HomeAnswersDermatologyjock itchI have had a jock itch after interaction with a sex worker. Please help.

How to get rid of a joke itch?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 18, 2023
Reviewed AtSeptember 26, 2023

Patient's Query

Hi doctor,

I got a rimjob for about ten minutes from a sex worker. Just two weeks after that, I got jock itch. It started in my groin area and spread to my anus. The stain was cleared with medicine and cream suggested by a dermatologist, but the itching is still there, usually in the hips and anus and sometimes in the groin area. Also, my hygiene habits are below average. Genetically, I have sweated a lot since childhood. Some days are good and rare itching happens, but some days, it itches a lot. No blood discharge or pain in the anus. No other symptoms. I am worried.

Is it some sexually transmitted disease?

Thank you.

Hello,

Welcome to icliniq.com.

Hope you are doing well.

I have reviewed the information provided from your end and understand your concern.

Jock itch, or Tinea cruris, is a fungal infection that can be spread from an infected individual and may worsen and be triggered due to excessive sweating, weakened immunity, inadequate hygiene methods, etc.

Usually, jock itch needs treatment for at least three months or till pigmentation and itching, which follows the remission of rashes, disappears. This means even after rashes do disappear. It is always advised to continue the treatment of tablets, creams, powder, and soap for 3 weeks or more till all the symptoms and pigmentation associated with the rashes disappear, as most often, the fungal elements remain within the affected area if not treated completely and may flare up in case of sweating and weakened immunity. Although sweating cannot be avoided, make sure to keep a cloth that can be used to dab or wipe the sweat in regular intervals to prevent the stagnation of sweat. After a shower, make sure to towel dry your body completely and air your body under a fan for ten minutes so that your body is devoid of any moisture.

As for the suspicion regarding STIs (sexually transmitted infections), jock itch may be transmitted with close contact with an infected person who does not necessarily require sexual intimacy, but just direct or skin-to-skin contact is enough for getting infected. However, it does not seem to be an STD (sexually transmitted disease). In case of doubts, you may undergo STI (sexually transmitted infection) panel tests to rule out infections or diseases.

My advice :

1. Capsule Itraconazole 200 milligrams after dinner daily for three weeks.

2. Terbinafine cream may be applied twice daily around the groin and buttocks area for six weeks.

3. Tablet Cetirizine 10 milligrams one hour before sleeping at night for two weeks. Do not consume and drive or go out since it is sedative.

4. Abzorb (Clotrimazole) dusting powder for absorption of excess moisture on groin and buttocks areas may be used once every three to four hours.

5. Capsule Becosules Z (vitamin B-complex) once daily after dinner for two months to increase immunity.

6. Ketoconazole soap for washing the groin and buttocks area twice daily. Lather soap with water and use it for cleaning the area. Apply and leave for three minutes and wash off. Use regular soap on unaffected areas

7. Do not share belongings or soaps with others.

8. Complete towel dry and air your body after a bath.

9. Make sure to dab off sweat to prevent stagnation of the sweat since stagnation of sweat is the main cause rather than sweating.

10. Consume healthy food rich in vitamins, minerals, and proteins.

11. Consume at least three liters of water per day.

12. STI (sexually transmitted infection) panel tests to rule out any sexually transmitted infections or diseases that may be considered from a hospital.

Jock itch may be recurrent, and to prevent them from developing on and off, keep your body drier and consider a balanced diet. Consult with a doctor and take the medicines with their consent.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

My specific concern was on the std part. If it is a jock itch, I would be happy. I wanted to know whether the rimjob I received from a sex worker is causing this itching or if it is a jock itch?

I got tested for all STD with blood tests like HIV and herpes syphilis, and all were negative. But I doubt it is gonorrhea or chlamydia because I do not want to be tested. After all, it requires a swab test.

Thank you.

Hi,

Welcome back to icliniq.com.

Being exposed to an infected individual, especially through sexual activities, can cause transmission of sexually transmitted infections or diseases. Although itching is also a symptom, you may notice rashes, discharge which may be foul smelling, and so on. As a dermatologist has treated you for the rashes you had, the doctor would have done a physical examination, and since it was diagnosed as jock itch, it would be the right diagnosis.

As all the STI (sexually transmitted infection) panel tests are within normal limits, you may not worry.

Apart from the same, to rule out other infections like chlamydia or gonorrhea, it is mandatory to undergo swab tests. It cannot be diagnosed clinically without the test since it is important to find the organisms from laboratory testing only for a confirmatory diagnosis.

I request you kindly undergo a swab test from a doctor in a hospital setting to rule them out. Apart from the same, a confirmatory diagnosis can be difficult without examination or inspection of the affected area. However, only considering your provided history, it appears to be a jock itch. Kindly undergo a thorough examination via direct consultation and a swab test to rule out other causes.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty

Venereology

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