Scrotal Acne: Causes, Symptoms, and Treatment Options

There are many acne lesions on the skin of the scrotum!

Hello, doctor.
Some time ago, I noticed one or two small pimples on my scrotum, but I didn't pay much attention to them.
However, after completing my military service, I realized that I might have tinea cruris, as the area around my scrotum has been very itchy.
When I scratch it, it breaks the skin.
Is it true that tinea cruris appears grayish-white and has peeling skin? I went to a regular store to buy an antifungal cream for tinea cruris, but after applying it for a short while, I noticed no improvement, and those two pimples have turned into a large cluster of acne.
I can't squeeze the acne out, and it feels like there are hard lumps inside.
Could it be some kind of cyst?

Ran Tian, 20~29 year old female. Ask Date: 2016/02/15

Dr. Xu Weikai reply Urology

Hello, it is recommended that you seek medical attention as soon as possible, either from a dermatologist or a urologist.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Answers found online should only be used as a reference; it is essential to visit a medical institution for proper care.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/15

More Info

Scrotal acne, often referred to as folliculitis or acne in the groin area, can be a distressing condition for many individuals. Understanding its causes, symptoms, and treatment options is crucial for effective management.

Causes of Scrotal Acne
1. Hormonal Changes: The onset of puberty brings about hormonal changes that can increase oil production in the skin, leading to clogged pores and acne formation. This is particularly common in areas with hair follicles, such as the scrotum.

2. Fungal Infections: Conditions like tinea cruris (jock itch) can cause itching and irritation in the groin area. This fungal infection can sometimes be mistaken for acne, especially if there is inflammation and secondary bacterial infection.

3. Poor Hygiene: Inadequate cleaning of the genital area can lead to the accumulation of sweat, oil, and dead skin cells, which can clog pores and contribute to acne.

4. Irritation and Friction: Tight clothing or excessive sweating can cause friction, leading to irritation of the skin and the development of acne-like lesions.

5. Bacterial Infections: Bacteria can infect hair follicles, leading to inflammation and pus-filled lesions, resembling acne.

Symptoms
- Itching and Discomfort: The most common symptom associated with scrotal acne is itching, which can lead to scratching and further irritation.

- Red or Inflamed Bumps: These may appear similar to typical acne lesions, often red and sometimes filled with pus.

- Scaling or Peeling Skin: In cases where a fungal infection is present, the skin may appear flaky or scaly.

- Pain or Tenderness: Inflammation can lead to discomfort, especially if the area is scratched or irritated.

Treatment Options
1. Topical Treatments: Over-the-counter topical treatments containing benzoyl peroxide or salicylic acid can help reduce acne. However, if a fungal infection is suspected, antifungal creams (like clotrimazole or miconazole) should be used.

2. Proper Hygiene: Maintaining good hygiene is essential. Regularly washing the area with mild soap and water can help prevent the buildup of oils and bacteria.

3. Avoiding Irritation: Wearing loose-fitting underwear and clothing can minimize friction and irritation. Cotton fabrics are preferable as they allow the skin to breathe.

4. Avoid Scratching: It’s crucial to avoid scratching the affected area, as this can lead to secondary infections and worsen the condition.

5. Consultation with a Dermatologist: If over-the-counter treatments do not provide relief, or if the condition worsens, it is advisable to consult a dermatologist. They may prescribe stronger topical or oral medications, such as antibiotics for bacterial infections or antifungal medications for fungal infections.

6. Lifestyle Modifications: Reducing stress, maintaining a balanced diet, and staying hydrated can also support skin health and potentially reduce acne flare-ups.

Conclusion
Scrotal acne can be a multifaceted issue, often requiring a combination of treatments and lifestyle adjustments for effective management. If you notice persistent symptoms or if the condition worsens, seeking professional medical advice is essential to rule out other underlying conditions and to receive appropriate treatment. Remember, early intervention can prevent complications and improve skin health.

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