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
With safe sex STD is unlikely.

Detailed Answer:
Hi,
Welcome back.

When your risky exposures were protected, then there is no possibility for an urethritis or a reproductive tract infection due to STD cause.

"Painful ejaculation is common with STD" - this is not true statement. Any type of reproductive tract infection can cause a painful ejaculation or a forcible masturbation also might be a reason. If you are not sure about your protection, then it is better to have tests for STD and HIV. Presence of more than 5 pus cells in Semen in analysis indicates Reproductive tract infection which can be confirmed by culture and sensitivity and treated accordingly.

Dr S.Murugan

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sankaranantham Murugan (2 hours later)

Thanks doc
does urine test confirm if there is any infection?
Do I have to go through any other tests

thanks again
XXXX

Answered by Dr. Sankaranantham Murugan (12 hours later)

Brief Answer:
Urine and semen tests will do.

Detailed Answer:
Hi,
Welcome once again.

For painful ejaculation a routine examination of urine and semen will be enough. If there is findings then further tests may be indicated.
Dr S.Murugan

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E