and Managing Pubic Itching: Causes and Solutions - Urology

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Genital itching


Dear Doctor,
I usually take great care in cleaning my genital area, but for the past few months, I've been experiencing itching, although it is only in the pubic hair area and not on the penis itself.
I did some research and it seems to resemble a condition known as scrotal pruritus.
I'm not sure if I have this condition, but the symptoms are very similar.
I hope to avoid going to a large hospital for an examination, as I live with females in my household and it would be quite embarrassing to bring it up with them.
I would prefer to just apply some medication.
Thank you, Doctor!
Additionally, I think it might also be possible that I haven't dried myself properly after washing, as I only wipe the penis and my thighs.

Gui Feng, 10~19 year old female. Ask Date: 2020/09/21

Dr. Cai Zhuorong reply Urology


It is indeed possible to try applying medication.
If you prefer not to go to a large hospital, you can visit a general clinic for consultation.

Reply Date: 2020/09/21

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding pubic itching. It’s important to understand that itching in the pubic area can be caused by a variety of factors, and addressing it effectively often requires identifying the underlying cause.

Firstly, it’s commendable that you maintain good hygiene in your personal care routine. However, even with diligent cleaning, certain conditions can still lead to irritation and itching. Here are some common causes of pubic itching:
1. Irritation and Allergies: This can occur from soaps, detergents, or personal care products that may not be suitable for sensitive skin. If you’ve recently changed any products, consider reverting to your previous ones or opting for hypoallergenic alternatives.

2. Infections: Fungal infections, such as jock itch (tinea cruris), are common in the groin area and can cause significant itching. This condition thrives in warm, moist environments, making the pubic area a prime target. Bacterial infections or sexually transmitted infections (STIs) can also lead to itching, although they may present with additional symptoms.

3. Skin Conditions: Conditions like eczema or psoriasis can manifest in the pubic area, leading to itching and discomfort. These conditions often require specific treatments to manage flare-ups.

4. Ingrown Hairs: If you shave or trim your pubic hair, ingrown hairs can develop, causing localized itching and irritation. This is particularly common in areas where hair is coarse or curly.

5. Poor Drying: As you mentioned, if the area is not dried properly after washing, moisture can lead to irritation and fungal growth. It’s essential to ensure that the area is thoroughly dried, especially after bathing or swimming.

Given your description, it sounds like you may be experiencing symptoms consistent with jock itch or irritation due to improper drying. Here are some steps you can take to alleviate the itching:
- Keep the Area Dry: After washing, ensure that you dry the area thoroughly. You might consider using a gentle towel or even a hairdryer on a cool setting to help with drying.

- Use Antifungal Creams: Over-the-counter antifungal creams can be effective if you suspect a fungal infection. Look for products containing clotrimazole or miconazole, and apply them as directed.

- Avoid Irritants: Refrain from using heavily scented soaps or lotions in the area. Stick to mild, unscented products to minimize irritation.

- Wear Loose-Fitting Clothing: Tight clothing can trap moisture and increase irritation. Opt for breathable fabrics like cotton to allow air circulation.

- Consider a Barrier Cream: If you find that moisture is a recurring issue, applying a barrier cream or powder can help keep the area dry and reduce friction.

If your symptoms persist despite these measures, or if you notice any unusual changes such as redness, swelling, or discharge, it would be wise to consult a healthcare professional. While I understand your hesitation to visit a large hospital, many clinics offer discreet services, and healthcare providers are trained to handle such concerns sensitively.

In summary, while pubic itching can be uncomfortable and concerning, many cases can be managed with proper care and over-the-counter treatments. Pay attention to your hygiene practices, and if necessary, seek professional advice to ensure that you receive the appropriate care.

Wishing you relief and good health!
Best regards.

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