The skin at the junction between the scrotum and the penis?
Hello, doctor.
I have white discharge with an odor and itching at the skin where my left scrotum connects to the penis (the fold area).
The skin in that area is lighter in color than the surrounding skin (a bit red), and the hair on the scrotum has turned white.
Could this be a skin condition? Currently, I am applying "Clobetasol" ointment.
Thank you for your help.
Lin Xiansheng, 40~49 year old female. Ask Date: 2022/02/21
Dr. Du Shixi reply Urology
Hello: It is not recommended to self-medicate.
Please keep the area clean and dry, and seek medical attention to avoid developing chronic dermatitis.
Wishing you good health.
Reply Date: 2022/02/21
More Info
Understanding skin issues in sensitive areas such as the junction of the scrotum and penis can be quite concerning, and it's important to approach this with care and proper medical guidance. Based on your description, several factors could be contributing to your symptoms, including the presence of white discharge, odor, itching, and changes in skin color.
Firstly, the symptoms you describe could be indicative of a few different conditions. One possibility is a fungal infection, such as candidiasis (commonly known as a yeast infection), which can thrive in warm, moist areas of the body. This type of infection often presents with itching, redness, and a white discharge. The fact that the skin in that area appears lighter or redder than the surrounding skin could also suggest irritation or inflammation, which is common in cases of fungal infections.
Another potential issue could be a condition known as balanitis, which is inflammation of the glans (the head of the penis) and can occur due to various reasons, including poor hygiene, irritants, or infections. This condition can also lead to symptoms such as itching, redness, and discharge.
The white hairs on the scrotum could be a normal variation or could indicate a change in the hair follicles due to irritation or infection. It's not uncommon for hair in this area to change in appearance due to various dermatological conditions.
Using topical treatments like "可洛貝達" (likely a corticosteroid or antifungal cream) can provide temporary relief, but it is crucial to ensure that the underlying cause is properly diagnosed. Overuse of topical steroids can sometimes lead to skin thinning and other complications, especially in sensitive areas.
Here are some recommendations for managing your symptoms:
1. Consult a Dermatologist: It is essential to see a healthcare professional who specializes in skin conditions. A dermatologist can provide a thorough examination and may perform tests to determine the exact cause of your symptoms.
2. Maintain Hygiene: Ensure that the area is kept clean and dry. Use mild, unscented soaps and avoid harsh chemicals or fragrances that can irritate the skin. After bathing, gently pat the area dry and consider using a powder to keep it dry.
3. Avoid Irritants: Be cautious with any products you apply to the area. If you suspect that a particular cream or ointment is causing irritation, discontinue its use and consult your doctor.
4. Wear Loose Clothing: Tight clothing can exacerbate irritation and moisture retention. Opt for breathable fabrics like cotton to allow for better air circulation.
5. Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and severity of itching, discharge, and any new developments. This information can be valuable for your healthcare provider.
6. Follow Medical Advice: If prescribed medication, follow your doctor's instructions carefully. If symptoms persist or worsen, return to your healthcare provider for further evaluation.
In summary, while your symptoms may suggest a dermatological issue, a proper diagnosis from a healthcare professional is crucial for effective treatment. Avoid self-diagnosing and self-medicating, as this can sometimes lead to complications or worsening of the condition. Your health and comfort are paramount, so seeking professional advice is the best course of action.
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