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Suggest Treatment For Rash On The Left Side Of Scrotum
Question: Went to doctor today with rash on left side side of my scrotum (slightly near where the shaft of my penis would fall on it). There were no pimples or sores on the rash. But the rash was red and swollen. He said it was fungal/yeast related. He gave my Fluconazole 200MG (1 pill) and some Econazole Nitrate cream to place on the rash. Just so you know, I only had the rash and no symptoms of any discharge from my penis when I went to the doctor, plus I have been tested for other STDs (chlamydia, Gonorrhea, etc.) with no issues there. However, after taking the pill today, I have a tingling feeling near my urethra, almost as if there is discharge, but I am not currently able to identify any. My question is this: Could Fluconazole cause discharge even if I wasn't having that symptom before? Is this the medicine getting the bad stuff (yeast/infection) out?
Brief Answer:
Unlikely a fungal infection
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the Image.
I can see a patch of red skin on scrotum. I don't think it is a fungal/ yeast infection.
How long since you have it? I would like to know if this lesion of scrotum is itchy?
Fluconazole does not cause urethral discharge Or tingling at tip of urethra.
I would like to know if there is any recent history of a risky sexual contact? and when was you last sexual contact?
Regards
Unlikely a fungal infection
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the Image.
I can see a patch of red skin on scrotum. I don't think it is a fungal/ yeast infection.
How long since you have it? I would like to know if this lesion of scrotum is itchy?
Fluconazole does not cause urethral discharge Or tingling at tip of urethra.
I would like to know if there is any recent history of a risky sexual contact? and when was you last sexual contact?
Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
9/6/2015 was the last time I had sex. I wore a condom.
The week before that date, I std tested and no issues.
I was worried about herpes. So I went to the doctor today so he could check for that. He said it was not herpes and the rash looked fungal related. I have had no blisters or lesions on the rash.
It is not itchy.
The week before that date, I std tested and no issues.
I was worried about herpes. So I went to the doctor today so he could check for that. He said it was not herpes and the rash looked fungal related. I have had no blisters or lesions on the rash.
It is not itchy.
Brief Answer:
Looks like scrotal dermatitis rather tha fungal infecction
Detailed Answer:
Hi.
Thank you.
This looks like scrotal dermatitis to me Or scrotal Lichen Simplex Chronicus (LSC) to be more specific, rather than a fungal infection.
Fungal infections rather rarely involve scrotum because the temperature of scrotal skin is 2 degree celcius lower then skin temperature. On the other hand, fungal infections commonly involve the inner thigh region and adjacent pubic skin.
If I was the treating doctor I would have suggest you to use a moderately potent topical steroid e.g mometasone furoate 0.1% cream Or triamcinolone acetonide 0.1% ceam, twice daily for 2 weeks.
This does not look like genital herpes.
Genital herpes presents as painful, discrete, grouped erosions/ ulcers. Nevertheless you must still get tested for genital herpes because your most recent STD screening came 1 week PRIOR to your last protected sexual contact.
Regards
Looks like scrotal dermatitis rather tha fungal infecction
Detailed Answer:
Hi.
Thank you.
This looks like scrotal dermatitis to me Or scrotal Lichen Simplex Chronicus (LSC) to be more specific, rather than a fungal infection.
Fungal infections rather rarely involve scrotum because the temperature of scrotal skin is 2 degree celcius lower then skin temperature. On the other hand, fungal infections commonly involve the inner thigh region and adjacent pubic skin.
If I was the treating doctor I would have suggest you to use a moderately potent topical steroid e.g mometasone furoate 0.1% cream Or triamcinolone acetonide 0.1% ceam, twice daily for 2 weeks.
This does not look like genital herpes.
Genital herpes presents as painful, discrete, grouped erosions/ ulcers. Nevertheless you must still get tested for genital herpes because your most recent STD screening came 1 week PRIOR to your last protected sexual contact.
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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