Scrotal issues
Hello, doctor.
I had sexual intercourse two days ago, and while showering the next day, I felt itching and a stinging sensation on the skin of my scrotum and at the junction with the penis, which was particularly noticeable when water flowed over it.
Since then, I have continued to experience itching and mild stinging, but there are no abnormalities on the penis or glans.
I suspect the following two scenarios and would appreciate your assistance in determining which is more likely:
1.
I suspect it may be scrotal eczema or a fungal infection, as I have been traveling in Southeast Asia for two consecutive days in a hot and humid climate, and I had no opportunity for my genital area to ventilate throughout the day.
2.
I suspect it may be related to the sexual activity, as I have not engaged in sexual intercourse for nearly two years.
I used a condom during penetrative intercourse, but did not use one during oral sex, which means the junction and scrotum were in direct contact with my partner's genitalia.
However, the itching and stinging sensations occurred immediately the next day.
After researching common sexually transmitted infections, it seems that they typically do not present symptoms the day after exposure.
I plan to shave my pubic hair, maintain a dry and clean condition, and continue to observe the situation, as I still cannot rule out the possibility of a sexually transmitted infection.
I kindly ask for your assistance in making a judgment.
Thank you!
Peter, 20~29 year old female. Ask Date: 2018/10/10
Dr. Du Shixi reply Urology
Hello: It is important to keep the area clean and dry.
If there is redness or broken skin, you should seek medical attention.
After cleaning, make sure to dry the area.
Wishing you good health.
Reply Date: 2018/10/10
More Info
Scrotal itching and pain can be uncomfortable and concerning, especially following a recent sexual encounter. Based on your description, there are several potential causes for your symptoms, and I will address each of your concerns while providing some medical insights.
Possible Causes
1. Eczema or Dermatitis: Given your recent travel to a hot and humid climate, it is plausible that you may be experiencing a form of eczema or dermatitis. This condition can arise due to excessive moisture, friction, or irritation from sweat and clothing. The symptoms you describe—itching and a stinging sensation, particularly when water flows over the area—are consistent with this diagnosis. Keeping the area dry and avoiding irritants can help alleviate symptoms.
2. Fungal Infection: Another possibility is a fungal infection, such as tinea cruris (jock itch), which thrives in warm, moist environments. Symptoms typically include itching, redness, and sometimes a rash in the groin area. If you notice any scaling or a distinct rash, this could be a sign of a fungal infection. Over-the-counter antifungal creams may be beneficial if this is the case.
3. Sexually Transmitted Infections (STIs): While you mentioned that you used a condom during penetrative intercourse, it's important to note that certain STIs can still be transmitted through skin-to-skin contact, especially during oral sex. Symptoms of STIs can vary widely; some may present with itching or discomfort shortly after exposure, while others may take longer to manifest. Common STIs that could cause such symptoms include herpes or human papillomavirus (HPV). If you have any concerns about STIs, it is advisable to consult a healthcare provider for testing.
Recommendations
- Maintain Hygiene: Continue to keep the area clean and dry. After bathing, gently pat the area dry rather than rubbing it, which can exacerbate irritation.
- Avoid Irritants: Refrain from using heavily scented soaps or lotions in the genital area, as these can cause further irritation.
- Wear Loose Clothing: Opt for breathable, loose-fitting underwear and clothing to minimize friction and allow for air circulation.
- Monitor Symptoms: Keep an eye on your symptoms. If the itching and pain persist or worsen, or if you develop additional symptoms such as a rash, discharge, or fever, seek medical attention promptly.
- Consider Over-the-Counter Treatments: If you suspect a fungal infection, topical antifungal treatments may be effective. For dermatitis, hydrocortisone cream can help reduce inflammation and itching.
When to Seek Medical Attention
If your symptoms do not improve with self-care measures, or if you experience severe pain, swelling, or any unusual discharge, it is essential to consult a healthcare provider. They may perform a physical examination and possibly recommend tests to determine the exact cause of your symptoms.
In conclusion, while your symptoms could be attributed to several factors, including dermatitis or a fungal infection, it is crucial to remain vigilant and seek professional advice if necessary. Your health and comfort are paramount, and addressing these symptoms early can lead to better outcomes.
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