What causes itchy testicles?

Itchy testicular skin may be caused by scrotal eczema, tinea cruris, contact dermatitis, neurodermatitis, pubic lice, etc. It usually presents with symptoms such as itching, redness, swelling, and scaling. It is recommended to seek medical treatment promptly and provide targeted treatment after the cause is identified.

1. Scrotal eczema

Scrotal eczema may be related to local moisture, allergies and other factors, and usually manifests as skin flushing, papules, and oozing. You can use hydrocortisone butyrate cream, mometasone furoate cream and other glucocorticoid ointments, or zinc oxide ointment to protect the skin as directed by your doctor. It is necessary to keep the perineum dry every day and avoid scratching.

2. Tinea cruris

Tinea cruris is caused by fungal infection and is common on the skin of the groin and scrotum, manifesting as annular erythema with scales. Antifungal drugs such as bifonazole cream and miconazole nitrate cream can be used externally. Wear breathable cotton underwear and avoid sharing towels with others.

3. Contact dermatitis

Contact with laundry detergent, condoms and other allergenic substances may cause local itching and burning sensations. It is necessary to stay away from allergens and use topical calamine lotion to relieve symptoms. In severe cases, desonide cream can be used for a short period of time. When washing underwear, rinse thoroughly to remove detergent residue.

4. Neurodermatitis

Stress or repeated scratching can cause lichenification of the skin, accompanied by severe itching. Halometasone cream can be applied topically, combined with oral loratadine tablets. Avoid hot water and cut your nails short to reduce skin damage.

5. Pubic lice

Pubic lice infestation can cause significant itching at night, with gray-blue spots or worms visible. Pubic hair needs to be shaved and insecticides should be used with tincture of root and benzyl benzoate. Close-fitting clothing needs to be disinfected with boiling water. Sexual partners need to be treated simultaneously.

You should choose loose and breathable cotton underwear for daily use to avoid friction from prolonged sitting and strenuous exercise. The bath water temperature should not be too high, and alkaline soap should not be used to clean the affected area. If the itching persists or ulceration or pus appears, you must see a dermatologist or urologist immediately. During treatment, it is forbidden to drink alcohol and spicy food. Maintaining a regular schedule will help relieve symptoms.