Red Bumps on the Scrotum: Causes and Treatment Options - Urology

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Regarding the appearance of acne-like lesions on the scrotum?


Hello, Doctor: I have been experiencing red pimples on my scrotum lately, and when they appear on the penis, they resemble mosquito bites.
I notice 1 to 3 of them at a time, and they itch intermittently, though the intensity of the itching varies.
After applying Betamethasone ointment, the symptoms improve significantly, and they usually disappear after a few days, but sometimes they reappear.
I would like to know what these symptoms might indicate.
Should I see a dermatologist or a urologist? Thank you for taking the time to respond.

A-Zhong, 20~29 year old female. Ask Date: 2020/12/15

Dr. Li Minghui reply Urology


It is recommended that you visit a urology outpatient clinic to determine if any relevant tests are needed.
Thank you, and wishing you good health!

Reply Date: 2020/12/15

More Info


When it comes to red bumps on the scrotum, there are several potential causes that could explain your symptoms. It’s important to understand that the skin in the genital area is sensitive and can react to various factors, including infections, irritations, and skin conditions. Here’s a breakdown of some common causes and treatment options.


Possible Causes
1. Folliculitis: This is an inflammation of the hair follicles, often caused by bacteria or fungi. It can present as red, itchy bumps that may resemble acne. Folliculitis can occur in areas where hair grows, including the scrotum.

2. Contact Dermatitis: This condition arises from skin irritation due to contact with allergens or irritants, such as soaps, lotions, or laundry detergents. Symptoms can include redness, itching, and bumps.

3. Pearly Penile Papules: These are small, harmless bumps that can appear around the corona of the penis and sometimes on the scrotum. They are normal anatomical variations and do not require treatment.

4. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or red bumps. They are typically painless but can be itchy.

5. Scabies or Pubic Lice: These infestations can cause intense itching and red bumps due to allergic reactions to the bites.

6. Fungal Infections: Conditions like jock itch (tinea cruris) can cause red, itchy rashes in the groin area, including the scrotum.


Treatment Options
- Topical Treatments: Over-the-counter antifungal creams or hydrocortisone creams can help reduce inflammation and treat mild fungal infections or dermatitis. If you find relief with a topical ointment like Betamethasone (often referred to as "贝肤适"), it suggests that inflammation or irritation may be a factor.

- Antibiotics: If the bumps are due to a bacterial infection, a healthcare provider may prescribe topical or oral antibiotics.

- Avoid Irritants: Identifying and avoiding potential irritants (such as certain soaps or fabrics) can help prevent flare-ups.

- Maintain Hygiene: Keeping the area clean and dry is crucial. Avoid tight clothing that can cause friction.


When to See a Doctor
Given the recurring nature of your symptoms, it would be advisable to consult a healthcare professional. You may consider visiting either a dermatologist or a urologist. A dermatologist specializes in skin conditions and can provide insight into skin-related issues, while a urologist focuses on urinary and male reproductive health, which can be beneficial if the bumps are related to a sexually transmitted infection or other urological concerns.


Conclusion
In summary, red bumps on the scrotum can arise from various causes, including folliculitis, contact dermatitis, or infections. While over-the-counter treatments may provide temporary relief, it’s essential to seek a professional evaluation for a proper diagnosis and tailored treatment plan. Early intervention can help prevent complications and ensure effective management of your symptoms.

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