Management for erectile dysfunction and itchy scrotum?

Question

Hello doctor,

As I have been suffering from an itchy scrotum and erectile dysfunction for more than two years now, I was wondering if I could receive a consultation for solving my problem. Often it could get painful and very scratchy.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query. From the symptoms described, I feel that the itchy scrotum and the erectile dysfunction are most likely not related to each other. Firstly, about the erectile dysfunction, was it sudden in onset or did you notice a gradual decline in the erections? Do you have erections early in the mornings? Are you able to have a penetrative intercourse? Are you a diabetic or have any other medical illness? At 35 years, the erectile dysfunction is unlikely to be anything related to the blood flow to the penis. But a doppler study with erectile drugs will be able to confirm that. If the blood supply is normal you can be prescribed drugs to enhance erections, though I would also advise a psychological evaluation to rule out the stress-induced erectile dysfunction.

Secondly, the itchy scrotum will require a clinical examination to see if there are any identifiable lesions. The most likely reason is a fungal infection which can sometimes be persistent or recurrent. Your local dermatologist will be able to take some skin scrapings and confirm that. The chance of STDs (sexually transmitted diseases) causing scrotal itching is less likely. Another possibility could be intestinal parasites which can sometimes cause itching in the perineal region. Again a clinical exam to check the region around your back passage and a stool examination will help.

Answer 2

Hi,

Welcome back to icliniq.com.

You can get yourself tested to confirm whether you have diabetes or not. A single blood soccer measurement does not confirm diabetes and 84 mg/dl is within a normal limit too. Viagra will help if the underlying erectile mechanism is normal, which can be confirmed with a doppler study of the blood vessels. You can visit a psychologist who will evaluate you and find out if the ED has a psychological cause to it or not. Viral infections do not manifest silently, they usually have some external signs, and they usually last for two years. A clinical examination is necessary to pick up some subtle signs that can help in diagnosis. Without confirming, it is not possible to prescribe any medication. You can try anti-histamines for the itching alone. I would advise you to visit your local dermatologist to do test skin scrapings to know the exact problem.