What could be the reason for itching and pimples on the genitals?

Hello,

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From the pictures (images attached removed to protect the patient's identity), this is Candidal balanoposthitis. Fungal infection of the glans (tip of the penis) and prepuce (foreskin). I would like to know if you have tested your blood sugar levels because diabetes is the most common cause of recurrent nonhealing candidal infection.

Kindly stop using that combination cream, Betamethasone is a strong steroid, and it further aggravates fungal infection. Once you stop using the Betamethasone cream, there will be more itching, pain, and red, and white bumps. I suggest you use,

1. Clotrimazole 1% cream, apply to the affected area twice a day, after cleaning the area with lukewarm water and mild soap.

2. Take a capsule of Candiforce (Itraconazole) 200 mg, it is a single-day treatment. Take one capsule in the morning and one capsule at night after food.

Avoid unprotected sexual intercourse until your and your wife's infection has resolved. Your wife needs to be treated simultaneously because fungal infections are contagious, if not treated you may get an infection from her once you get cured. I hope I have cleared your doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

You do not need any special soap, normal mild soap is sufficient. I suggest you use Clotrimazole cream for six to eight weeks, since you have used Betamethasone, it may take a little longer duration to heal. If the issue is recurrent, then circumcision is advised. The treatment for vaginal discharge in women is different, she has to take tablet Candispan (Beclometasone and Clotrimazole) 3 kit, which has four tablets, one tablet of Fluconazole (Microcrystalline cellulose, Dibasic calcium phosphate anhydrous, Povidone, Croscarmellose sodium), one tablet of Azithromycin (Croscarmellose sodium, Dibasic calcium phosphate anhydrous, Hypromellose, magnesium stearate) and two tablets of Secnidazole. This is also a single-day treatment, Azithromycin has to be taken in the morning before breakfast, and fluconazole after lunch, tablet Secnidazole (Secnidazole, Guar gum, Xanthan gum, and Chitosan) after dinner. Topical clotrimazole cream, apply twice a day after cleaning the vaginal area. For women, there are many causes of vaginal discharge, she has to be examined. She should also get her blood sugar levels tested. Consult your specialist doctor, discuss with them, and take medications with their consent. It is better to avoid sexual intercourse even with condoms, as it may cause friction and delay the healing process. I hope I have cleared all your doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

Your wife needs to take two Secnidazole tablets at night after food. Clotrimazole cream is for six to eight weeks. These medicines are prescription medicines, Clotrimazole is OTC (over-the-counter) but not a tablet. Candispan is the brand name, I have also mentioned the name of the medicine inside the kit, Azithromycin, Fluconazole, and Secnidazole. There are no food restrictions, fungal infections are not related to diet. I hope I have cleared all your doubts.

Thank you.

Hello,

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As you have used steroids, it may take at least six weeks to clear up. Review the response after six weeks. I am not sure about the medications in your country.

Thank you.

Hello,

Welcome back to icliniq.com.

She can skip those days, oral tablets are effective enough to take care of the infection.

Thank you.

Hello,

Welcome back to icliniq.com.

It is the same cream, Clotrimazole 1 % cream. She has to be seen by a dermatologist or a gynecologist ideally as there will be many causes for vaginal discharge of which candidal vaginitis is most likely considering your diagnosis.

Thank you.

Hello,

Welcome back to icliniq.com.

Wish you a speedy recovery. I hope I have cleared all your doubts.

Thank you.