Which Specialist to See for Itchy Genital Skin: Dermatology or Urology?

If you are experiencing itching in the genital area, it is advisable to see a dermatologist or a gynecologist. Self-medicating with over-the-counter creams may not be sufficient, as it is important to determine the underlying cause of the itching for appropriate treatment?

Hello Dr.
Wu: I have been experiencing itching in my genital area, which I believe may be related to the soap used by my family for handwashing, as I also use the same soap when bathing.
I might not have rinsed it off properly, leading to the initial itchiness in the pubic hair area, which has gradually spread to the penis and foreskin, becoming increasingly itchy.
During the day, I try to resist scratching, but at night, I unconsciously scratch due to the intense itchiness, which is affecting my daily routine.
I have considered seeking medical attention, but I'm unsure which specialty to consult.
Whether it's dermatology or urology, it feels a bit strange, so I've been putting it off.
Could you please advise me on which specialty I should see? Thank you.

He Xiansheng, 30~39 year old female. Ask Date: 2020/01/28

Dr. Wu Yuxin reply Dermatology

Dermatology.

Reply Date: 2020/01/28

More Info

When dealing with itchy genital skin, it can be confusing to determine which specialist to consult: a dermatologist or a urologist. Both fields have their own expertise, and understanding the nature of your symptoms can help guide you to the right healthcare provider.

Dermatology is the branch of medicine that focuses on skin, hair, and nails. Dermatologists are well-equipped to handle a variety of skin conditions, including rashes, infections, and irritations that can occur in the genital area. Common dermatological issues that could cause itching include eczema, psoriasis, fungal infections (like jock itch), and contact dermatitis, which can result from irritation due to soaps, detergents, or other products. Given that you mentioned using a family member's soap and possibly not rinsing thoroughly, it is plausible that you may be experiencing a reaction to a product that has irritated your skin.

Urology, on the other hand, specializes in the urinary tract and male reproductive system. Urologists deal with conditions related to the bladder, kidneys, urethra, and male genitalia. If the itching is accompanied by other symptoms such as unusual discharge, pain during urination, or any signs of infection, a urologist may be the appropriate specialist to consult. Conditions such as sexually transmitted infections (STIs) or urinary tract infections (UTIs) could also lead to itching and would fall under the purview of urology.

In your case, since the itching began in the pubic area and has progressed to the penis and foreskin, it would be advisable to start with a dermatologist. They can assess whether the itching is due to a dermatological issue and provide appropriate treatment. If they suspect an underlying urological issue, they can refer you to a urologist for further evaluation.

It is important to address this issue sooner rather than later, as persistent itching can lead to skin damage from scratching, which may increase the risk of infection. In the meantime, here are a few general tips to help manage the itching:
1. Avoid Irritants: Try to identify and avoid any products that may be causing irritation. This includes soaps, lotions, and laundry detergents. Opt for gentle, fragrance-free products.

2. Keep the Area Clean and Dry: Maintain good hygiene by washing the area with mild soap and water, and ensure it is thoroughly dried afterward. Moisture can exacerbate itching, so consider using a powder designed for the genital area to keep it dry.

3. Avoid Scratching: While it may be difficult, try to resist the urge to scratch, as this can worsen irritation and lead to secondary infections.

4. Wear Loose-fitting Clothing: Tight clothing can cause friction and irritation. Opt for breathable fabrics like cotton to help reduce discomfort.

5. Moisturize: If the skin appears dry, applying a gentle, fragrance-free moisturizer may help alleviate some of the itching.

In conclusion, start by consulting a dermatologist to evaluate your symptoms. They can provide a diagnosis and treatment plan tailored to your needs. If necessary, they will refer you to a urologist for further investigation. Remember, seeking medical advice is a proactive step towards resolving your discomfort and improving your quality of life.

Similar Q&A

Which Specialist to See for Itchy Genitals and Skin Irritation?

Hello doctor, if my genital area is itchy and has broken skin, which specialty should I see?

Dr. Xu Weikai reply Urology
Hello, you can consult either the urology or dermatology department. If there are any unclear points, feel free to ask again so we can discuss and research further. Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at...

Understanding Genital Itching: When to See a Dermatologist or Urologist

I often experience itching in my genital area, particularly at the base of my penis. Should I see a dermatologist or a urologist? Thank you.

Dr. Huang Ruiyun reply Dermatology
Dermatology. There is a higher proportion of female dermatologists, but if you feel uncomfortable, it's advisable to inquire beforehand whether the doctor is male.

Which Specialist to See for Scabies: Urology or Dermatology?

About two weeks ago, I noticed red, bumpy areas on my glans and testicles, so I went to see a urologist. The doctor told me I had scabies and advised me to apply medication for treatment. However, after two weeks, it hasn't improved, and other areas of my skin are showing si...

Dr. Li Yufen reply Dermatology
Hello: If your skin condition persists, it is advisable to consult a dermatologist for an accurate diagnosis and treatment. Thank you!

Should I See a Urologist or Dermatologist for Genital Warts?

Dear Dr. Weng: My girlfriend was recently diagnosed with "condylomata acuminata," and I would like to get tested as well. However, I found that both urology and dermatology departments handle sexually transmitted infections. Should I go to urology or dermatology for my ...

Dr. Weng Wenzhen reply Urology
When it comes to genital warts, there is not much difference in diagnosis and treatment between dermatology and urology. Sexually transmitted infections are typically transmitted through sexual contact, while the risk of transmission through general external contact is low.