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What causes itching and boils in the genital area?

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Patient's Query

Hello doctor,

I am a female aged 30. I have been having itching of the genital area especially when I take off my inner wears at the end of the day. The genital area has become black with spots or patches. Recently, I have been having boils around there. Please suggest.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

It sounds like you may have a combination of fungal infection, friction-related hyperpigmentation, and bacterial infection (boils) in your genital area.

Some possible causes:

  1. Fungal infection (jock itch or tinea cruris): Its symptoms are itching, dark patches, redness, and irritation. It is caused by sweat, moisture, tight clothing, or poor ventilation.

  2. Post-Inflammatory hyperpigmentation (dark spots or patches): Its symptoms are darkening of the skin after repeated irritation, infection, or scratching. It is caused by friction from clothing, scratching, or a past infection.

  3. Bacterial infection (boils or folliculitis): Its symptoms are painful, swollen bumps that may fill with pus. It is caused by Staphylococcus bacteria, often due to sweat, friction, or ingrown hairs.

I suggest you do the following:

  1. For itching and dark patches use antifungal cream like Clotrimazole or Miconazole twice daily for two to four weeks. Keep the area dry and clean. Wear loose cotton underwear. Avoid scratching to prevent more dark spots.

  2. For boils try warm compresses for 10 to 15 minutes, three times a day. Use topical antibiotic ointment Mupirocin or Neosporin. Avoid squeezing because this can spread infection. Shower twice daily and dry the area well. Wear breathable fabrics like cotton underwear, and avoid tight synthetic fabrics. Consider antibacterial soap if boils are recurring.

See a doctor if the boils keep coming back, get larger, or you have a fever or swelling, and if the itching does not improve after two weeks of antifungal treatment.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 11, 2025
Reviewed At May 11, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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