Itchy Male Genitals: Causes and Treatment Options - Dermatology

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Is it common for the male genitalia to itch?


Recently, there has been itching in the male genital area, particularly on the glans.
What treatment options are available, and which specialist should I see? Can I visit a general clinic? Could this be caused by a sexually transmitted infection, even though I only have my wife as a partner?

Weilian, 40~49 year old female. Ask Date: 2013/01/29

Dr. Li Yufen reply Dermatology


Hello: It is recommended that you visit a nearby dermatology or urology clinic to confirm whether it is a sexually transmitted infection (STI).
If further examination is needed, you can be referred to a larger hospital.
Generally, STIs should present with visible abnormalities on the skin, not just a pure itching sensation.
Thank you!

Reply Date: 2013/01/29

More Info


Itchy male genitals, particularly in the area of the glans (the head of the penis), can be a source of discomfort and concern. The causes of genital itching can vary widely, and understanding these causes is essential for effective treatment.

Common Causes of Itchy Male Genitals
1. Infections:
- Fungal Infections: One of the most common causes of genital itching is a yeast infection, often caused by Candida. This can occur in men, especially if they have diabetes or are on antibiotics.

- Bacterial Infections: Bacterial infections can also lead to itching and irritation.

- Sexually Transmitted Infections (STIs): Conditions such as herpes, gonorrhea, or chlamydia can cause itching and discomfort. Even if you have only one partner, it’s still possible to contract an STI, especially if your partner has been exposed.

2. Dermatological Conditions:
- Contact Dermatitis: This can occur due to irritation from soaps, detergents, or personal care products. Allergic reactions to latex condoms or lubricants can also lead to itching.

- Psoriasis or Eczema: These chronic skin conditions can affect the genital area, leading to itching and inflammation.

3. Poor Hygiene: Inadequate cleaning can lead to the accumulation of sweat, bacteria, and dead skin cells, which can cause irritation and itching.

4. Pubic Lice or Scabies: Infestations by parasites can lead to intense itching in the genital area.

5. Other Causes: Conditions like balanitis (inflammation of the glans) can also cause itching and discomfort.


Treatment Options
1. Over-the-Counter Treatments:
- Antifungal creams (like clotrimazole or miconazole) can be effective if a fungal infection is suspected.

- Hydrocortisone cream may help reduce inflammation and itching from dermatitis.

2. Prescription Medications: If an STI or a more severe infection is suspected, a healthcare provider may prescribe antibiotics or antiviral medications.

3. Good Hygiene Practices: Keeping the area clean and dry is crucial. Use mild, unscented soaps and avoid harsh chemicals.
4. Avoid Irritants: If you suspect that a product is causing irritation, discontinue its use. This includes soaps, lotions, and even laundry detergents.

5. Consult a Healthcare Provider: If the itching persists or is accompanied by other symptoms (such as discharge, pain, or sores), it’s important to see a healthcare provider. A urologist or dermatologist would be appropriate specialists to consult for this issue. General practitioners can also provide initial evaluations and treatments.


When to Seek Medical Attention
- If the itching is severe or persistent.

- If there are additional symptoms such as redness, swelling, discharge, or pain.

- If you notice any unusual changes in the genital area.


Conclusion
While itchy male genitals can be uncomfortable and concerning, many causes are treatable. It’s essential to identify the underlying cause to determine the most effective treatment. If you are unsure or if the symptoms persist, seeking medical advice is the best course of action. A healthcare provider can perform the necessary examinations and tests to provide a proper diagnosis and treatment plan. Remember, open communication with your partner about any symptoms is also important for both of your health.

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