Scrotal Pain: Causes, Symptoms, and Treatment Options

Scrotal issues?

I have two shallow yellow wounds on my scrotum, resembling the symptoms of tongue ulcers.
They are quite painful, and I am unsure of the cause.
What is the name of this condition? How should I treat it? Is applying povidone-iodine effective on the wounds? I would appreciate your guidance.

chieh, 40~49 year old female. Ask Date: 2004/07/02

Dr. Pan Zhenqin reply Urology

It seems likely that it could be folliculitis, which can be treated with povidone-iodine or antibacterial ointment.
However, if it does not improve after a few days or if the condition worsens, it is advisable to visit a clinic for a proper examination.

Reply Date: 2004/07/02

More Info

Scrotal pain can arise from a variety of causes, and the symptoms you describe—specifically, the presence of two shallow yellowish wounds resembling ulcers—could indicate a few potential conditions. It's essential to approach this matter with care, as the scrotum is a sensitive area, and any lesions or pain should be evaluated by a healthcare professional.

Possible Causes
1. Infections: One of the most common causes of scrotal pain and lesions is an infection. This could be a sexually transmitted infection (STI) such as herpes simplex virus, which can cause painful ulcers on the genital area. Other infections, such as fungal infections or bacterial infections, could also lead to similar symptoms.

2. Dermatological Conditions: Conditions like contact dermatitis, psoriasis, or eczema can cause skin lesions and discomfort in the scrotal area. These conditions may lead to inflammation and pain.

3. Folliculitis: This is an infection or inflammation of the hair follicles, which can occur in the scrotal area and may present as painful bumps or lesions.

4. Ulcerative Conditions: Conditions such as Behçet's disease or other autoimmune disorders can lead to ulcerative lesions in the genital area.

5. Trauma or Irritation: Sometimes, friction from clothing or activities can lead to irritation and subsequent ulceration of the skin.

Symptoms to Monitor
In addition to the yellowish wounds, you should monitor for other symptoms, such as:
- Swelling or redness in the scrotal area
- Fever or chills
- Discharge from the lesions
- Pain during urination or ejaculation
- Any changes in the size or appearance of the lesions

Treatment Options
1. Topical Treatments: While applying antiseptics like iodine (e.g., Betadine) may help prevent infection, it is crucial to avoid using harsh chemicals that could irritate the skin further. Instead, consider using a mild antiseptic or consult a healthcare provider for recommendations.

2. Antibiotics or Antivirals: If an infection is diagnosed, your doctor may prescribe antibiotics for bacterial infections or antiviral medications for viral infections like herpes.

3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort.

4. Avoid Irritation: Wear loose-fitting underwear and avoid activities that may irritate the area until the lesions heal.

5. Consult a Healthcare Provider: Given the symptoms you describe, it is essential to see a healthcare professional for an accurate diagnosis and appropriate treatment. They may perform a physical examination, take a medical history, and possibly conduct tests (like swabs or blood tests) to determine the underlying cause of your symptoms.

Conclusion
In summary, the presence of painful lesions on the scrotum can be indicative of various conditions, ranging from infections to dermatological issues. While topical antiseptics may provide some benefit, it is crucial to seek medical advice for a proper diagnosis and treatment plan. Early intervention can prevent complications and promote healing. Please prioritize your health and consult a healthcare professional as soon as possible.

Similar Q&A

Understanding Scrotal Pain: Causes, Diagnosis, and Treatment Options

Hello, doctor. Before I turned 30, I used to masturbate almost every day. Recently, I've been experiencing significant pain in my scrotum, and I'm really worried about having a varicocele. I went to the hospital for an examination, and the doctor said my testicles were ...

Dr. Du Shixi reply Urology
Hello: One can only say to pay attention to life. Currently, it's important not to sit or stand for prolonged periods, wear loose-fitting pants, limit spicy and irritating foods, take medication on schedule, avoid intense exercise, and in my personal opinion, it is still ner...

Testicular Pain: Causes, Treatment, and When to Seek Further Help

Hello doctor, recently I've been experiencing sharp pain in my testicles that radiates to my abdomen, seemingly along the nerve pathway. The pain is particularly intense when I lie down, while standing provides some relief, and sitting is also uncomfortable. I have already v...

Dr. Lin Hexing reply Urology
Hello, sir: Thank you for your inquiry. I recommend that you consult a urologist for an examination. Wishing you peace and happiness!

Understanding Recurrent Scrotal Pain: Causes and Management Strategies

Dr. Lee: Hello! I am experiencing pain in my scrotum, with discomfort on the outer skin, which is also in a relaxed state and appears reddened. The testicle has not descended and feels enlarged and deformed (originally measuring 3*1*1 cm, it feels like 4*1*1 cm during pain, and p...

Dr. Li Xinyi reply Urology
To be honest, I really don't understand what you're saying; it sounds like a complicated issue. I recommend that you continue to see a urologist for further examination and discuss it with your physician.

Understanding Scrotal Pain: Causes and Solutions for Young Men

Doctor, I have a question. Since high school (around 16 or 17 years old) and now at 23, every time I experience an erection but cannot engage in sexual intercourse, my penis remains erect for over ten minutes, and afterwards, my scrotum becomes extremely painful. Touching my test...

Dr. Xu Weikai reply Urology
Jack: Hello, your symptoms may be due to prolonged erection, which can cause tension in the muscles and nerves. However, other causes cannot be ruled out. The absence of ejaculation can sometimes lead to localized pain; applying a warm towel for heat therapy may help prevent subs...