What are the symptoms of itchy testicles?

Itchy testicles may be a symptom of conditions such as scrotal eczema, tinea cruris, contact dermatitis, neurodermatitis, or pubic pediculosis. Scrotal eczema usually manifests as local erythema, papules and severe itching ； Tinea cruris is mostly annular skin lesions caused by fungal infection ； Contact dermatitis associated with allergen irritation ； Neurodermatitis is characterized by lichenification and episodic pruritus ； Pubic lice are associated with parasitic infections. It is recommended to seek medical treatment promptly for a clear diagnosis.

1. Scrotal eczema

Scrotal eczema may be related to local excessive sweating, friction and irritation and other factors. It usually manifests as scrotal skin flushing, papules, exudation, and obvious itching that worsens at night. Blisters and erosion may occur in the acute phase, and the skin may become thickened and rough in the chronic phase. Treatment needs to be kept dry and clean, avoid scratching, and you can use hydrocortisone butyrate cream, tacrolimus ointment, compound dexamethasone acetate cream and other drugs as directed by your doctor. Close-fitting clothing should be made of breathable cotton.

2. Tinea cruris

Tinea cruris is caused by fungal infection such as Trichophyton rubrum. It is characterized by clear-circumscribed annular erythema with raised edges and scaling, which spreads to the periphery and subsides in the center. The itching intensifies after sweating. It may be related to shared bathing facilities, obesity or diabetes. Topical bifonazole cream, miconazole nitrate cream or terbinafine gel can be used as directed by the doctor. In severe cases, oral itraconazole capsules are required. Keep your groin dry every day and avoid sharing towels with others.

3. Contact dermatitis

Contact dermatitis is often caused by allergies to the material of underwear, detergent residue, or irritation from topical medications. It manifests as redness, swelling, and dense blisters at the contact site, accompanied by burning sensation and itching. Symptoms may be relieved by removing the allergen. In the acute stage, cold compresses with normal saline can be used, and calamine lotion, desonide cream or pimecrolimus cream can be used as directed by the doctor. Newly purchased underwear should be washed thoroughly and avoid using care products containing fragrance.

4. Neurodermatitis

Neurodermatitis is related to mental stress and scratching irritation. It is characterized by lichenification of the scrotal skin, deepening of striae, paroxysmal itching, and bloody scabs may appear after scratching. Treatment needs to break the vicious cycle of itching and scratching. You can use halomethasone cream, flufenamic acid butyl ointment or compound clobetasol propionate ointment as directed by your doctor. It is recommended to relieve stress through meditation and exercise, and to wear cotton gloves at night to prevent unconscious scratching.

5. Pubic lice

Pubic pediculosis is transmitted by direct contact with parasites and manifests as severe itching in the pubic hair area, visible gray-blue spots or large red rashes with pinheads, and lice eggs attached to the hair shaft. Pubic hair needs to be shaved and clothing boiled and sterilized. Use sulfur ointment, benzyl benzoate liniment or permethrin cream as directed by your doctor. Sexual partners need to synchronize treatment and avoid sharing bedding. After treatment, the living environment needs to be delice treated.

In daily life, you should avoid irritating behaviors such as hot water scalding and excessive cleaning, choose non-irritating shower gel, and dry wrinkled areas promptly after bathing. Wear loose, breathable cotton underwear and change it daily to avoid local moisture caused by sitting for long periods of time. If itching lasts for more than 1 week, skin ulceration occurs, or is accompanied by fever and other symptoms, you must see a dermatologist immediately. Reduce the intake of spicy and irritating foods in the diet, and supplement the vitamin B family and zinc in an appropriate amount to help skin repair.