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Ask Dr. S. Attili Your Own Question
Dr. S. Attili
Dr. S. Attili, Dermatologist & Dermatopathologist
Category: Dermatology
Satisfied Customers: 5175
Experience:  MRCP (Dermatology), Int. Board Certification in Dermatopathology
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I have a question regarding an itchy scrotum. I recently

Customer Question

I have a question regarding an itchy scrotum. I recently have used Elimite to get rid of Scabies. I've been to the dermatologist several times and each time he believes I'm in he healing process. But over the last week or so my scrotum has been really itchy and red. The last few days it hasn't been so red but still itchy. Any idea what this could be?
Submitted: 1 year ago.
Category: Dermatology
Expert:  Dr. S. Attili replied 1 year ago.

Hello. I am Dr. Venkat Attili, Dermatologist and Dermatopathologist with over 10 years of experience in this field. I am here to assist you and will answer your questions to your complete satisfaction.
Can you please upload a picture at your convenience?
Here are the site's instructions if you need help doing that:

Customer: replied 1 year ago.
Do I need to upload a profile picture or a picture of the problem area?
Expert:  Dr. S. Attili replied 1 year ago.

Just a picture of the problem area

Customer: replied 1 year ago.
I apologize if these photos aren't very good.
Expert:  Dr. S. Attili replied 1 year ago.

Thanks for the details and pictures which are most suggestive of a yeast infection. This is usually due to a yeast called candida. It is common in people who sweat a lot, and/ or in people who have diabetes.

Treatment is simple, in the form of two over the counter creams: 1% hydrocortisone & Clotrimazole. One has to mix both creams in equal amounts and apply them twice a day for 2-4 weeks to clear this up completely. Alternatively you can get Daktacort cream on prescription from your doctor, as that contains both ingredients.

If the infection does not clear up, one would need to get a prescription for a tablet called Itraconazole and take 100mg once daily for 14 days.

This is a harmless infection, but if your partner has thrush (a yeast infection too), she would also need to be treated or else you will just end up being re-infected.

To reduce the risk of re-infection the following measures also help:
Dry the areas carefully after bathing using a separate towel.
Do not share towels, sheets or personal clothing.
Avoid wearing occlusive or synthetic clothing.

There is nothing to worry about. This is nothing serious nor is this an STD.

Hope this helps. Do keep me posted & get back if you have any further questions or feel that I have missed out anything. Please do not hesitate to ask. I will be here to provide ongoing advice as necessary.
Best wishes.

Customer: replied 1 year ago.
Thank you. I do have a question, how were you able to determine a yeast infection? What signs made you think it was a yeast infection?
Expert:  Dr. S. Attili replied 1 year ago.
The appearance is typical of a yeast infection. The redness and slight flaking....
Customer: replied 1 year ago.
Could this all be a result from the Elimite treatment I took for Scabies? I did 4 individual treatments (2 complete treatments). I know that medicine can throw your body out of whack.
Expert:  Dr. S. Attili replied 1 year ago.

I doubt it, as you wouldn't get a reaction just on the penis!

Customer: replied 1 year ago.
Will it take 2-4 weeks to receive relief? Or should I experience relief sooner? If so how long does it take to get relief from the itching?
Expert:  Dr. S. Attili replied 1 year ago.

You should get relief from your symptoms within 3-4 days