What Do Bumps On The Scrotum Indicate Despite Taking Desonide And Econazole?

Posted on Mon, 6 Nov 2017

Question: I developed several bumps on the left side of my scrotum, none painful with a hair in the middle on them plus a burning sensation on my inner thighs and penis head. Went to the dermatologist got a urine test everything came back negative. I was prescribed to medication desonide and Econazole. Econazole on my feet and Desonide on the affect area. After about a week of using the cream tiny pimples on shaft started developing. Flaccid it’s hsrdly noticeable but fully erect it’s clear as day. Not painful just unpleasant. I’ve never had this before in my life. A little quick backstory I had sex with a new partner female about three weeks before the first bumps on the scrotum appeared. It was protected with a condom but I’m concerned that this could be HSV 2 but my dermatologist doesn’t think so because I would have a cluster of bumps that would ooz crust over and be very painful. Plus I’ve been going through this for about 6 weeks would symptoms last this long without any visible lesions. My question is does this sound like a herpes outbreak or some kind of hair infection. Maybe a yeast or fungi infection. Plus the bumps on my shaft which are very tiny wouldn’t notice if I wasn’t fully erect look unpleasant.

The sex was with a condom and why would these bumps appear where My penis was covered at. The sex was on Aug 26 and the bumps appeared around Oct 9 after I started using the creams. Really concerned any ideas hope it’s not a std

Tested at 6 weeks after exposure for gonnareaha, Chlamydia and trichomoniasis plus a Hiv test all negative

Answered by Dr. Lekshmi Rita Venugopal (2 hours later)

Brief Answer:
Likely to be tinea infection

Detailed Answer:
Hello,
Thank you for trusting HCM for your health concern

I have gone through your question and the pictures attached
Your symptoms and negative STD screening at 6 weeks are all confirmative that you do not have herpes, chlamydia or gonorrhea. You do not have to worry about sexually transmitted infections.

The symptoms are more suggestive of possible fungal infection (tinea) commonly known as jock itch.
Here are few things you can try to manage the symptoms
-Keep your genital area clean and dry
-Use mild soap and warm water to clean the area
-Wear loose-fitting undergarments
-Wash your clothes in hot water
-Use over the counter Lotrimin antifungal ointment on the affected areas (If you have Econazole cream left, it can also be used instead)
-If you have co-existing athletes food the antifungal ointment should be applied to the feet also to prevent infection from feet to be transmitted to groin via your underwear.

The bumps and burning sensation should start decreasing in about a week. However, treatment should be continued until all the symptoms have cleared which can take up to 2 weeks.

Hope this answers your question
Please address further questions here
Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Lekshmi Rita Venugopal (16 minutes later)

I didn’t test for herpes just the other things because it would be to early and the test wouldn’t be accurate. But your saying is that the bumps don’t look like herpes and more of a fungal infection ?

Because the bumps are very unpleasant and I don’t won’t this girl I’m dating to think I have something. I’ve been using the cream for about a week in a half maybe a different cream would do a better job any suggestions ?

Answered by Dr. Lekshmi Rita Venugopal (4 hours later)

Brief Answer:
Follow up answer

Detailed Answer:
Hello again,

The bumps do not look like herpes at all. You do not have to worry about herpes.
I believe that you have been using Desonide ointment on the groin area. Desonide is a mild corticosteroid. It does not treat underlying fungal infection if present. The bumps and burning point towards possible fungal (tinea) infection.
You can use Lotrimin antifungal ointment along with the Desonide cream and follow the recommendations I mentioned in the above answer.

Hope this answers your question
Please address further questions here
Regards
Dr.Lekshmi

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. Raju A.T