How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Susan Ivy Your Own Question
Susan Ivy
Susan Ivy, Nurse (RN)
Category: Health
Satisfied Customers: 4058
Experience:  BSN, MSN, CNS
Type Your Health Question Here...
Susan Ivy is online now
A new question is answered every 9 seconds

Hello - could someone advise me, I have a flat white patch

This answer was rated:

Hello - could someone advise me, I have a flat white patch on the side of my scrotum = up nearer the thigh area - where it rubs. It is about a 1 inch patch - not circular. It is not painful although sometimes it itches. It is filled with fluid which sometimes seems quite hard. I do sweat a lot down in that area. I did wonder about jock itch syndrome having developed into something else?? The was also a smaller patch on the other side of the scrotum which has cleared up after using bacterial soap and keeping the area dry with talc etc. This larger area persists. The antifungal spray I have, lamasil, dosen't seem to be having any effect - although I am only 5 days into once daily treament. Any idea what this could be - I am reluctant to go to a doctor about this as I am living overseas and don't think I could explain the details exactly, plus it is embarrasing. I first noticed it at Christmas, and have been trying all sorts of things since then - it hasn't changed!

folow up - comment

The lamasil has definitely had zero effect. I have also did wondered if it was some kind of seborhic? Cyst, sorry about the spelling. I looked all over the internet but couldn't confirm it as they seem to be lot smaller generally and often multiple numbers.

I think in some way it has to do with friction? Could it have got infected? It doesn't seem like it, as it definitely hasn't got any worse in the last couple of months. The skin patch is totally white.

Another point is that a couple of weeks ago ago after twice daily moist hot flannel compresses I managed to squeeze the clear liquid out. It didn't smell. The skin was red raw underneath and afterwards appeared to be healing fine. Then suddenly it came back overnight! A layer of skin had formed exactly the same as it was before. I had been cleaning the raw area very carefully with soap and water only while it was healing. Certainly no infection got into it.




Thank you for writing to JustAnswer Health with your question.


From your description it does sound likely that this is a fungal infection. The only sure way to know is examination. The most common is types of fungal infection to this area isTinea Cruris which is commonly called 'jock itch".


The creams that work well for this, which do include Lamisil, but also, clotMiconazole, and butenofine are creams that are usually applied from 1 week to 4 weeks. Some of the creams to treat this are available over the counter, but stronger creams and oral medications that may work better with resistant infections require precautions or lab's first (to check for liver function, for example) and may also require a prescription. An oral anti-fungal medication such as fluconazole is prescribed in some cases.


As it sounds like you are aware of, it is important to keep the area clean with mild soap and water twice daily, drying very thoroughly afterwords (actually, do not use an antibacterial soap, because this can kill the normal bacteria that is present on skin which helps to keep over-growth of fungus from developing). Wearing cotton underwear and loose enough clothing so that air can get to the area to keep it as dry as possible, is also important because moisture is a factor in that helps keep the infection growing and continuing.


It is also important to use good hand washing to prevent spread to other areas such as the eye, although this is less likely to happen in a person with good immunity.


In 1/2 of men with topical fungal infections such as genital Tinea Cruris it has originated from the feet to the genitals, so it is important to be aware of this if you have any type of infection or itching on your feet as well, to treat the feet as well, and to be careful when putting underwear over feet to prevent recurrence. Also protect your feet if you use a public gym with flip flops or thongs.


The anti-fungal creams miconazole or clotrimazole are also effective against yeast infections (Candida albicans) another type of fungal growth, but your infection sounds less likely to be a yeast infection.


Since you have already tried two types of creams, it is recommended that you see a physician for the next step, which is collection of a small biopsy of the lesion or affected area for microscopic (laboratory) examination. This will allow for determination of the exact organism so that the exact treatment you need can be started.


Any physician commonly treats these infections of the genital region and does not think another thing about examining a person in this area -- you need to look at doctors as being similar to a mechanic, they check individuals "under the hood" every day, so there is really no need for you to be hesitant to be evaluated for any kind of infection that is possible in this area.


If you have questions or comments please reply to this post so that I can assist you further.







Customer: replied 6 years ago.
Hello Susan, Thank you very much for your detailed reply - I am very pleased, I am pretty sure you are on the right track. One question though, looking at jock itch photos on the internet it seems as if is a dry scaly type condition? Mine definitely isn't - although it is in the spot where I would expect jock itch to be!!

Finally, do you think Lamisisil cream would have better chance of working? As it has to be appied twice daily whereas the lamisil spray I have been using is wet and only one application a day. Also what about a cream such as canesten as a last try to cure it before going to the Doctor?


The appearance can vary, but it is true that this could be something else or another type of fungal infection. It doesn't sound like any common STD's, but the doctor would be able to check you for that, and again, they do this all the time.


Since you have already tried lamisal, I would try one of the other creams that I mentioned above for the specific condition.


Clotrimazole is the generic name for Canesten and it is indicated for yeast (Candida albicans infections) alone. For jock itch or athletes foot, more commonly Lotrisone is recommended. It is a combination of clotrimazole and butenofine.


I do believe it would be best to try a cream. It does seem like this would more easily adhere to the area, and is the only thing beside an oral medication that I have heard recommended for fungal infections in this area. Give which ever one you try one more week, then you really should see the doctor.



Susan Ivy, Nurse (RN)
Category: Health
Satisfied Customers: 4058
Experience: BSN, MSN, CNS
Susan Ivy and 4 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Once again excellent, very many thanks - I'll accept your answer.

You are very welcome, Patrick, and I hope this clears up quickly for you.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Previous | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ

Meet The Experts:

  • Family Physician

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    Emergency Medicine and Family Practice for over 26 years
< Last | Next >
  • Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    Emergency Medicine and Family Practice for over 26 years
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • Dr. Ketch's Avatar

    Dr. Ketch


    Satisfied Customers:

    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    Board Certified NP, MS, RN. Private practice & hospitalist
  • Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    U.S. Physician/Surgeon in Neurosurgery
  • Dr. Gupta's Avatar

    Dr. Gupta

    Doctor (MD)

    Satisfied Customers:

    Vastly experienced MD Physician with 19 years of experience.

Related Health Questions