Groin Itching: When to See a Dermatologist or Urologist - Urology

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Masturbation & genital itching


For issues related to the groin area, you should consult a urologist.
If you are experiencing skin-related concerns, a dermatologist may also be appropriate.
Regarding your observation of ejaculation versus fluid discharge, it can vary based on several factors, including arousal levels and individual physiological responses.
It's best to discuss these concerns with a healthcare professional for personalized advice.

kk, 10~19 year old female. Ask Date: 2002/04/24

Dr. Xu Wencang reply Urology


Hello Mr.
KK: Itching in the groin is generally caused by a fungal infection (similar to athlete's foot), and treatment must address both aspects.
You can consult either a dermatologist or a urologist.
During ejaculation, it occurs via autonomic nerve reflex; sometimes if the stimulation is not strong enough, the reflex may be weak, resulting in leakage instead of ejaculation.
Alternatively, excessive masturbation may lead to a decrease in semen volume, making it difficult to ejaculate.

Reply Date: 2002/04/24

More Info


When it comes to groin itching, the decision on whether to see a dermatologist or a urologist can depend on the underlying cause of the symptoms. Groin itching can arise from various conditions, including fungal infections, skin irritations, allergies, or even sexually transmitted infections (STIs).
If the itching is accompanied by a rash, redness, or any unusual skin changes, it is advisable to consult a dermatologist. Dermatologists specialize in skin conditions and can diagnose issues such as eczema, psoriasis, or fungal infections like jock itch (tinea cruris), which is common in the groin area. They can provide topical treatments, such as antifungal creams or corticosteroids, to alleviate the symptoms.

On the other hand, if the itching is associated with urinary symptoms, such as pain during urination, unusual discharge, or any concerns related to sexual health, it would be more appropriate to see a urologist. Urologists specialize in male reproductive health and urinary tract issues, and they can evaluate for conditions such as infections, inflammation, or other urological disorders.

Regarding your mention of ejaculation and the presence of fluid, it is normal for men to experience variations in ejaculation. Pre-ejaculate fluid, or pre-cum, is a natural lubricant produced by the Cowper's glands and can be released during arousal, even if ejaculation does not occur. This fluid can sometimes be mistaken for semen, especially if there is a significant amount. If you have concerns about your sexual health or any changes in your body, discussing these with a healthcare professional can provide clarity and reassurance.

In summary, if your primary concern is itching in the groin area, start with a dermatologist to rule out skin-related issues. If you have additional symptoms related to urination or sexual health, then a urologist would be the appropriate specialist to consult. Always prioritize your health and seek professional advice when you have concerns about your body.

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