[39M] With testicular itching and sores

Patient Description

A 39-year-old male presents with itching on his testicles for the past 8 days, accompanied by sores resembling ulcers. The patient has not found any relief for the itching or sores. There has been no contact with others experiencing similar symptoms, and this is the first occurrence of such itching. The patient denies any pain, fever, or blisters in the area but notes some redness. There are no other skin changes or rashes elsewhere on the body. The patient has not had any new sexual partners or unprotected sexual encounters recently and has no known allergies or history of skin conditions. A recent change in laundry detergent was noted, but no improvement or worsening of symptoms has been observed. The patient has not traveled recently and has no pre-existing conditions or chronic illnesses. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Contact Dermatitis: This is a common skin reaction that occurs when the skin comes into contact with an irritant or allergen. Given that you recently changed your laundry detergent, this could be a likely cause. Contact dermatitis can cause itching, redness, and sores.

    • Treatment: Avoiding the irritant (in this case, the new laundry detergent) and using over-the-counter hydrocortisone cream or antihistamines can help alleviate symptoms.
  • Fungal Infection (Jock Itch): This is a common fungal infection that affects the groin area. It can cause itching, redness, and sometimes sores.

    • Treatment: Over-the-counter antifungal creams, powders, or sprays can be effective. Keeping the area clean and dry is also important.
  • Genital Herpes: Although you mentioned no new sexual partners or unprotected sex, it's worth noting that genital herpes can cause sores that resemble ulcers, along with itching and redness.

    • Treatment: Antiviral medications prescribed by a doctor can help manage symptoms and reduce outbreaks.
  • Scabies: This is a skin infestation caused by tiny mites that burrow into the skin, causing intense itching and sores.

    • Treatment: Prescription creams and lotions are required to treat scabies. It's important to treat all close contacts and wash all clothing and bedding.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Switch Back to Your Old Laundry Detergent: Since you recently changed your detergent, try switching back to your previous one to see if your symptoms improve.
  2. Keep the Area Clean and Dry: Wash the affected area with mild soap and water, and make sure to keep it dry. Avoid tight clothing that can cause irritation.
  3. Over-the-Counter Treatments: You can try using over-the-counter hydrocortisone cream for itching or antifungal creams if you suspect a fungal infection.
  4. Avoid Scratching: Scratching can worsen the sores and lead to infection. Try to keep your nails short and consider wearing loose clothing to reduce irritation.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If the itching, redness, or sores worsen despite trying the above measures.
  • Signs of Infection: If you notice pus, increased pain, swelling, or fever, these could be signs of a bacterial infection.
  • Persistent Symptoms: If your symptoms persist for more than a couple of weeks without improvement.
  • New Symptoms: If you develop new symptoms such as pain, fever, or blisters.

Remember, while this advice can help manage your symptoms, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are the common causes of itching and sores on the testicles?

Common causes of itching and sores on the testicles include contact dermatitis, fungal infections like jock itch, genital herpes, and scabies. Each condition has specific characteristics and may require different treatments.


How can I differentiate between contact dermatitis and a fungal infection?

Contact dermatitis often occurs after exposure to an irritant or allergen and may improve by avoiding the irritant. It typically presents with redness and itching. A fungal infection like jock itch usually involves a red, ring-shaped rash and thrives in warm, moist areas. Antifungal treatments are effective for fungal infections.


What steps can I take at home to alleviate itching and sores in the groin area?

To alleviate itching and sores, keep the area clean and dry, avoid tight clothing, and consider using over-the-counter treatments like hydrocortisone cream for itching or antifungal creams if a fungal infection is suspected. Avoid scratching to prevent further irritation or infection.


When should I seek medical attention for itching and sores on the testicles?

Seek medical attention if symptoms worsen, if there are signs of infection such as pus or fever, if symptoms persist for more than a couple of weeks without improvement, or if new symptoms like pain or blisters develop.


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